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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320508
Report Date: 02/19/2026
Date Signed: 02/19/2026 01:13:01 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
02/11/2026 and conducted by Evaluator Jose Calderon
COMPLAINT CONTROL NUMBER: 11-AS-20260211113622
FACILITY NAME:ACE ELDERLY HOMESFACILITY NUMBER:
198320508
ADMINISTRATOR:LIWANAG, FRANCISFACILITY TYPE:
740
ADDRESS:23223 PRYOR PLACETELEPHONE:
(310) 985-1059
CITY:HARBOR CITYSTATE: CAZIP CODE:
90710
CAPACITY:6CENSUS: 5DATE:
02/19/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Administrator Francis LiwanagTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff are over medicating a resident in care
Staff did not clean resident's bedding.
INVESTIGATION FINDINGS:
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On 02/19/2026 Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced visit to Ace Elderly Homes and was greeted by Administrator Francis Liwanag (S1). LPA Calderon explained the purpose of this visit is to deliver the findings pertaining to the above-mentioned allegations.

The investigation consisted of the following: LPA Calderon interviewed Staff S1-S3, residents R1-R3. LPA Calderon obtained the following records: Admission Agreement (dated 01/30/2026). Pre-placement (dated 01/30/2026). Physician report (dated 01/30/2026), Medication administration record (MAR) (02/2026), cleaning schedule (dated 02/2026), Hospice medication list (dated 08/08/2025) for R1. Toured the facility with S1

The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
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-20260211113622
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: ACE ELDERLY HOMES
FACILITY NUMBER: 198320508
VISIT DATE: 02/19/2026
NARRATIVE
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Regarding the Allegation: Staff are over medicating a resident in care’.

This complaint alleged that the facility over medicated R1. LPA Calderon witnessed staff moving residents with no issues and there were no negative interactions between staff and residents. LPA Calderon noted staff giving medications to residents in care. Records review indicate the following: Guaranteed Hospice (dated 08/08/2025), indicates that the medication given to R1 comes from the hospice nurse. The MAR for R1 indicates that staff follow the direction of the MAR. Hospice Medication List (dated 08/08/2025) indicates the medication to be given to R1. Physician report (dated 01/30/2026) indicates that R1 has health issues and cognitive issues. Interviews indicate the following: S1 indicates that staff follows the hospice care plan and the hospice medication plan. Staff state that staff do not overmedicate R1. S1 indicates that the MAR supports the medication given to R1. 3 out of 3 staff deny the allegation. R1 could not answer any questions due to health issues. R2 could not answer any questions due to health issues. R3 indicates that staff do not give him medication R3 does not need.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff are over medicating a resident in care” is found to be UNSUBSTANTIATED.

Regarding the Allegation: Staff did not clean residents’ bedding.

This complaint alleged that the facility did not change R1 bedding. LPA Calderon witnessed staff moving residents with no issues and there were no negative interactions between staff and residents. LPA Calderon noted staff cleaning the facility. Records review indicate the following: The Guaranteed Hospice (dated 08/08/2025) indicates that the hospice nurse gave a bath to R1 5 times in February. Hospice nurses changed bedding 5 times in the month of February 2026. Hospice care plan (dated 08/08/2025) indicates that the hospice nurse changes the resident bedding 3 times per week. Physician report (dated 01/30/2026) indicates that R1 has health issues and cognitive issues. Interviews indicate the following: S1 states that they change the R1 bedding every day and follow the hospice care plan. 3 out of 3 staff deny the allegation. R1 could not answer any questions due to health issues. R2 could not answer any questions due to health issues. R3 indicates that staff change R3 bedding 3 times per week.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 11-AS-20260211113622
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: ACE ELDERLY HOMES
FACILITY NUMBER: 198320508
VISIT DATE: 02/19/2026
NARRATIVE
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Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff did not clean residents bedding” is found to be UNSUBSTANTIATED.

No deficiencies cited during today's visit.



An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Francis Liwanag (S1).
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3