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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601953
Report Date: 06/27/2025
Date Signed: 06/27/2025 01:15:19 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/25/2025 and conducted by Evaluator Kimberly Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250625112911
FACILITY NAME:KENSINGTON SIERRA MADRE, THEFACILITY NUMBER:
198601953
ADMINISTRATOR:CECILIA DEGRAFFFACILITY TYPE:
740
ADDRESS:245 W. SIERRA MADRE BLVD.TELEPHONE:
(626) 355-5700
CITY:SIERRA MADRESTATE: CAZIP CODE:
91024
CAPACITY:106CENSUS: 91DATE:
06/27/2025
UNANNOUNCEDTIME BEGAN:
09:17 AM
MET WITH:Daniel OrozcoTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Facility did not have a designated substitute administrator.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced initial complaint investigation visit on 06/27/2025 to regarding the above allegation. During today’s visit, LPA Ramirez was greeted by Associate Executive Director- Daniel Orozco and explained the purpose of the visit.

The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff Roster, Staff#1 - 7 interviews (S1 – S7), Resident#1- 4 interviews (R1 – R4), Copy of concierge staff contact list, Designation of responsibility (LIC 308), Copy of correspondence addressed to Community Care Licensing dated 04/02/2025 and 05/19/2025, and physical plant tour.

See 9099-C
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
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 28-AS-20250625112911
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: KENSINGTON SIERRA MADRE, THE
FACILITY NUMBER: 198601953
VISIT DATE: 06/27/2025
NARRATIVE
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The investigation revealed the following: regarding the allegation “Facility did not have a designated substitute administrator.” It is alleged no management was visible or available during a recent tour of the facility. Seven (7) out of the seven (7) staff interviewed denied this allegation. All staff interviewed revealed management is always available via phone and email and reply within a timely manner. All staff interviewed were knowledgeable on how to contact management and where contact information could be located. Four (4) out of the four (4) residents interviewed denied this allegation. All residents interviewed revealed management can be easily found and reply to residents’ concerns promptly. During tour of facility, LPA Ramirez observed a “Team Leaders” framed poster located on a wall near the concierge desk. This poster listed the names, picture, direct cell phone number and email to facility management. LPA Ramirez observed several management business cards located in the front entrance lobby of the facility. Business cards were observed to contain management direct cellphone number, email address and facility landline number. During record review, LPA Ramirez observed two (2) Designation of responsibility (LIC 308) forms. These records revealed Associate Executive Director- Daniel Orozco and Executive Director- April Vargas are authorized and designated by Administrator- CC Degraff, to assist in her absence. Copy of correspondence letters addressed to this licensing agency, revealed on 04/02/2025 & 05/19/2025, administrator CC Degraff advised of her temporary absence and Associate Executive Director- Daniel Orozco and Executive Director- April Vargas would be available in her absence. 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.

No violations were observed. Exit interview was conducted and a copy of this report was provided

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2