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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198204950
Report Date: 04/14/2026
Date Signed: 04/14/2026 11:23:00 AM

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
04/08/2026 and conducted by Evaluator Alfonso Iniguez
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260408164609
FACILITY NAME:CARSON SENIOR ASSISTED LIVINGFACILITY NUMBER:
198204950
ADMINISTRATOR:SHOLOM GOLDMANFACILITY TYPE:
740
ADDRESS:345 EAST CARSON STREETTELEPHONE:
(310) 830-4010
CITY:CARSONSTATE: CAZIP CODE:
90745
CAPACITY:230CENSUS: 90DATE:
04/14/2026
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Ginger Enriquez/Facility AdministratorTIME COMPLETED:
11:23 AM
ALLEGATION(S):
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Facility staff do not ensure to provide adequate supervision to residents in care.
INVESTIGATION FINDINGS:
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On 4/14/2026, at approximately 9:00 AM, LPA Alfonso Iniguez conducted an unannounced initial complaint visit. LPA Iniguez met with Ginger Enriquez/Facility Administrator. LPA Iniguez explained the purpose of this visit.

Investigation Consisted of: the department conducted the following interviews: Administrator interview, (A#1), Residents Interviews (R#1-R#8), and Staff interview (S#1-S#5). The department gathered the following documents: copy of personnel schedule dated 4/14/26, copy of resident roster dated:4/14/26, and copies of facility staff Memorandum of Understanding dated: 3/20/2020.


Evaluation Report continues LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
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 3
Control Number 11-AS-20260408164609
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: CARSON SENIOR ASSISTED LIVING
FACILITY NUMBER: 198204950
VISIT DATE: 04/14/2026
NARRATIVE
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Investigation Revealed the Following:

Allegation: Facility staff do not ensure to provide adequate supervision to residents in care.

The details of the complaint alleged that facility staff are not providing adequate supervision to residents because they are using their cell phones



On April 14, 2026, at approximately 10:00 a.m., during the records review, the Department observed a copy of the facility’s Staff Memorandum of Understanding dated March 20, 2020. The Department noted that the memorandum states the following policies are to be followed: no personal calls are permitted while on duty, and all telephones in the facility are for business use only. The memorandum further states that no local or long-distance personal calls are to be made on facility phones at any time.

On April 14, 2026, during an interview with the facility administrator (A#1), (A#1) stated that staff are permitted to have their personal cell phones in their pockets while on duty because the facility uses a work-related group chat for communication. In addition, (A#1) noted that staff utilize walkie-talkies for communication within the facility. When asked about measures in place to ensure staff provide adequate supervision to residents, (A#1) explained that the resident care coordinator and (A#1) regularly monitor staff performance. Finally, when questioned about any concerns or past incidents involving staff members using their personal cell phones in a manner that affected resident supervision, (A#1) stated, "Not at all."

On April 14, 2026, during interviews with residents in care (R#1 through R#8), (8) out of (8) residents stated that staff check on them regularly and that they feel supervised and supported while in the common areas. All residents interviewed stated they have not noticed staff using their personal cell phones while supervising or assisting residents. Additionally, (8) of (8) residents reported feeling safe and well-supervised in the facility and had no concerns about staff attentiveness.

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20260408164609
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: CARSON SENIOR ASSISTED LIVING
FACILITY NUMBER: 198204950
VISIT DATE: 04/14/2026
NARRATIVE
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On April 14, 2026, during interviews with facility staff (S#1 through S#5), (5) out of (5) facility staff stated that their responsibilities related to resident supervision responsibilities as ensuring residents are clean and dry, assisting with dressing, preparing residents for meals, and escorting them to activities. Staff stated that the facility policy prohibits personal use of cell phones but allows work-related communication via group chat. In addition, (5) out of (5) facility staff denied any instances where personal cell phone use interfered with resident supervision.

During this investigation, LPA did not find sufficient evidence to support the above-mentioned allegation(s).

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted, and a copy of the Complaint Report was given to Ginger Enriquez/ Facility Administrator

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3