198320498-9-18-2025-11-AS-UCOL-DLV2UQ-20250925174241

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320498
Report Date: 09/18/2025
Date Signed: 09/18/2025 10:18:27 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/15/2025 and conducted by Evaluator Jose Anguiano

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250815141833

FACILITY NAME:	GENERATIONS OF LOS ANGELES ASSISTED LVNG. FACILITY		FACILITY NUMBER:	198320498
ADMINISTRATOR:	CAMARIN JOHNSON		FACILITY TYPE:	740
ADDRESS:	3540 MARTIN LUTHER KING, JR.		TELEPHONE:	(310) 638-4113
CITY:	LYNWOOD	STATE: CA	ZIP CODE:	90262
CAPACITY:	178	CENSUS: 104	DATE:	09/18/2025
		UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Denise Gilroy		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff did not safeguard residents belongings
Staff did not treat resident with dignity and respect

INVESTIGATION FINDINGS:

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On 09/18/2025 at approximately 8:00 AM, Licensing Program Analyst (LPA) Jose Anguiano conducted a subsequent visit to deliver findings regarding the above allegation and met with the facility Administrator Denise Gilroy.

The investigation consisted of the following: On 08/22/2025, around 8:00AM LPA Anguiano toured the facility, interviewed (8) staff members (S1–S8), interviewed (10) residents (R1-R10) and conducted record reviews. The investigation revealed the following: Regarding allegation “Staff did not safeguard resident’s belongings”, it is being alleged that staff did not respond to residents concerns regarding their personal belongings. Records reviewed revealed the following: The facilities incident report dated 08/31/2025 indicates that on 08/23/2025 a resident was missing their personal belongings, staff assisted the resident in calling the police department and the residents placement agency was also notified. The police report dated 09/10/2025 indicates that on 08/23/2025 police went to the facility to conduct interviews.
Please see LIC 9099-C (Continuation Page) for additional information.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20250815141833

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: GENERATIONS OF LOS ANGELES ASSISTED LVNG. FACILITY	FACILITY NUMBER: 198320498
	VISIT DATE: 09/18/2025

NARRATIVE

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A review of the residents’ LIC 621 (Personal Property and Valuables) did not include the items reported by the resident. Observations revealed the following: On 08/22/2025 and 09/18/2025, LPA observed staff interacting with residents in a respectful and professional manner. Interviews conducted revealed the following: LPA interviewed 11 residents. Eight (8) residents denied the allegation and reported no issues with staff safeguarding their belongings. Three (3) residents agreed with the allegation. LPA also interviewed eight (8) staff members. All staff denied the allegation. Staff #2 (S2) stated that when incidents involving residents’ belongings occur, residents are assisted in documenting and reporting the issue appropriately. Regarding allegation “Staff did not safeguard residents’ belongings”: although the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated.

Investigation consisted of the following: Regarding allegation” Staff did not treat resident with dignity and respect” It is being alleged that staff threatened to evict the resident. Observations revealed the following: On 08/22/2025 and 09/18/2025, LPA observed staff interacting with residents in a respectful and professional manner. No concerns were observed regarding staff conduct. Interviews conducted revealed the following: Ten (10) out of eleven (11) residents denied the allegation and reported that staff treat residents with dignity and respect. One (1) resident agreed with the allegation. All eight (8) staff members denied the allegation. Staff #2 (S2) stated not witnessing or hearing of any staff treating residents disrespectfully. Records reviewed revealed the following: LPA reviewed staff training records on Personal Rights conducted in May, June, and August 2025, with sign-in sheets confirming staff participation. Facility’s incident report dated 08/31/2025 stated no eviction notice was issued verbally or in writing. The facility also notified the residents’ placement agency and the Department. No documentation or witness statements were found to support the allegation that staff took the residents’ belongings or threatened eviction.

Although the allegation that staff did not treat a resident with dignity and respect may have occurred, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and appeal rights were provided to the Administrator.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025

LIC9099 (FAS) - (06/04)

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