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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320195
Report Date: 03/23/2026
Date Signed: 03/23/2026 04:14:53 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
03/18/2026 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 11-AS-20260318145831
FACILITY NAME:AGING ETERNITY RETIREMENT HOME 2FACILITY NUMBER:
198320195
ADMINISTRATOR:TRAKHTENBERG, NATALYAFACILITY TYPE:
740
ADDRESS:2581 MILITARY AVENUETELEPHONE:
(818) 519-3247
CITY:LOS ANGELESSTATE: CAZIP CODE:
90064
CAPACITY:6CENSUS: 5DATE:
03/23/2026
UNANNOUNCEDTIME BEGAN:
02:11 PM
MET WITH:Precy Panlaqui- Support Staff TIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff did not administer medication to a resident in care.
INVESTIGATION FINDINGS:
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On 3/23/2026, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to initiate and deliver findings for the alleged allegation. LPA identified herself to Precy Panlaqui- Support Staff who was informed of the purpose of the visit and allowed LPA entry into the facility. Natalya Trakhtenberg-Administrator arrived around 2:45PM.

The investigation consisted of the following

At 2:56 PM, LPA Allen requested the following documents: Admission Agreement, Needs/Service plan, ID/Emergency Information and medication list for Resident 1 (R1) During the visit LPA also reviewed the medication list for residents 1-5 (R1-R5), conducted interviews with staff members 1-3 (S1-S3) and conducted interviews with residents 1-5 (R1-R5).

The investigation revealed the following:
Allegation 1: Staff did not administer medication to a resident in care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
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 2
Control Number 11-AS-20260318145831
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: AGING ETERNITY RETIREMENT HOME 2
FACILITY NUMBER: 198320195
VISIT DATE: 03/23/2026
NARRATIVE
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 LPA conducted interviews with resident 1-5 (S1-S5) and 5 out of 5 residents stated that their medications are given to them daily.

LPA also conducted interviews with staff members 1-3 (S1-S3) and 3 of 3 stated that residents are given their medications as prescribed by their physicians. LPA also observed the medications and list for R1-R5 and it appears that the residents are receiving their medications as prescribed by their physicians. LPA also toured the facility and did not observe any health or safety concerns

Based on interviews, file review and observation during the investigation, the above allegation are 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 where this report was discussed and provided to Natalya Trakhtenberg Administrator at the conclusion of the visit with appeal rights
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2