198602099-3-2-2026-11-AS-EMAZ-DTVSDM-20260508134721

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602099
Report Date: 02/23/2026
Date Signed: 03/02/2026 08:45:14 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/20/2026 and conducted by Evaluator Pamela Bunker

COMPLAINT CONTROL NUMBER: 11-AS-20260220123116

FACILITY NAME:	CORAL OAKS CARE LIVING		FACILITY NUMBER:	198602099
ADMINISTRATOR:	ELEANOR BARRIENTOS		FACILITY TYPE:	740
ADDRESS:	4271 CARLIN AVE		TELEPHONE:	(310) 763-4881
CITY:	LYNWOOD	STATE: CA	ZIP CODE:	90262
CAPACITY:	84	CENSUS: 65	DATE:	02/23/2026
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Ellen Barrintos,		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff dropped resident
Staff are not meeting residents needs
Staff are not following infection control requirements

INVESTIGATION FINDINGS:

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On February 23, 2026, Licensing Program Analyst (LPA) Pamela Bunker conducted an initial visit to gather information regarding the above allegations. LPA met with Ellen Barrintos, Administrator, and explained the purpose of the visit. LPA was granted entry to the facility.

The investigation consisted of the following: On February 23, 2026, the following documents were reviewed and obtained as part of the investigation: Personnel Report (dated 02/22/2026), Resident Roster (dated 02/22/2026), Mitigation Plan Report (dated 04/16/2021), and an approved Infection Control Report (dated May 25, 2022), and Special Incident Report (July 9, 2025)

See continued LIC9099-C page 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026

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-20260220123116

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: CORAL OAKS CARE LIVING	FACILITY NUMBER: 198602099
	VISIT DATE: 02/23/2026

NARRATIVE

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Continued LIC9099-C page 2.

On 02/23/2026, between 10:30 a.m. and 4:30 p.m., LPA Pamela Bunker conducted interviews with staff members #1–#4 (S1–S4) and with residents #1–#6 (R1–R6).

The investigation revealed the following.
Allegation: Staff dropped the resident

LPA conducted interviews with Staff #1–#4 (S1–S4). All four staff members (4 out of 4) stated that the facility provides adequate care and supervision to ensure residents are safely assisted at all times. Each staff member (4 out of 4) stated that no resident has been dropped by staff and confirmed that there is no documentation indicating that such an incident has occurred at the facility. S1-S4 denied the allegation.

LPA also interviewed Residents #1–#6 (R1–R6). All six residents (6 out of 6) stated that they have never witnessed or experienced any resident being dropped by staff. Residents stated that staff provide appropriate care and supervision, are readily available when assistance is needed, and routinely check on residents throughout the day and night. R1–R6 stated that their daily needs are met, that they feel safe in the facility, and that they are happy living there. None of the residents expressed concerns related to staff handling or safety. R1-R6 denied the allegation.

Allegation: Staff are not meeting residents' needs
LPA conducted interviews with Staff #1–#4 (S1–S4). All four staff members (4 out of 4) stated that the facility is meeting residents’ needs and that staff provide adequate care and supervision to ensure residents remain healthy and well. S1–S4 reported that they regularly monitor residents, assist with daily living activities, and follow established care protocols. All four staff members (4 out of 4) denied the allegation.

LPA also interviewed Residents #1–#6 (R1–R6). All six residents (6 out of 6) stated that staff provide appropriate care and supervision and are available when assistance is needed. 6 out of 6 residents stated that staff routinely check on them throughout the day and night and respond promptly to calls for help. R1–R6 stated that their daily needs are being met, that they feel safe in the facility, and that they are happy with the care they receive. None of the residents expressed concerns regarding staff responsiveness, care practices, or unmet needs. All six residents (6 out of 6) denied the allegation.

See continued LIC812-C page 2.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20260220123116

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: CORAL OAKS CARE LIVING	FACILITY NUMBER: 198602099
	VISIT DATE: 02/23/2026

NARRATIVE

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Continued LIC9099-C page 3.

Allegation: Staff Are Not Following Infection Control Requirements
LPA conducted interviews with Staff #1–#4 (S1–S4). All four staff members (4 out of 4) stated that the facility follows all required infection control protocols and provides adequate care and supervision to ensure residents’ health and safety. 4 out of 4 staff stated that they adhere to established policies, including hand hygiene, personal protective equipment (PPE) use, sanitation procedures, and the implementation of resident-specific precautions when necessary. 4 out of 4 staff members stated that they had no cases of COVID-19, UTIs, or pneumonia among residents during March 2025. S1-S4 stated that all incidents are reported to Community Care Licensing and all other appropriate agencies in a timely manner.
S1–S4 stated that infection control practices are reviewed regularly during staff meetings and reinforced through ongoing training. All four staff members (4 out of 4) denied the allegation.

During the visit, LPA reviewed the facility’s Mitigation Plan Report dated April 16, 2021, and an approved Infection Control Report dated May 25, 2022. Both documents reflected current infection control procedures and confirmed that the facility has established systems in place to reduce the risk of illness and comply with regulatory requirements.

LPA also interviewed Residents #1–#6 (R1–R6). All residents (6 out of 6) stated that staff provide adequate care and supervision and follow infection control procedures, including compliance with COVID‑19 guidelines and physician‑ordered medical directives. 6 out of 6 residents stated that staff maintain a clean environment, practice proper hygiene, and take precautions to prevent the spread of illness. All six residents (6 out of 6) denied the allegation and expressed no concerns regarding staff practices or infection control measures.

Based on interviews, available evidence, observation, information received, and records reviewed, there was not enough sufficient evidence to support the allegation. 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 deemed unsubstantiated.

A copy of the Complaint Investigation Report LIC9099 and LIC9099-C was provided to Ellen Barrintos, Administrator. No deficiencies were cited. An exit interview was conducted.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026

LIC9099 (FAS) - (06/04)

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