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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198204972
Report Date: 08/22/2025
Date Signed: 08/22/2025 10:44:44 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
08/18/2025 and conducted by Evaluator Regina Cloyd
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250818152758
FACILITY NAME:ROSECRANS VILLA RESIDENTIAL CAREFACILITY NUMBER:
198204972
ADMINISTRATOR:SANDRA LOPEZFACILITY TYPE:
740
ADDRESS:14110 CORDARY AVENUETELEPHONE:
(310) 675-9163
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY:135CENSUS: 112DATE:
08/22/2025
UNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Sandra LopezTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff is witholding residents mail.
INVESTIGATION FINDINGS:
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On 08/22/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted an initial visit to gather information regarding the above allegation. LPA met with Administrator Sandra Lopez and the purpose of the visit was explained.

Investigation consisted of the following: On 08/22/2025, LPA obtained Personnel Report, Register of Residents, and interviewed Staff #1 – 10 (S1-S10) and Residents #1 – 10 (R1 – R10).

Investigation revealed the following:
Allegation: Staff is withholding residents mail.

Staff interviews (S1 – S10) indicated that mail is passed out everyday by the Activities Director and staff has not received complaints from residents about not receiving their mail. Continue to LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
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-20250818152758
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: ROSECRANS VILLA RESIDENTIAL CARE
FACILITY NUMBER: 198204972
VISIT DATE: 08/22/2025
NARRATIVE
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The Administrator indicated that there is one resident who comes to the office every day requesting for mail or packages but there isn’t any there for the resident. Administrator indicated that the facility does not keep a mail log. The Activities Director indicated that mail is handed to the resident and not their roommate. If the resident is not at the facility, the mail will be stored in the office. Resident interviews (R3 – R4, R6, R8, R9) indicated that they have not had issues with mail. Resident interviews (R2, R7, R10) indicated they do not receive mail and have not heard mail complaints from other residents.

Regarding the allegation, “staff is withholding residents’ mail,” based on interviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated.

An exit interview was conducted and a copy of this report was provided to the Administrator Sandra Lopez.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2