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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601211
Report Date: 10/23/2025
Date Signed: 10/23/2025 01:43:41 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
10/16/2025 and conducted by Evaluator Jose Calderon
COMPLAINT CONTROL NUMBER: 11-AS-20251016110742
FACILITY NAME:VILLA STANLEYFACILITY NUMBER:
198601211
ADMINISTRATOR:NATALIE SINGHFACILITY TYPE:
735
ADDRESS:335 N. STANLEY AVETELEPHONE:
(323) 937-4856
CITY:LOS ANGELESSTATE: CAZIP CODE:
90036
CAPACITY:80CENSUS: 69DATE:
10/23/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:ADMINISTRATOR NATALIE SINGHTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff did not ensure resident's cash resources were returned upon moving out of facility
INVESTIGATION FINDINGS:
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On 10/23/2025 Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced visit to Villa Stanley and was greeted by Administrator Natalie Singh (S1). LPA Calderon explained the purpose of this visit is to deliver the findings pertaining to the above-mentioned allegation.

The investigation consisted of the following: LPA Calderon interviewed Staff S1, resident R1-R7. LPA Calderon obtained the following records: Admission Agreement (dated 12/17/2017). LIC405 (dated 07/01/2025 to 09/08/2025), account leger for social security check (dated 07/01/2025 to 10/01/2025) for R1.

The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
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 2
Control Number 11-AS-20251016110742
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: VILLA STANLEY
FACILITY NUMBER: 198601211
VISIT DATE: 10/23/2025
NARRATIVE
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Regarding Allegation #1: Staff did not ensure residents cash resources were returned upon moving out of facility.

It is alleged that the facility did not refund R1 social security check. LPA Calderon toured the facility with S1. During tour of the facility LPA Calderon noted facility staff helping residents and cleaning the facility. LPA Calderon did not note any negative interaction between staff and residents. Records indicate: Monthly Beneficiary accounting ledger from 07/01/2025 to 10/01/2025 shows a direct deposit of $1599.07 and the last deposit was on 10/01/2025. LIC405 shows that $179.00 was deposited into R1 account and a zero balance was noted on 09/08/2025. LPA Calderon interviewed staff S1 and residents R1-R7. R1 could not be interviewed as R1 moved out of the facility on 09/23/2025. 6 out of 7 residents deny the allegation. LPA Calderon interviewed S1. S1 indicates that she is the only staff member that deals with the residents’ money. S1 indicates that R1 social security check was deposited into the facility account. S1 indicates that social security was refunded for $1599.07. S1 indicates that the facility will provide proof of what date the 1599.07 was refunded to Social Security to LPA Calderon by 10/27/2025.

Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has not been met; therefore, the allegation of “staff did not ensure residents cash resources were returned upon moving out of facility” is found to be Unsubstantiated.



No deficiencies cited during today's visit.

An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Natalie Singh S1.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2