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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603294
Report Date: 11/05/2025
Date Signed: 11/05/2025 09:51:52 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
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:
11/05/2025
UNANNOUNCEDTIME BEGAN:
09:18 AM
MET WITH:ADMINISTRTOR MARY MONTIANOTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Client was sexually abused while in care
INVESTIGATION FINDINGS:
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On 11/05/2025 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). Investigation assignment report (dated 10/16/2025)

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

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
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 2
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: 11/05/2025
NARRATIVE
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Regarding the Allegation: Client was sexually abused while in care.

This complaint alleged that a unknown person sexually abused C1 while in care. 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: Needs and Service Plan indicate that C1 was diagnosed with schizophrenia disorder. Interviews indicate the following: C1 could not provide details of the attack. C2 indicates that C2 never saw an unknown male attack C1 in C1 room. 4 out of 4 staff deny the allegation ever happened.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “client was sexually abused while in care” 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: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2