198320498-1-9-2026-11-AS-UCOL-DQSPPY-20260129103018

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320498
Report Date: 01/09/2026
Date Signed: 01/09/2026 04:29:16 PM

Substantiated

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
10/14/2025 and conducted by Evaluator Jose Anguiano

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20251014163601

FACILITY NAME:	GENERATIONS OF LOS ANGELES ASSISTED LVNG. FACILITY		FACILITY NUMBER:	198320498
ADMINISTRATOR:	CAMARIN JOHNSON		FACILITY TYPE:	740
ADDRESS:	3540 MARTIN LUTHER KING, JR.		TELEPHONE:	(310) 638-4113
CITY:	LYNWOOD	STATE: CA	ZIP CODE:	90262
CAPACITY:	178	CENSUS: 105	DATE:	01/09/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Giovanni Espinoza		TIME COMPLETED:	04:40 PM

ALLEGATION(S):

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Staff are not answering facility phones

INVESTIGATION FINDINGS:

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On 01/09/2026, Licensing Program Analyst (LPA) Jose Anguiano conducted a subsequent unannounced complaint visit regarding the allegation mentioned above and met with Facility Manager Giovanni Espinoza.
Investigation consisted of the following:
On 10/23/2025 at approximately 9:00 AM, LPA conducted an unannounced complaint visit to initiate an investigation regarding the allegation that staff are not answering facility phones and met with the facility Administrator, Denise Gilroy. The investigation included interviews with staff (S1–S4), residents, and family witnesses from both the Assisted Living and Memory Care units (R1–R2) and (W1–W9), as well as a review of staff and resident rosters, house rules, two signed “Employee Phone Responsibility Acknowledgement” forms, receipts for newly purchased cordless phones, and identification face sheets for residents who primarily use the facility phone.
The investigation revealed the following:
Please see (LIC9099-C) for report continuation.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026

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-20251014163601

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/09/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/16/2026 Section Cited CCR 87468.1(a)(2)	1 2 3 4 5 6 7	Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodation, furnishings and equipment. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	The Administrator agrees to implement the Plan of Correction, including staff training and monitoring phone accessibility, and will submit proof of correction by the due date via email to Jose.Anguiano@dss.ca.gov.
	8 9 10 11 12 13 14	Based on observations and interviews, the licensee failed to ensure that residents were afforded their personal rights to maintain communication with family and others by not consistently answering the facility phone or properly routing calls intended for residents. Which poses a potential risk to the health, safety and personal rights of the residents in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20251014163601

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: 01/09/2026

NARRATIVE

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Regarding the allegation “Staff are not answering facility phones,” it is being alleged that residents families are not able to get a hold of the residents in the facility. Records review revealed the following: Although records show that the facility has implemented improvements, including installing a better phone system and conducting staff training with signed acknowledgment forms, residents’ families are still having trouble reaching their loved ones by the facility phone. Observations revealed: On 10/23/2025, LPA observed staff answering calls but noted limited knowledge of transferring calls to the Memory Care unit and no documented training on the new phone system. While calls were observed being answered during the visit, evidence indicates that prior to corrective actions, staff were not consistently able to answer or properly route calls, which negatively impacted residents’ ability to maintain personal relationships and receive calls from family members or emergency contacts. As a result, a Type B deficiency was cited under Title 22 §87468.1(a)(2) (see LIC809 & LIC809-D). On 01/09/2026, additional interviews were conducted and revealed the following: Staff interviews (S1–S9) revealed that nine staff disagreed with the allegation while two staff (S10-S11) agreed. Resident and family witness interviews revealed mixed feedback, with the majority agreeing that calls were not consistently answered. Two residents (R1–R2) and six family witnesses (W1–W6) reported difficulty reaching staff, while five family witnesses (W7–W11) reported no issues. One family member stated that in 2024, reaching staff was a “huge problem,” and although conditions improved in 2025, issues persisted intermittently. Although the facility has taken corrective actions to improve phone accessibility, residents’ families continue to report difficulty reaching their loved ones. Based on the evidence gathered, records reviewed, observations, and interviews conducted, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be SUBSTANTIATED. This is a violation of California Code of Regulations, Title 22, Division 6, Chapter 8. A citation is being issued on the attached (LIC-9099D).

An exit interview, a copy of this report, and appeal rights were provided to the Administrator.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026

LIC9099 (FAS) - (06/04)

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