<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602210
Report Date: 05/15/2026
Date Signed: 05/15/2026 11:39:44 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
01/27/2026 and conducted by Evaluator Mario Leon
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260127171627
FACILITY NAME:INDIAN PEAK MANORFACILITY NUMBER:
198602210
ADMINISTRATOR:TORRE, RICARDO DELAFACILITY TYPE:
740
ADDRESS:27102 INDIAN PEAK ROADTELEPHONE:
(424) 206-2292
CITY:RANCHO PALOS VERDESSTATE: CAZIP CODE:
90274
CAPACITY:6CENSUS: 5DATE:
05/15/2026
UNANNOUNCEDTIME BEGAN:
08:46 AM
MET WITH:Joseph Medina - CaregiverTIME COMPLETED:
12:02 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not prevent inappropriate sexual interation between clients in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 05/15/26 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent complaint visit at the facility. California Department of Social Services (CDSS) was met by staff two, Joseph Medina - Caregiver (S2), and the purpose of the visit was explained.
The investigation consisted of the following:
On 01/30/26 LPA Calderon obtained the following records: The Physician report (dated 05/25/2025), the Preplacement Appraisal plan (dated 03/17/2025), VA hospital (dated 01/29/2026), Admission Agreement (dated 02/24/2015) of R1. CDSS toured the facility with Glenda Marquez (S1) and did not see any negative interaction between residents. On 05/15/26 CDSS was met by Joseph Medina (S2), and requested resident list (Dated 07/03/2025) and physician's report of R2 (dated 03/20/2026). CDSS interviewed four (4) residents (R1-R4), three (3) staff (S1-S3) and witness one (W1).
The investigation revealed the following: Regarding the allegation, “Staff did not prevent inappropriate sexual interation between clients in care.”, it is being alleged that approximately 5 to 10 years ago, a resident (R1) was molested by their roommate at the facility. Report continues, please see LIC9099-C.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026
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 2
Control Number 11-AS-20260127171627
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: INDIAN PEAK MANOR
FACILITY NUMBER: 198602210
VISIT DATE: 05/15/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
 Record reviews revealed the following: R1's secondary diagnosis has been marked as schizophrenia with other condition marked as bipolar disorder. Between 09:00AM and 11:15AM, LPA interviewed three (3) residents (R1 & R3-R4) and three (3) staff (S1-S3). R2 was not available for interview due to their medical condition. Interviews revealed the following: Interviews revealed that two (2) out of three (3) residents and all three (3) staff, along with witness one (W1), have denied the allegation has taken place. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

There have been zero (0) deficiencies cited during today's visit.

An exit interview was held with Joseph Medina (S2) and a copy of this report has been provided.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2