198603634-6-19-2025-28-AS-FFIS-DJZPSV-20250728113459

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603634
Report Date: 06/19/2025
Date Signed: 06/19/2025 04:45:39 PM

Unsubstantiated

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
06/10/2025 and conducted by Evaluator Luis DeLeon

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250610155556

FACILITY NAME:	ANEW DAWN ADULT LIVING		FACILITY NUMBER:	198603634
ADMINISTRATOR:	DUFRENNE, PATRIA MARAVILLA		FACILITY TYPE:	735
ADDRESS:	4340 LOCKWOOD AVE		TELEPHONE:	(323) 426-9123
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90029
CAPACITY:	94	CENSUS: 84	DATE:	06/19/2025
		UNANNOUNCED	TIME BEGAN:	08:05 AM
MET WITH:	Support Specialist Romel Arcilla		TIME COMPLETED:	04:55 PM

ALLEGATION(S):

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Facility staff are not maintaining facility's electrical wiring in good repair
Facility staff are not preventing residents from smoking inside the facility
Facility staff are not ensuring faucets used by residents for personal care deliver hot water

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Luis De Leon conducted an unannounced complaint investigation visit for the allegation listed above. LPA met with the Support Specialist Romel Arcilla and explained the reason for the visit. Mr. Romel Arcilla contacted Assistant Manager Richard Tan to inform of today’s visit. Mr. Tan informed LPA that Administrator Patria Dufrenne was informed of today’s visit.

The investigation consisted of the following: On today’s visit, LPA De Leon toured the physical plant with Support Specialist Romel Arcilla and inspected 12 random room in the south wing of the facility. LPA obtained staff and client rosters, facility maintenance logs, facility house rules, water temperature logs, incidents report, repair notices posted throughout facility announcing planned maintenance work being done at facility, and elevator repair invoice dated 6/16/25.

Continue on LIC 9099C...

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Luis DeLeon
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20250610155556

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: ANEW DAWN ADULT LIVING	FACILITY NUMBER: 198603634
	VISIT DATE: 06/19/2025

NARRATIVE

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Regarding allegation: Facility staff are not maintaining facility's electrical wiring in good repair. It was alleged that electrical wiring is not in good repair and the electrical wiring cannot handle client’s electronic devices, and the old wiring contributed to the power outage on 6/10/25 in the south wing of the facility. LPA interviewed nine (9) clients in the first and second floor of the south wing. LPA interviewed five (5) staff. The investigation revealed that four (4) out of (4) clients on the first floor of the south wing denied the allegations above and that there had been no issues with electrical wiring in their rooms. Client reported issues with TV sets or electrical outlets but denied any wiring issues or maintenance needed in their rooms. On the south wing, first floor, four (4) out of (4) clients denied being affected by the power outage reported on 6/10/25. On the south wing, second floor, five (5) out of (5) clients denied having any electrical wiring issues and they were not aware of any wiring repair work being performed on their rooms. Three clients on the second floor were not aware of the power outage and two clients were aware of power outage that lasted for two hours. LPA interview with staff revealed that three (3) out of five (5) staff were aware of power outage. Staff stated that staff was not aware of any electrical wiring issues and that there has been no recent contractor working on electrical wiring. Staff stated that power outage was limited to second floor on the south wing. Staff stated that there was no elevator interruption during the power outage. Staff indicated that elevator broke down on 6/12/25 and it was back on service on 6/14/25. Clients on second floor are ambulatory. Staff indicated that at 5:00 PM on 6/10/25 the power went out on south wing of facility. Staff called Department Water and Power (DWP) for service and DWP arrived at facility to work on issue. The power was restored at 8:37 PM. DWP left facility without proving a written statement identifying the issue that caused the outage. Staff stated that DWP accessed electrical panel and reset the electrical breaker. Assistant manager Tan stated that facility is investigating the source of the power outage to prevent future incidents. Assistant manager Tan stated that facility is prepared with generator and emergency light supply in the event of an all-out facility power outage. Staff indicated that facility posts notices throughout facility informing clients of building maintenance to be performed at facility.

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NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Luis DeLeon
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 28-AS-20250610155556

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: ANEW DAWN ADULT LIVING	FACILITY NUMBER: 198603634
	VISIT DATE: 06/19/2025

NARRATIVE

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Regarding allegation: Facility staff are not preventing residents from smoking inside the facility. It was alleged that staff did not respond to clients found smoking in their rooms and, that as a result, smoke fills out adjacent rooms. LPA interviewed nine (9) out of (9) clients and five (5) out of (5) staff. The investigation revealed that all clients denied the allegation above. Nine (9) out of nine (9) clients stated that they know the house rules that no client is allowed to smoke in the rooms and identified the front building porch as the designated area for smoking. Nine (9) out nine (9) clients denied knowing of anyone smoking in their room or knowing of someone getting in trouble for smoking in the rooms. LPA tested all smoke detectors in the rooms of all nine (9) interviewed clients and smoke detectors were operational in all their rooms. One (1) out of five (5) staff denied ever smelling cigarette/vapin/other smoke in client’s room, either from the interior or the exterior. Three (3) out of five (5) staff denied being aware of clients smoking in their rooms. Two (2) out of (5) staff described the house rules for clients found smoking in the rooms or interior of facility. Staff stated that clients are instructed to smoke outside in the front porch, and staff stated that they follow facility protocol to report this type of incidents. Staff reports incident to administration to follow up with clients. Assistant manager Richard Tan stated that staff is trained on protocols to follow when clients are found smoking in rooms and in the facility interior.

Regarding allegation: Facility staff are not ensuring faucets used by residents for personal care deliver hot water. It was alleged that facility does not provide hot water especially during the late/early hours. LPA interviewed nine (9) out of nine (9) clients and five (5) out of five (5) staff. The investigation revealed that nine (9) out of nine (9) clients denied the allegation above. Clients stated that there were no issues with hot water during the day or night. Clients stated that at night/early morning the water may be cold at the beginning but eventually it warms up. LPA tested the water temperature on nine (9) out of (9) client rooms and found water temperature to be in compliance with Title 22 regulation. Facility Water Temperature log identified water readings for the past month to be in compliance with Title 22 regulation. Five (5) out of (5) staff denied knowing of any hot water issue. Staff reported that water may be hotter in the front of the facility but drops for rooms at the back of the facility since those rooms are farther from the water heater located in the front part of the facility. Staff denied hearing any complaints from clients regarding water temperature.

Although the allegation 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 allegation is UNSUBSTANTIATED. Exit interview held with Assistant Manager Richard Tan. A copy of the report was provided.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Luis DeLeon
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025

LIC9099 (FAS) - (06/04)

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