198320197-8-13-2025-11-AS-SCIS-DLLL43-20250917082449

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320197
Report Date: 08/13/2025
Date Signed: 08/13/2025 03:00:57 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, THE		FACILITY NUMBER:	198320197
ADMINISTRATOR:	LUZ EMMA ROSE		FACILITY TYPE:	740
ADDRESS:	2228 WESTWOOD BLVD		TELEPHONE:	(310) 475-8861
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90064
CAPACITY:	136	CENSUS: 65	DATE:	08/13/2025
		UNANNOUNCED	TIME BEGAN:	02:36 PM
MET WITH:	Luz Rose -Administrator		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff physically abused resident

INVESTIGATION FINDINGS:

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***This report supersedes the original report delivered on 7/16/2025. On 8/13/2025, At 2:36PM LPA arrived at the facility to deliver the corrected 9099, providing clarification to the original report issued on 7/16/205 ***

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 the facility at the 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.
Continued.....

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2025

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-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: 08/13/2025

NARRATIVE

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LPA obtained and reviewed 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 changes.

The investigation revealed the following:

#1 Allegation: Staff physically abused resident

At approximately 10:15 AM, the Licensing Program Analyst LPA attempted to interview Resident 1 (R1) on two separate occasions during the investigation; however, R1 was unwilling to participate in an interview. LPA successfully conducted interviews with Residents 2, 3, and 4 (R2, R3, R4), 3 out of the 6 stated they have not experienced any form of abuse by staff members. LPA attempted to interview Residents 5 and 6 (R5, R6), but they were unavailable at the time of the investigation. Residents R2-R4 also permitted LPA to observe their showers, which were equipped with shower heads attached to cords. No health or safety concerns were observed during the inspection.

LPA conducted interviews with Staff 1 - 6 (S1–S6). 6 out of 6 staff members stated they have not witnessed or experienced any type of abuse involving residents by any staff member. While S1–S6 acknowledged hearing gossip regarding the allegation of abuse involving R1, therefore they could not confirm if the alleged abuse took place or not.

Additionally, 6 out of 6 staff members noted that R1 can sometimes be challenging to assist with Activities of Daily Living (ADLs). In these situations, alternate measures are taken to ensure R1 receives the necessary care, including reassigning another staff member to assist with the residents’ needs.

S1 confirmed that R1 had accused them of abuse. In response, S1 stated they immediately reported the allegation to the Administrator, and alternate measures were implemented to ensure R1 received assistance from a different staff member.

At approximately 11:30 AM, LPA obtained and reviewed documentation indicating that Staff 1 (S1) attempted to assist Resident 1 (R1) with their ADLs and at the time of the incident the administrator assigned another staff member to assist R1 and implemented an alternate caregiver to prevent future occurrences.

Continued

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3

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: 08/13/2025

NARRATIVE

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Based on the evidence gathered during the interviews, records reviewed, 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: 08/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2025

LIC9099 (FAS) - (06/04)

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