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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320197
Report Date: 06/18/2025
Date Signed: 06/18/2025 01:52:51 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
05/06/2025 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 11-AS-20250506131114
FACILITY NAME:PLAZA AT WESTWOOD, THEFACILITY NUMBER:
198320197
ADMINISTRATOR:LUZ EMMA ROSEFACILITY TYPE:
740
ADDRESS:2228 WESTWOOD BLVDTELEPHONE:
(310) 475-8861
CITY:LOS ANGELESSTATE: CAZIP CODE:
90064
CAPACITY:136CENSUS: 65DATE:
06/18/2025
UNANNOUNCEDTIME BEGAN:
12:29 PM
MET WITH:Luz Rose AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff not allowing resident to sit with significant other.
Staff made inappropriate comments regarding resident.
INVESTIGATION FINDINGS:
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***This report supersedes the original report delivered on 5/13/2025. On 6/18/2025 at 12:29 PM,LPA Allen arrived at the facility to deliver the corrected 9099, providing clarification on the original report issued on 5/13/2025.*** LPA met with Luz Rose Administrator and she was informed of the purpose of the visit.

On 05/13/2025 At 8:45 PM, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to investigate and deliver the findings for the allegations listed above. LPA Allen was met by Theresa Cruz-Pascual. LPA Allen introduced herself and explained the purpose of the visit and was allowed entry into the facility. Around 9:30 AM Luz Rose, Administrator arrived, and she was informed of the purpose of the visit.

The investigation consisted of the following:
Interviews with Staff members 1-7 (S1- S7), Residents 1-7 (R1-R7), a tour of the facility and observations.


Continued....
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2025
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 3
Control Number 11-AS-20250506131114
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: PLAZA AT WESTWOOD, THE
FACILITY NUMBER: 198320197
VISIT DATE: 06/18/2025
NARRATIVE
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The investigation revealed the following:

Allegation 1: Staff not allowing resident to sit with significant other.

At 10:15 AM, LPA conducted interviews with residents #1 – resident #7 (R1–R7), and 6 out of 7 residents stated they are free to sit with whomever and wherever they choose while dining. However, because not all residents get along, staff members make efforts to accommodate those who prefer to dine in groups or alone. This approach helps prevent potential conflicts among residents while providing seating options. R1 and R2 were asked if this was a reoccurring situation and their reply was it has happened only once..


LPA also conducted interviews with Staff #1 – Staff #7 (S1- S7), and 7 out of 7 staff members stated residents are allowed to sit wherever and with whomever they prefer in the dining area. Some residents prefer specific seating arrangements, either alone or with others, and staff members attempt to fulfill their requests. Staff stated residents have not been told others cannot dine with them. However, if concerns arise, seating adjustments may be made to de-escalate potential confrontations at that time.

During LPA’s visit, LPA observed R1 and R2 dining together during lunch. LPA also observed other residents dinning alone and in groups. There was no visible indication that residents were assigned specific seating.



Based on the evidence gathered during the interviews and observations during the investigation, the above allegations 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.


Continued....
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20250506131114
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: PLAZA AT WESTWOOD, THE
FACILITY NUMBER: 198320197
VISIT DATE: 06/18/2025
NARRATIVE
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The investigation revealed the following:

Allegation 2: Staff made inappropriate comments regarding resident

LPA conducted interviews with Residents #1 – Resident #7 (R1–R7), and 6 out of 7 residents stated they have not heard any staff members saying inappropriate remarks concerning any resident. When R1 was asked whether inappropriate statements had been made directly to them and their response was no someone told them what the staff member said about them. LPA clarified by asking did the staff member say the inappropriate comment to them directly and their response was no.

LPA also conducted interviews with Staff #1 – Staff #7 (S1- S7), and 7 out of 7 staff members stated they have not made inappropriate comments regarding any resident. The staff member's have also said residents have not complained to them about any staff member making inappropriate comments towards residents. During the tour of the facility LPA also observed residents visiting each other’s rooms.


Based on the evidence gathered during the interviews and observations during the investigation, the above allegations 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 Luz Rose-Administrator at the conclusion of the visit.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3