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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320498
Report Date: 12/18/2025
Date Signed: 12/18/2025 03:24:08 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
12/12/2025 and conducted by Evaluator Jose Anguiano
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20251212120156
FACILITY NAME:GENERATIONS OF LOS ANGELES ASSISTED LVNG. FACILITYFACILITY NUMBER:
198320498
ADMINISTRATOR:CAMARIN JOHNSONFACILITY TYPE:
740
ADDRESS:3540 MARTIN LUTHER KING, JR.TELEPHONE:
(310) 638-4113
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:178CENSUS: 109DATE:
12/18/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Giovanni EspinozaTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Staff do not treat resident with dignity and respect.
INVESTIGATION FINDINGS:
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On 12/18/2025, Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced complaint investigation and delivered findings regarding the allegation mentioned above. LPA met with Facility Services Manager Giovani Espinoza.
The investigation consisted of the following: On 12/18/2025, LPA conducted a tour of the facility, including resident rooms. LPA interviewed 11 staff members (S1–S11) and 11 residents (R1–R11). LPA also reviewed relevant records, including the personnel report, in-service training records dated 12/01/2025 regarding resident rights (which included a quiz and certificate of completion), and the current resident roster. Investigation revealed the following: Regarding the allegation that “Staff do not treat resident with dignity and respect,” it is being alleged that staff yelled at a resident and made verbal threats. No staff were observed yelling at residents during the visit. Training records confirmed instruction on resident rights and respectful care.
Please see LIC 9099-C for report continuation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
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 2
Control Number 11-AS-20251212120156
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: GENERATIONS OF LOS ANGELES ASSISTED LVNG. FACILITY
FACILITY NUMBER: 198320498
VISIT DATE: 12/18/2025
NARRATIVE
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Records reviewed showed multiple in-service trainings reminding staff to treat residents with dignity and respect. Interviews revealed that 11 staff denied the allegation. Among residents, 8 disagreed with the allegation, and 3 agreed. It is noted that 2 of the residents who agreed were hard of hearing, which may have impacted their perception of the incident. Although the allegation may have occurred, 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 provided to the Administrator.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
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