198602950-3-3-2026-28-AS-DSIS-DSGMRU-20260324095051

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602950
Report Date: 03/03/2026
Date Signed: 03/03/2026 02:26:18 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
02/17/2026 and conducted by Evaluator Christian Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260217123225

FACILITY NAME:	LAKEWOOD PARK MANOR		FACILITY NUMBER:	198602950
ADMINISTRATOR:	CYNTHIA FLORES		FACILITY TYPE:	740
ADDRESS:	12045 LAKEWOOD BLVD		TELEPHONE:	(562) 923-4417
CITY:	DOWNEY	STATE: CA	ZIP CODE:	90242
CAPACITY:	160	CENSUS: 123	DATE:	03/03/2026
		UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Cynthia Flores		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff are mismanaging residents rent payments

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Christian Gutierrez conducted a subsequent unannounced complaint visit in response to the above allegations. LPA met with Administrator Cynthia Flores who assisted with today’s visit.

The investigation consisted of the following: During the initial visit conducted on 02/19/2026 LPA obtained copies of the following documents: staff roster, resident roster, R1’s ledger report for billing, bill history for R1, and pictures of physical checks for R1’s rent. LPA interviewed Administrator and staff #1 (S1). On today’s visit LPA interviewed witness 1 (W1) over telephone, residents 1- residents 8 (R1-R8), and delivered findings.

See LIC 9099

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026

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 28-AS-20260217123225

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: LAKEWOOD PARK MANOR	FACILITY NUMBER: 198602950
	VISIT DATE: 03/03/2026

NARRATIVE

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In regard to the allegation “Staff are mismanaging residents rent payments”, it is alleged that facility has had a significant delay in processing checks and has lost January’s rent payment for resident. During interviews with Administrator and staff both stated that January’s check was still not received from payee. Administrator stated that there has been lost checks in the past but that the facility has no control of where the mail gets sent to if check is not sent via certified mail. Staff one (S1) did state there was miscommunication with witness 1 (W1) and that he/she thought January’s payment was received but after speaking with home office they were informed that no payment had been received. LPA spoke to W1 and asked how payment was made for R1 and was told by ACH withdrawal. LPA obtained physical checks for the month of October, November, December of 2025, and for February of 2026 from the facility for R1. LPA contacted W1 to confirm if a check was sent to facility and was told it was under investigation with the bank. LPA contacted bank with information provided on check and was told they could not provide personal information for a customer however they were able to confirm that just because a customer sees an ACH withdrawal from there account does not mean a check is not sent to the creditor. Bank representative stated it is treated as a cashier’s check. LPA asked W1 if there has ever been a late fee and or an eviction notice for nonpayment to R1 and W1 stated no. During interviews with residents eight (8) out of eight (8) residents stated they have had no issues with rent payments. R2 stated they gave permission to take rent out of there bank and has never had any issues.

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted, and a copy of this report was given to Cynthia Flores.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026

LIC9099 (FAS) - (06/04)

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