198602216-6-4-2026-11-AS-PMAA-DVHSJH-20260629135511

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602216
Report Date: 06/04/2026
Date Signed: 06/04/2026 03:08:23 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
05/26/2026 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 11-AS-20260526130158

FACILITY NAME:	FRANCESCA'S HOME		FACILITY NUMBER:	198602216
ADMINISTRATOR:	COELLO, BESSIE L		FACILITY TYPE:	740
ADDRESS:	20520 AVIS AVENUE		TELEPHONE:	(310) 292-8425
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90503
CAPACITY:	6	CENSUS: 6	DATE:	06/04/2026
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Bessie Coello- Administrator		TIME COMPLETED:	03:25 PM

ALLEGATION(S):

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Staff unplugged residents oxygen

INVESTIGATION FINDINGS:

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On 06/4/2026, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct and deliver findings for the alleged allegation. LPA identified herself and met with Bessie Coello- Administrator who was informed of the purpose of the visit.

The investigation consisted of:

On 5/6/2026, At 08:15 AM, LPA Allen requested the following documents: Staff roster dated June 4, 2026, and Client roster dated May16 2026. The department conducted a review of six (6) clients files which consisted of admissions agreements, needs and service plans, and physician’s reports which all six (6) files appeared to be current.

The Department conducted interviews with four (4) staff members (S1–S4) and Clients 1–3 (C1–C3) and The Department attempted to interview Client 4 (C4); however, C4 was unable to participate in a clear conversation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

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-20260526130158

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: FRANCESCA'S HOME	FACILITY NUMBER: 198602216
	VISIT DATE: 06/04/2026

NARRATIVE

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Attempts were also made to interview Clients 5 and 6 (C5–C6), but they were not available during the visit.
The Department was also able to interview Witness 1 (W1) and attempted to contact C1’s next of kin.

The investigation revealed the following:

Allegation 1: Staff unplugged residents’ oxygen

During the investigation, Staff 1–4 (S1–S4) were asked whether any staff member had ever unplugged a client’s oxygen machine or whether they had ever needed to plug a client’s oxygen machine back in. All four staff members stated they have never unplugged a client’s oxygen machine, nor have they ever had to plug one back in. The clients’ oxygen machines remain plugged in at all times.

An interview conducted with Client 1 (C1) reported S1 unplugged their oxygen machine and that S2 after an hour later plugged it back into the wall. When asked to identify who plugged the machine back in, C1 was unable to provide a name and when asked if there was a witnessed to the incident C1 said no.

Interviews with Clients 2 and 3 (C2–C3) indicated that they do not require oxygen and have not seen or heard of anyone’s oxygen being turned off.

The Department attempted to interview Client 4 (C4); however, C4 was unable to participate in a clear conversation.

The Department was also unable to interview Clients 5 and 6 (C5–C6), as they were not available at the time of the visit.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20260526130158

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: FRANCESCA'S HOME	FACILITY NUMBER: 198602216
	VISIT DATE: 06/04/2026

NARRATIVE

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An interview conducted with Witness 1 (W1) revealed that they have not heard any rumors or experienced any incidents involving oxygen. The Department also attempted to interview Client 1’s (C1) next of kin; however, they were unable to be reached.

During a tour of the facility, the Department observed that the oxygen machines in use within the home were plugged in and operating. Based on the records reviewed, the clients in care who require oxygen were actively receiving oxygen.

Based on interviews, file review and observation during the investigation, the above allegation is found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and provided to Bessie Coello- Administrator at the conclusion of the visit with appeal rights.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

LIC9099 (FAS) - (06/04)

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