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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603294
Report Date: 10/02/2025
Date Signed: 10/02/2025 02:49:52 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
09/30/2025 and conducted by Evaluator Jose Calderon
COMPLAINT CONTROL NUMBER: 11-AS-20250930082434
FACILITY NAME:SUNSHINE ASSISTED LIVINGFACILITY NUMBER:
198603294
ADMINISTRATOR:MARY MONTIANOFACILITY TYPE:
735
ADDRESS:3141 EUCLID AVETELEPHONE:
(310) 638-3847
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:68CENSUS: 66DATE:
10/02/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator Mary MontianoTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff do not assist client with toileting needs
Staff allow client to be left in soiled clothing for extended periods of time
Staff do not observe changes in clients health condition
Staff do not ensure client is spoken to in an appropriate manner
INVESTIGATION FINDINGS:
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On 10/02/2025 Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced visit to Sunshine Assisted Living Facility and was greeted by Administrator Mary Montiano (S1). LPA Calderon explained the purpose of this visit is to deliver the findings pertaining to the above-mentioned allegations.
The investigation consisted of the following: LPA Calderon interviewed Staff S1-S4, clients C1-C7. LPA Calderon obtained the following records: Incident report (dated 09/21/2025, 09/22/2025 and 09/26/2025), Needs and Service Plan (dated 12/05/2024), Physician Report (dated 11/21/2024), Nursing notes (dated 09/01/2025).

The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
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 3
Control Number 11-AS-20250930082434
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: SUNSHINE ASSISTED LIVING
FACILITY NUMBER: 198603294
VISIT DATE: 10/02/2025
NARRATIVE
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Regarding the Allegation: Staff do not assist clients with toileting needs.

This complaint alleged that the facility staff did not help C1 go to the bathroom. LPA Calderon noted staff giving morning medications to clients. LPA Calderon did not witness any negative interactions between staff and clients. Records review indicate the following: Physician Report and Needs and Service Plan indicate that C1 does not need any help going to the bathroom. Interviews indicate the following: 4 out of 4 staff deny the allegation. C1 indicates that staff do not have enough pull ups for sleeping at night. C1 indicates that C1 does not need any help going to the bathroom. 6 out of 7 clients deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff do not assist clients with toileting needs” is found to be UNSUBSTANTIATED.

Regarding the Allegation: Staff allow clients to be left in soiled clothing for extended periods. This complaint alleged that the facility staff left C1 in dirty clothes. LPA Calderon toured the facility with S1 and did not notice any negative interaction between staff and clients. LPA Calderon viewed the commercial washing machines being used by staff. LPA Calderon witnessed clients picking up washed and folded clothes. 4 out of 4 staff deny the allegation. C1 indicates that staff do wash C1 clothes, but unknown invisible people steal C1 clothes and leave dirty clothes for C1 to find. 6 out of 7 clients deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff allow client to be left in soiled clothing for extended period of time” is found to be UNSUBSTANTIATED.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20250930082434
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: SUNSHINE ASSISTED LIVING
FACILITY NUMBER: 198603294
VISIT DATE: 10/02/2025
NARRATIVE
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Regarding the Allegation: Staff do not observe changes in client’s condition.

This complaint alleged that the facility does not keep track of C1 health condition. LPA Calderon noted staff giving morning medications to clients. LPA Calderon noted hospital van picking up clients for doctor visits. Records review indicate the following: The Physician report and nurses’ notes indicate that staff help C1 with medications and with doctor visits. Interviews indicate the following: 4 out of 4 staff deny the allegation. C1 indicates that staff make doctor appointments when C1 needs to see the doctor. C1 indicates that the doctor gives C1 too much medication to use. 6 out of 7 clients deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff do not observe changes in client’s health condition” is found to be UNSUBSTANTIATED.

Regarding the Allegation: Staff do not ensure client is spoken to in an appropriate manner.

This complaint alleged that the facility staff yelled and cursed at C1. LPA Calderon noted staff giving morning medications to clients. LPA Calderon noted interactions with staff and clients which appeared to be positive in nature and not negative. Records review indicate the following: The incident reports indicate that staff interact with C1 who appear to have cognitive issues. Interviews indicate the following: 4 out of 4 staff deny the allegation. C1 indicates that a prior staff member yelled at C1. C1 indicates that staff do not yell or call C1 names. 6 out of 7 clients deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff do not ensure client is spoken to in an appropriate manner” is found to be UNSUBSTANTIATED.

No deficiencies cited during today's visit.



An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator, Mary Montiano (S1).
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3