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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609336
Report Date: 12/23/2025
Date Signed: 12/23/2025 02:49:20 PM

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
12/17/2025 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 11-AS-20251217093653
FACILITY NAME:WELBROOK SENIOR LIVING SANTA MONICAFACILITY NUMBER:
197609336
ADMINISTRATOR:COLE, CATALINAFACILITY TYPE:
740
ADDRESS:1450 17TH STREETTELEPHONE:
(424) 282-3002
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY:50CENSUS: 42DATE:
12/23/2025
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:David Cole-AdministratorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff restrained a resident
INVESTIGATION FINDINGS:
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On 12/23/2025, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to investigate and deliver the findings for the alleged allegation. LPA met with Administrator David Cole, and he was explained the purpose of the visit.

The investigation consisted of the following:

LPA conducted interviews with staff members Staff 1-7 (S1-S7) and Residents 1-6 (R1-R6) and observations of staff interactions with the residents in care.

The investigation revealed the following:

Allegation: Staff restrained a resident

Continued....
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
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-20251217093653
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: WELBROOK SENIOR LIVING SANTA MONICA
FACILITY NUMBER: 197609336
VISIT DATE: 12/23/2025
NARRATIVE
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On December 23, 2025, at 1:05 PM, Licensing Program Analyst (LPA) Allen conducted interviews with seven (7) staff members 1-7 (S1–S7) and 7 out of 7 staff members stated that they have never seen or heard of any staff member, past or present, restraining a resident in any manner.

LPA also interviewed six (6) residents 1-6 (R1–R6) and 6 out of 6 residents reported that they have never been restrained by any staff member in any way.

During the visit, LPA observed staff interacting with residents in a respectful manner. LPA observed that residents were not handled roughly or restrained by staff at any time during the observation.

Based on the interviews and observations gathered during the investigation, the above allegation is found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted, during which this report was discussed and provided to David Cole- Administrator at the conclusion of the visit, along with appeal rights.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2