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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197803745
Report Date: 08/28/2025
Date Signed: 08/28/2025 01:37:24 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
08/21/2025 and conducted by Evaluator Luis DeLeon
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250821144327
FACILITY NAME:COUNTRY INN OF DOWNEYFACILITY NUMBER:
197803745
ADMINISTRATOR:ANA YESENIA GIRONFACILITY TYPE:
740
ADDRESS:11111 MYRTLE ST.TELEPHONE:
(562) 869-2401
CITY:DOWNEYSTATE: CAZIP CODE:
90241
CAPACITY:150CENSUS: 81DATE:
08/28/2025
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Assistant Administrator Erika BecerraTIME COMPLETED:
01:50 PM
ALLEGATION(S):
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Staff did not maintain a comfortable temperature for residents in care.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Luis De Leon conducted an initial unannounced complaint investigation visit for the allegation listed above. LPA met with the Assistant Administrator Erika Becerra and explained the reason for the visit. Administrator Ana Giron joined the visit some time after.

The investigation consisted of the following: On today’s visit, LPA De Leon obtained the staff and resident rosters. The LPA toured the first and second floor and common areas. LPA interviewed nine (9) residents and seven (7) staff.

Report continues on page LIC-9099c…
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Luis DeLeon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025
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 28-AS-20250821144327
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: COUNTRY INN OF DOWNEY
FACILITY NUMBER: 197803745
VISIT DATE: 08/28/2025
NARRATIVE
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Regarding allegation: Staff did not maintain a comfortable temperature for residents in care.
It is alleged that the outside temperature was 90 degrees F, but inside the facility, it felt like 95 degrees. Facility resident asked staff to turn the air conditioning on, but staff did not turn the air conditioning on. The investigation revealed that interviews with seven (7) out of seven (7) staff denied the above allegation. Seven (7) out of seven (7) staff confirmed that facility’s protocol is to report air conditioning concerns to front desk office and staff will be instructed to turn air conditioning on or adjust thermostat settings. Administrator Giron explained that a single air conditioning unit may provide air conditioning up to ten rooms and/or common areas. A single thermostat controls the temperature setting for up to 10 rooms and/or common areas. Administrator Giron explained that depending on residents, some might feel too hot or too cold, but the facility accommodates each resident by providing fans or portable heaters for each room. Interview with residents revealed that eight (8) out of nine (9) residents denied the above allegations. The residents confirmed that the room temperature is comfortable, including during the summer. The residents confirmed that the administration provides fans or heaters when temperature setting in the room is not comfortable for them. LPA measured the temperature of thirteen (13) resident rooms and common areas, and the temperature readings were in the range of 68-85 degrees F as per Title 22 regulations. LPA observed various rooms equipped with portable heaters or fans. LPA observed some residents using heaters and fans in their rooms. Based upon the investigation, resident and staff interviews, and LPA observations, there was no evidence to support the reported allegation.

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 Administrator Ana Giron, and findings were discussed. A copy of the report was provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Luis DeLeon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025
LIC9099 (FAS) - (06/04)
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