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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600459
Report Date: 04/17/2025
Date Signed: 04/17/2025 04:46:55 PM

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
04/09/2025 and conducted by Evaluator Yolanda Rosser
COMPLAINT CONTROL NUMBER: 11-AS-20250409100644
FACILITY NAME:HERITAGE BOARD & CARE #1FACILITY NUMBER:
198600459
ADMINISTRATOR:MARILEE CRUZFACILITY TYPE:
735
ADDRESS:2330 & 2340 EAST 15TH STREETTELEPHONE:
(562) 900-5577
CITY:LONG BEACHSTATE: CAZIP CODE:
90804
CAPACITY:42CENSUS: 36DATE:
04/17/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Mary Cruz, AdministratorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Failure to keep facility clean, safe and sanitary.
INVESTIGATION FINDINGS:
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On 04/17/25 Licensing Program Analyst (LPA), Yolanda Rosser and Wendy Gibbs conducted an unannounced complaint visit to the facility listed above. LPA’s met with Jane Utupo, (Business Office Manager) and later joined by Mary Cruz, (Administrator). LPA’s was granted entry into the facility.

The investigation consisted of the following:
On 04/17/25 LPA’s inspected the facility, interviewed staff (S1- S4) , interviewed residents (R1 – R5), Received and reviewed the following documents: Staff Roster, Resident Roster, Housekeeping Duties, Dewey Pest Control Invoices (01/25 through current).

The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Yolanda Rosser
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 11-AS-20250409100644
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: HERITAGE BOARD & CARE #1
FACILITY NUMBER: 198600459
VISIT DATE: 04/17/2025
NARRATIVE
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Allegation:
Failure to keep facility clean, safe and sanitary
Allegation alleges that the facility is in disrepair and is infested with roaches.

During facility inspection LPA’s observed the facility to be clean and sanitary. LPA’s observed staff cleaning dining area after breakfast and after lunch. LPA’s observed Dewey Pest Control servicing the facility. Five bedrooms and four restrooms were inspected and were found to be clean and sanitary. LPA’s inspected the kitchen and found it to be clean and sanitary. Additionally, LPA’s did not observe anything in disrepair.


During record review LPA’s received and reviewed the 15th Street Housekeeping Duties that specifies the cleaning schedule and specific duties.
LPA’s received and reviewed Dewey Pest Control Co. (Quality Assurance Reports) for 01/16/25, 02/20/25, 03/10/25, 04/17/25.
During interviews with staff, on 04/17/25 between 12:45 PM – 3:07 PM with Staff (S1-S4) were asked how often the facility is cleaned, four (4) out of four (4) stated facility was cleaned daily and common rooms multiple times a day. Additionally, during interviews with staff were asked if there is a company that provides services for Pest Control four (4) out of four (4) stated there is a Pest Control comes out and provides treatment monthly.
During interviews with clients on 04/17/25 between 9:30 AM – 12:45 PM, (C1-C5) were asked if they believed the facility was clean and sanitary, four (4) out of five (5) stated the facility was clean and sanitary. During interviews with clients were
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Yolanda Rosser
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20250409100644
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: HERITAGE BOARD & CARE #1
FACILITY NUMBER: 198600459
VISIT DATE: 04/17/2025
NARRATIVE
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asked if they believed the facility was in disrepair, five (5) out of five (5) stated the facility was not in disrepair.
Additionally, clients were asked if they had observed pests inside the facility, three (3) out of five (5) stated they had not seen any pests inside the facility.

Although the allegation may have happened or is valid, 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 with Licensee, Mary Cruz and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Yolanda Rosser
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3