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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603545
Report Date: 05/19/2026
Date Signed: 07/31/2026 01:42:36 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
12/02/2025 and conducted by Evaluator Sanjay Vaid
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251202102346
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:
09:00 AM
MET WITH:LeeAnn Hefner, Executive DirectorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff are charging residents for services not provided.
INVESTIGATION FINDINGS:
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****This report supersedes the original complaint investigation report dated 05/19/2026. The purpose of the visit is to remove information listed on the initial report. The findings will remain substantiated. ***

On 05/19/2026, Licensing Program Analyst (LPA) Vaid conducted a subsequential 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.
On 12/08/25, LPA Vaid conducted an unannounced 10 day initial visit regarding the allegations mentioned above. Met with Administrator Leanne Hefner and discussed the allegations. LPA Vaid requested, and obtained the relevant documents: Resident #1 and #2, face sheet/ID, pre-placement, medical/physicians report, needs and services, admissions agreement. Itemized invoice of memory care charges for 6 months (June 2025- November 2025). Four (4) random residents files (face sheet/ID, pre-placement, physicians report, needs and services were requested and obtained. Admissions agreement (70 pages) for R1 will be emailed to LPA for review.

The investigation revealed the following:
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 6
Control Number 28-AS-20251202102346
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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 Regarding the allegation: Resident sustained an injury due to staff neglect and staff did not seek medical attention for resident’s wound in a timely manner. It is alleged that R2 sustained an injury to their person while under facility staff care, and staff failed to communicate the injury and cause of injury to R2’s family. Per allegation staff refused to tend to R2 ‘s wound, stating ‘R2 did not have that level of care’. The lack of care led to the wound developing an infection. Five of five staff deny this allegation, staff stated having communicated R2’s medical condition to R2’s family and physician and were ordered by R2’s primary physician to take R2 to urgent care, staff complied with physician’s orders. R2 was taken to Urgent Care by family and released with prescription medication. Nine of ten residents could not corroborate this allegation, interviews revealed staff are taking proactive measures to ensure residents’ safety and assist residents in avoiding injury. Residents also stated staff have communicated with their physician and family in a timely manner when residents’ injury occurs and residents are transferred to the hospital or urgent care.
Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s)did or did not occur, therefore the allegations are unsubstantiated.

Exit interview was held with Leeann Hefner -Executive Director and copy of this report was provided.
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: 4 of 6
Control Number 28-AS-20251202102346
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)
Deficiency Dismissed
Type B
06/02/2026
Section Cited
CCR
87507(g)(3)(B)
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87507Admission Agreements (g) Admission agreements shall specify the following: (3)Payment provisions, including thefollowing: (B)Rate for additional items and services, including: 1. A comprehensive description of and the corresponding fee schedule for all additional items and services not included in the fees for basic services shall be listed. 2. A separate charge for an item or service may be assessed only if that charge is included in and authorized by the admission agreement. 3. A statement acknowledging any additional items and/or services that the resident refused to purchase at the time the admission agreement was signed, which shall be signed and dated by the resident or the resident’s representative, if any, and attached to the admission agreement. 4. If the licensee offers additional items and/or services that were not available at the time the admission agreement was signed, a list of these services and charges shall be provided to the resident or the resident’s representative.5.A statement acknowledging the acceptance or refusal to purchase additional services that were not available at the time the admission agreement was signed, which shall be signed and dated by the resident or the resident’s representative, if any, shall be attached to the admission agreement. 6.The use of third-party services within the facility shall be explained as they are related to the resident’s service plan, including but not limited to, ancillary health, and medical services, how they may be arranged, accessed and monitored, any restrictions on third-party services, and who is financially responsible for the third-party services.
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Administrator will provide Department with staff training on Privacy and Personal Rights by 06/02/2026.
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This requirement has not been met by evidence: Facility is charging R1 medical appointment visits by R1's primary physican care registered nurse in their apartment. STaff is charging R1 with medical services not rendered.
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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: 6 of 6
Control Number 28-AS-20251202102346
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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****This report supersedes the original complaint investigation report dated 05/19/2026. The purpose of the visit is to remove information listed on the initial report. The findings will remain substantiated. ***

Regarding the allegation: Staff are charging residents for services not provided. It is alleged that the facility is charging R1 for services not provided. Five of five staff deny this allegation, according to staff, charges for services stated in the resident’s service plan and admissions agreement are charged to residents in care.
According to staff, the staff overseeing R1’s medical visit by R1’s physicians registered nurse(RN) stated only observing the visit and not providing medical treatment or services to R1 during the medical appointment at the facility inside the residents’ apartment. Staff stated being instructed by LeeAnn Hefner, Executive Director to go inside R1’s apartment during R1’s medical appointment and watch the appointment.
Six of ten residents interviewed could not corroborate this. According to documents reviewed, the facility staff charged R1 for third-party provided medical services in November 2025, December 2025, January 2026 through April 2026. The facility has billed R1 for the sum of $340.00 per month for observing and not providing actual medical services to R1, only the primary physicians care nurse is measuring and cleaning the residents wound. The staff is only relayed information from the RN care nurse on R1’s prognosis. Staff are not providing medical services to R1 but are charging R1 for services not rendered.
Review of R1’s admissions agreement; R1 and R1’s Medical /Financial Power of Attorney did not authorize additional needs and services for R1 under the signed agreement. R1 stated not signing any document related to facility staff overseeing their medical visits with primary physician care registered nurse. According to interview with R1, did not request in-house care and is not being treated by a qualified facility nurse, and is being charged for services not rendered.

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. California Code of Regulations, (Title 22, Division 6 & Chapter number 8), are being cited on the attached LIC 9099D.

Exit interview was conducted and copy of 9099, 9099C and 9099D were provided with appeals rights.
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: 5 of 6
Control Number 28-AS-20251202102346
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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Regarding the allegation: Staff do not ensure resident is bathed. It is alleged that the facility staff are not ensuring that R2 is bathed weekly causing a foul odor and rash on R2’s person. Five of five staff deny this; residents are scheduled to bathe as per residents’ service plans. Some residents refuse to bathe as it is their right not to bathe. Staff make repeated attempts with residents in Memory Care, with three different staff faces asking at different times. The staff cannot force the residents to take a bath against their wishes. Staff will ask family to assist and persuade. Nine of ten residents could not corroborate this, interviews revealed residents are assisted with showers/bathes two -three times per week as listed in their needs and services plan. According to resident interviewed, R2 is bathed as their service plan, Resident has not been observed unbathed according to R1 having visited R2 daily.

.Regarding the allegation: Staff do not assist resident with getting dressed. It is alleged that the facility staff are not assisting R2 with their clothes and staff are leaving R2 in same clothes for (2-3) two-three days at a time. Five of five staff deny this; residents’ in memory care are assisted with change of clothing regularly. Some residents refuse to change their favorite item of clothing, as it is their right to refuse daily clothing change. Staff make repeated attempts with residents in Memory Care, with three different staff faces asking at different times. The staff cannot force the residents to change clothes against their wishes. Staff will ask family to assist and persuade. Nine of ten residents could not corroborate this, interviews revealed residents in memory care are assisted with clothing changes daily. Some residents acknowledge staff washing favorite clothing item for residents, frequently. Resident interviewed stated having observed R2 with clean clothes, R1 and R2 meet daily.

Regarding the allegation: Staff do not meet resident’s incontinence needs. It is alleged that the facility staff are not meeting R2’s incontinent needs and the staff is failing to change soiled briefs for days. Five of five staff deny this, according to staff residents are check for incontinent changes upon starting, during and before the end of each shift, staff stated providing Assisted daily Living needs to residents needing incontinent services three times per shift and as needed for residents requiring constant incontinent care needs. During each shift staff make nighty checks upon incontinent needing residents, staff periodically checks upon residents' needing constant incontinent care due to their medical conditions to avoid residents' developing UTI's and sores on their private areas. Nine of ten residents could not corroborate this allegation. Residents stated they receive incontinent care throughout the day and night and when needed. Residents' also stated, not being left in soiled adult briefs for days, staff tends to residents needs.

CONTINUED ON 9099C..................
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: 3 of 6
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
12/02/2025 and conducted by Evaluator Sanjay Vaid
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251202102346

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:
09:00 AM
MET WITH:LeeAnn Hefner, Executive DirectorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff do not ensure resident is bathed
Staff do not assist resident with getting dressed
Staff do not meet resident’s incontinence needs
Resident sustained an injury due to staff neglect and Staff did not seek medical attention for resident’s wound in a timely manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Vaid conducted a subsequential visit for the above-mentioned allegations. 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.

On 12/08/25, LPA Vaid conducted an unannounced 10 day initial visit regarding the allegations mentioned above. Met with Administrator Leanne Hefner and discussed the allegations. LPA Vaid requested, and obtained the relevant documents: Resident #1 and #2, face sheet/ID, pre-placement, medical/physicians report, needs and services, admissions agreement. Itemized invoice of memory care charges for 6 months (June 2025- November 2025). Four (4) random residents files (face sheet/ID, pre-placement, physicians report, needs and services were requested and obtained. Admissions agreement (70 pages) for R1 will be emailed to LPA for review.

The investigation revealed the following:
CONTINUED ON 9099C......................
Unsubstantiated
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: 2 of 6