198602996-4-10-2026-11-AS-PMAA-DUJMZF-20260529100304

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602996
Report Date: 04/10/2026
Date Signed: 04/10/2026 03:05:21 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
04/02/2026 and conducted by Evaluator Perry Scott

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260402125511

FACILITY NAME:	SAR ADULT HOME CARE		FACILITY NUMBER:	198602996
ADMINISTRATOR:	SAR, VASHNA		FACILITY TYPE:	735
ADDRESS:	926 E 163RD ST		TELEPHONE:	(424) 403-4063
CITY:	CARSON	STATE: CA	ZIP CODE:	90746
CAPACITY:	4	CENSUS: 3	DATE:	04/10/2026
		UNANNOUNCED	TIME BEGAN:	09:14 AM
MET WITH:	Vashna Sar		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff inappropriately touched client in care.
Staff did not provide reasonable privacy to client in care.
Staff denied food to client in care.
Staff stole client's personal items.
Staff fed spoiled food to client in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 04/10/2026, at 9:15am, the department conducted an initial complaint visit to the facility and was greeted by Vashna Sar, Administrator, and Tawny Leslie, Manager. The department explained the purpose of this visit was to gather information about the complaint, gather facility files, interview staff and clients, and deliver findings for the allegations mentioned above.

The investigation consisted of the following: The department investigated the allegations mentioned in this complaint and conducted interviews with staff (S1-S4) and clients (C1-C3). The department received the following documents: Staff Roster (Dated: 12/01/2025), Client Roster (Dated: 01/16/2025), ID/Emergency Information (Dated: 04/10/2026, 02/22/2026, 12/07/2025), Functional Capability Assessment (Dated: 01/12/2024), Pre-Placement Appraisal (Dated: 01/12/2024, 12/07/2020), Physician’s Report (Dated: 01/04/2024), Individual Program Plan (Dated: 07/18/2024, 11/02/2023, 01/19/2024), Applied Behavioral Alternatives Quarterly Report (Dated: 10/02/2024, 03/02/2024), and Appraisal/Needs Service Plan (Dated: 07/27/2020, 12/07/2020) from the facility.

Report Continued On LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 04/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026

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 4

Control Number 11-AS-20260402125511

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: SAR ADULT HOME CARE	FACILITY NUMBER: 198602996
	VISIT DATE: 04/10/2026

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

The investigation revealed the following: Allegation #1- Staff inappropriately touched client in care.

The details of the complaint alleged that the facility staff touched client inappropriately while in care. It was reported that staff often gave inappropriate hugs to client while at the facility. On 4/10/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) and clients (C1-C3) regarding the allegation. 4 of 4 staff denied the allegation that Staff inappropriately touched client in care. All staff stated that they have never witnessed nor participated in any type of inappropriate behavior with any of the clients in the facility. Staff also stated that they have never touched, hugged, or did anything of an intimate nature that would cause any of the clients in the facility to feel uncomfortable with their actions.

The department interviewed clients (C1-C3) about the allegation and 3 of 3 clients that were interviewed stated that they have never been touched inappropriately or have been made to feel uncomfortable by any of the staff working at the facility.

Based on interviews conducted, there is insufficient evidence to support the allegation that Staff inappropriately touched client in care. 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.

Allegation #2- Staff did not provide reasonable privacy to client in care.

The details of the complaint alleged that the facility staff did not provide reasonable privacy for clients while in care. It was reported that the facility had hidden cameras in the clients’ rooms. On 04/10/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) and clients (C1-C3) regarding the allegation. 4 of 4 staff denied the allegation that Staff did not provide reasonable privacy to client in care. All staff stated that the facility does not and has never had hidden cameras in the clients’ rooms. Staff also stated that they are aware of the clients’ personal rights and have never impeded upon their privacy in any way.

The department interviewed clients (C1-C3) about the allegation and 3 of 3 clients that were interviewed stated that the facility staff does ensure that they have their privacy while at the facility and have never felt that they were being monitored in any way.

The department toured the facility and the clients’ bedrooms and did not observe any cameras or monitoring equipment in their rooms.

Based on observation and interviews conducted, there is insufficient evidence to support the allegation that Staff did not provide reasonable privacy to client in care. 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.

Report Continued On LIC9099-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 04/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20260402125511

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: SAR ADULT HOME CARE	FACILITY NUMBER: 198602996
	VISIT DATE: 04/10/2026

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

Allegation #3- Staff denied food to client in care.

The details of the complaint alleged that the facility staff denied client food while living at the facility. On 04/10/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) and clients (C1-C3) regarding the allegation. 4 of 4 staff denied the allegation that Staff denied food to client in care. All staff stated that they have never denied food to any of the clients past or present and that the facility gives the clients three meals per day plus any snacks that they would like.

The department interviewed clients (C1-C3) about the allegation and 3 of 3 clients that were interviewed stated that the staff has never denied them any meals at the facility and are satisfied with the care and supervision that staff gives them. They also stated that they get three meals per day plus snacks.

Based on interviews conducted, there is insufficient evidence to support the allegation that Staff denied food to client in care. 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.

Allegation #4- Staff stole client's personal items.

The details of the complaint alleged that the facility staff stole clients’ personal items. It was reported that staff stole clients’ personal items that were of an intimate nature. On 04/10/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) and clients (C1-C3) regarding the allegation. 4 of 4 staff denied the allegation that Staff stole client's personal items. All staff stated that they have never stolen any of the clients’ personal belongings, intimate or otherwise. Staff also stated that the facility has lock boxes for any of the clients to use if they have valuables or excess cash they want to protect.

The department interviewed clients (C1-C3) about the allegation and 3 of 3 clients that were interviewed stated that the facility staff have never stolen any personal items of theirs while they have been living at the facility.

Based on interviews conducted, there is insufficient evidence to support the allegation that Staff stole client's personal items. 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.

Allegation #5- Staff fed spoiled food to client in care.

The details of the complaint alleged that the facility staff provided spoiled food to clients in care while living at the facility. On 04/10/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) and clients (C1-C3) regarding the allegation. 4 of 4 staff denied the allegation that Staff fed spoiled food to client in care.

Report Continued On LIC9099-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 04/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20260402125511

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: SAR ADULT HOME CARE	FACILITY NUMBER: 198602996
	VISIT DATE: 04/10/2026

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

All staff stated that the facility provides meals three times per day for the clients and has never served spoiled food to them intentionally or otherwise. They also stated that none of the client have ever told them that any of the food has been spoiled. They also stated that they do routine checks of the food items in the facility to make sure that any food items that are expiring are destroyed.

The department interviewed clients (C1-C3) about the allegation and 3 of 3 clients that were interviewed stated that the facility has never served them any spoiled food.

The department toured the pantry and refrigerator in the facility and did not observed any spoiled canned goods or other food items in the facility. All dates on all food items were current and not expired.

Based on interviews and observations, there is insufficient evidence to support the allegation that Staff fed spoiled food to client in care. 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 citations were issued for this complaint investigation.

An exit interview was conducted with Vashna Sar, Administrator, and a hard copy of this Complaint Investigation Report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 04/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4