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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320197
Report Date: 07/16/2025
Date Signed: 07/16/2025 12:59:48 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
07/09/2025 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 11-AS-20250709094026
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: 63DATE:
07/16/2025
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Luz Rose AdministratorTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff physically abused resident
INVESTIGATION FINDINGS:
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On 07/16/2025 At 8:20 PM, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to investigate and deliver the findings for the allegation listed above. LPA Allen called facility at entry gate introduced herself to the receptionist Afsaneh Zarabi and explained the purpose of the visit and was allowed entry into the facility. LPA met by Theresa Cruz-Pascual- Wellness Director. The Administrator Luz Rose arrived around 10:10 AM.

The investigation consisted of the following:

Interviews with Residents 1-6 (R1-R6),Staff members 1-6 (S1- S6), a tour of the facility and observations of 3 residents’ rooms/bathrooms. LPA obtained the resident roster dated 7/16/2025, staff roster, shower schedule for June 30-July 16, 2025, and staff RCA assignment dated 7/11/2025 which is only adjusted when the census change.

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

DATE: 07/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025
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-20250709094026
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: 07/16/2025
NARRATIVE
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The investigation revealed the following:

#1 Allegation: Staff physically abused resident

At 10:15 AM, LPA conducted interviews with three residents (R2, R3, R4), who stated they had not been physically abused in any way by a staff member. R2, R3 and R4 also allowed LPA to observed their showers that were installed with shower heads with cords and there were health & safety concerns. LPA attempted to interview R1 twice during the investigation, but R1 was unwilling to be interviewed. Additionally, LPA attempted to interview R5 and R6, but they were unavailable.

LPA also conducted interviews with Staff 1- Staff 6 (S1-S6), and 6 out of 6 staff members stated they have not witnessed, experienced, or heard of any resident being physically abused in any way by a staff member. S1-S6 also mentioned that R1 can sometimes be challenging to assist with their (ADLs) Assistance Daily Living, In such instances, alternate measures are taken to ensure R1 receives the necessary assistance.

At 11:30 LPA reviewed documents and it was observed that R1 did received assistance from S1 which did not involve physical abuse. The incident was documented and reported to the responsible administrative staff and Community Care Licensing. An alternate plan was immediately implemented to prevent future occurrences.


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 and this report was discussed and provided to Luz Rose Administrator at the conclusion of the visit with appeal rights.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2