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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601838
Report Date: 01/06/2026
Date Signed: 01/06/2026 03:52:25 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/29/2025 and conducted by Evaluator Gabriela Castro
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251229121030
FACILITY NAME:DOWNEY RETIREMENT CENTERFACILITY NUMBER:
198601838
ADMINISTRATOR:BRANDIE MENDIBLESFACILITY TYPE:
740
ADDRESS:11500 DOLAN AVENUETELEPHONE:
(562) 869-2416
CITY:DOWNEYSTATE: CAZIP CODE:
90241
CAPACITY:252CENSUS: 128DATE:
01/06/2026
ANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Brandie Mendibles, AdministratorTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff did not safeguard resident's personal belongings.

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced complaint visit on 01/06/2026 to deliver findings related to the above allegation. LPA met with Brandie Mendibles, Administrator and explained the purpose of the visit.

On 01/06/2026, the investigation included a review of the client roster, staff roster, resident face sheet, admissions agreement, personal inventory and monthly progress notes. Additionally, LPA conducted interviews with seven staff members (S1–S7) and twelve residents (R1-R12).

(continued 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Gabriela Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026
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 2
Control Number 28-AS-20251229121030
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: DOWNEY RETIREMENT CENTER
FACILITY NUMBER: 198601838
VISIT DATE: 01/06/2026
NARRATIVE
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Allegation: Staff did not safeguard resident's personal belongings.

The investigation revealed the following:

The complaint alleged that the facility failed to safeguard R1’s personal belongings such as a watch, refrigerator and microwave. An investigation was conducted to determine whether the facility complied with applicable safeguarding requirements.

During staff interviews, multiple staff members reported that if a resident raises concerns regarding missing personal belongings staff are required to immediately notify supervisory or administrative personnel. Staff consistently stated that reports of missing items are investigated by administration and that items are often located after searching the resident’s room. Staff reported that items rarely go missing at the facility and that surveillance cameras are available and reviewed when concerns arise. Staff reported that R1’s room was cleaned following a roach infestation, during which spoiled food and infested items were discarded. Staff denied discarding any valuables. Staff reported that R1 has a history of hoarding food in his room, which previously resulted in pest infestations. Staff further reported that facility issued refrigerator and microwave were removed from residents room due to infestation concerns. During the resident interview, R1 reported that a refrigerator, microwave and watches were missing from his room following cleaning related to pest control. R1 stated that caregivers and housekeeping staff have access to his room and expressed dissatisfaction with a specific staff member. During the investigation, LPA reviewed R1’s admission agreement. The admission agreement does not indicate that the facility provides a refrigerator or microwave to residents. Per staff one (S1) states that residents are permitted to purchase and maintain their own appliances in their rooms. LPA reviewed R1’s Personal Property and Valuables Inventory. The inventory did not list a watch and was initialed by the resident dated June 1,2023. R1 further disclosed that he did not report missing watch to facility staff.

Based on the investigation conducted, including interviews with staff and residents and review of relevant records, there was insufficient evidence to support the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was held, and a copy of this report was provided.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Gabriela Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2