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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603545
Report Date: 05/19/2026
Date Signed: 05/19/2026 03:40:02 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/12/2026 and conducted by Evaluator Sanjay Vaid
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260512121356
FACILITY NAME:PARK VIEW PLACEFACILITY NUMBER:
198603545
ADMINISTRATOR:LEEANN HEFNERFACILITY TYPE:
740
ADDRESS:1054 PARK VIEW DRIVETELEPHONE:
(626) 885-1800
CITY:COVINASTATE: CAZIP CODE:
91724
CAPACITY:142CENSUS: 98DATE:
05/19/2026
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:LeeAnn Hefner, Executive DirectorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff do not accord privacy to resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Vaid conducted a visit for the above-mentioned allegation. LPA Vaid met with LeeAnn Hefner- Administrator and discussed the reason for the visit. LPA and administrator toured the facility and did not observe any health or safety concerns.
LPA Vaid requested, and obtained the relevant documents: Resident #1, face sheet/ID, pre-placement, medical/physicians report, needs and services, admissions agreement. Itemized invoice of assisted living charges for 6 months (November 2025- April 2026).
The investigation revealed the following:

Regarding the allegation: Staff do not accord privacy to resident in care. It is alleged that the facility staff are not providing resident privacy during residents’ visit with their third-party medical professional visit ordered by Residents primary physician. Staff denied this and stated they are required to document the observation and report the prognosis of residents’ medical condition, staff also stated being instructed by Executive Director to attend the medical appointment between R1 and their primary physician care nurse. Nine of ten residents interviewed could not corroborate with this.
CONTINUED ON 9099C...........................
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
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 28-AS-20260512121356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: PARK VIEW PLACE
FACILITY NUMBER: 198603545
VISIT DATE: 05/19/2026
NARRATIVE
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Documents reviewed revealed staff went to R1’s room on multiple dates to observe and report the interaction between R1 and R1’s nurse, who is a licensed medical professional. Per Title 22 Regulations, residents have the right to have a reasonable amount of personal privacy during residents’ medical appointments between residents and their health care professionals. Staff are to communicate with the medical professional after residents’ medical appointments. According to residents’ interviews, R1 made repeated attempts to refuse facility staff to participate in R1's medical appointment at the facility, however, R1’s request to staff for privacy have been denied by facility staff. The facility staff is not providing residents with privacy when R1’s Primary Physician’ Care Nurse provide medical treatment to R1 at the facility. Per interviews conducted, R1’s Primary Physician’ Care Nurse conduct visits to the facility three (3) times per week, and each time R1’s request to staff for privacy has not been honored by facility staff. Therefore, the investigation revealed that staff are not providing R1 with privacy.

Based on LPAs interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiencies per the California Code of Regulations, Title 22, Division 6 & Chapter 8 were previously issued on 05/19/26, therefore no citation is being issued on today’s visit.

Exit interview was conducted and copy of 9099, 9099C were provided to ??.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20260512121356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: PARK VIEW PLACE
FACILITY NUMBER: 198603545
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
06/02/2026
Section Cited
CCR
87468.2(a)(1)
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87468.2 Additional Personal Rights of Residents in Privately Operated Facilities
(a)In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(1)To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications.
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Administrator will provide Department with staff training on Residents Admissions agreement by 06/02/2026.
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This requirement was not met as evidence by:
Staff not providing resident with privacy during medical examinations in residents' room by R1's primary physican care nurse.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3