197609105-1-15-2026-31-AS-NMAN-DQM6R9-20260123200158

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609105
Report Date: 01/15/2026
Date Signed: 01/15/2026 03:11:51 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/13/2026 and conducted by Evaluator Raymond Comer

COMPLAINT CONTROL NUMBER: 31-AS-20260113095023

FACILITY NAME:	GRANDVIEW, THE		FACILITY NUMBER:	197609105
ADMINISTRATOR:	FLORES, YENI		FACILITY TYPE:	740
ADDRESS:	2211 W 6TH STREET		TELEPHONE:	(213) 380-7000
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90057
CAPACITY:	215	CENSUS: 158	DATE:	01/15/2026
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Yeni Flores-Administrator		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff neglect resulted in a resident sustaining a pressure injury.
Staff did not seek timely medical attention for a resident.

INVESTIGATION FINDINGS:

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On Thursday, 1/15/26, Licensing Program Analyst (LPA) Raymond Comer, conducted an announced complaint visit to the facility. LPA met the Administrator and discussed the purpose of this visit.

During investigation at 2:00pm, LPA conducted physical plant tour. LPA spoke with the Administrator and two (2) staff. Due to nature of allegations, from 2:15pm to 2:45pm, LPA Comer spoke with ten (10) out of hundred fifty eight (158) facility residents including R1. During interview, LPA observed and assessed R1 and did not notice any wound on their arms.
Prior to this visit LPA reviewed Licensing records including incident reports submitted by the facility.

Allegation: Staff neglect resulted in a resident sustaining a pressure injury.
Allegation: Staff did not seek timely medical attention for a resident.

[LIC9099C]-continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026

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 31-AS-20260113095023

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: GRANDVIEW, THE	FACILITY NUMBER: 197609105
	VISIT DATE: 01/15/2026

NARRATIVE

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It was reported that on 01/11/26, Resident #1 (R1) was at urgent care for post fall evaluation and observed with an open wound on their arm. R1 did not receive timely medical treatment for the wound and was unable to recall how long they had a wound.

Staff revealed that on 01/11/26, R1 had an un-witnessed fall and complained of pain in their left arm. Staff #1 (S1) assessed R1’s for pain and no wounds were noted on R1’s arms. Due to pain, staff called an ambulance and R1 was transported to the hospital for evaluation. Staff also revealed that they received a call from the hospital informing that R1 observed having a big cut on their arm and staff explained to the caller that they did not observe a cut on R1’s arm. Upon R1’s return, staff checked R1’s arm and noticed a small cut that could have resulted from the drawing of blood.

LPA interviews with residents revealed the following: R1 and other residents did not address any concerns about their care and medical attention provided by the facility staff.

A review of R1’s facility records revealed that R1 is independent resident and does not require care and supervision to retain activities of daily living. A review of incident report dated 01/11/26 involving R1 verified the information revealed by staff.

Overall investigation did not reveal any pertinent information to verify the allegations.
Therefore, based on interviews, observation and record review, the above noted allegations are UNSUBSTANTIATED at this time.

No health and safety issues were noted during this visit.
Exit interview was conducted and a copy of report was issued.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026

LIC9099 (FAS) - (06/04)

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