198204972-9-18-2025-11-AS-UCOL-DMATSN-20251009145925

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198204972
Report Date: 09/18/2025
Date Signed: 09/18/2025 03:31:55 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/10/2025 and conducted by Evaluator Socorro Leandro

COMPLAINT CONTROL NUMBER: 11-AS-20250910171631

FACILITY NAME:	ROSECRANS VILLA RESIDENTIAL CARE		FACILITY NUMBER:	198204972
ADMINISTRATOR:	SANDRA LOPEZ		FACILITY TYPE:	740
ADDRESS:	14110 CORDARY AVENUE		TELEPHONE:	(310) 675-9163
CITY:	HAWTHORNE	STATE: CA	ZIP CODE:	90250
CAPACITY:	135	CENSUS: 110	DATE:	09/18/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator - Sandra Lopez		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff does not provide resident with appropriate sleeping accommodations.

INVESTIGATION FINDINGS:

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On 09/18/2025, Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced complaint investigation visit regarding the allegation listed above. LPA met with Administrator Sandra Lopez and the purpose of the visit was explained. LPA was granted entry to the facility.

Investigation consisted of the following:

On 09/18/2025, facility tour was conducted, interviews were conducted, records were gathered and reviewed. Interviews were conducted with Resident 1 (R1) to Resident 11 (R11) and Staff 1 (S1) to Staff 4 (S4). Facility records were reviewed which consisted of Personnel Report dated 07/2025, Resident Roster dated 09/01/2025, and Resident Laundry Schedule. R1’s records were reviewed which consisted of Physicians Report dated 08/24/2020, Preplacement Appraisal Information dated 12/12/2024, and Appraisal/Needs and Services Plan dated 04/08/2025.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025

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 11-AS-20250910171631

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: ROSECRANS VILLA RESIDENTIAL CARE	FACILITY NUMBER: 198204972
	VISIT DATE: 09/18/2025

NARRATIVE

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The investigation revealed the following:

Allegation: “Staff does not provide resident with appropriate sleeping accommodations”, it is being alleged that the facility has loud noises at night and because of this, residents’ are sleep deprived. Interviews conducted with R1 to R11 revealed the following: 10 out of 11 residents denied the allegation; 1 resident interview was inconclusive. Interviews conducted with S1 to S4 revealed the following: 4 out of 4 staff denied the allegation. Observations on 09/18/2025 revealed the following: all communal doors (not including resident apartment doors) in the first floor next to the kitchen area, laundry rooms, and exit to the parking lot were opened to see if doors slam shut and the doors did not slam shut. Communal doors were installed to prevent doors from slamming shut; doors closed slowly on their own. The emergency exit door that leads to the second floor has a commercial adjustable door closer and the door did not slam shut. The washer and dryers were observed operating and they made minimal noise; LPA went into the resident's apartment next to the laundry rooms and the LPA did not hear the washer or dryer operating. R1’s records reviewed revealed the following: there is no mention that R1 has been having a difficult time sleeping, is a light sleeper, nor that they suffer from sleep deprivation. Based on the department’s observations, interviews, and records reviewed this allegation is unsubstantiated. 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, therefore the allegation is unsubstantiated.

No deficiencies were cited.

An exit interview was conducted, and a copy of this report was left with the Administrator, Sandra Lopez.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025

LIC9099 (FAS) - (06/04)

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