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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603183
Report Date: 02/21/2026
Date Signed: 02/21/2026 01:04:28 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
02/03/2026 and conducted by Evaluator Kimberly Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260203083301
FACILITY NAME:COUNTRY VIEW ASSISTED LIVINGFACILITY NUMBER:
198603183
ADMINISTRATOR:DENNISE TORRESFACILITY TYPE:
740
ADDRESS:824 W. CAMERON AVETELEPHONE:
(626) 962-3511
CITY:W. COVINASTATE: CAZIP CODE:
91790
CAPACITY:136CENSUS: 115DATE:
02/21/2026
UNANNOUNCEDTIME BEGAN:
12:16 PM
MET WITH:LVN Tara La FexTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Staff inappropriately spoke to resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent complaint investigation visit on 02/21/2026 to deliver a finding regarding the above allegation. On 02/10/2026, LPA Ramirez conducted an unannounced initial complaint investigation, and a need further investigation was documented. During today’s visit LPA Ramirez was greeted by Tara La Fex and explained the purpose of the visit.

The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff Roster, Staff#1-5 interviews (S1-S5), Resident#1-9 interviews (R1-R9), and physical plant tour.
The investigation revealed the following: regarding the allegation “Staff inappropriately spoke to resident.”

SEE 9099-C for continued narrative
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2026
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-20260203083301
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: COUNTRY VIEW ASSISTED LIVING
FACILITY NUMBER: 198603183
VISIT DATE: 02/21/2026
NARRATIVE
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It is alleged that S1 spoke inappropriately to a resident. On 02/10/2026, LPA Ramirez conducted nine (9) resident interviews. One (1) out of nine (9) residents interviewed corroborated this allegation. Eight (8) out of the nine (9) residents interviewed revealed they felt well cared for by staff, when asked by LPA Ramirez. On 02/10/2026, LPA Ramirez conducted five (5) staff interviews. Five (5) out of the five staff interviewed denied this allegation. Interview with S1 revealed they have never spoken inappropriately to any resident, family member or visitor. Interview with S5 revealed that they never witnessed S1 or any other staff member speak inappropriately to any resident, family member or visitor. On 02/10/2026, during facility tour LPA Ramirez observed staff conducting care and supervision to residents and did not observe staff speaking inappropriately to residents. LPA Ramirez observed several residents in the facility activities area singing karaoke songs along with two (2) staff. 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.

No deficiencies were cited. Exit interview was conducted. A copy of this report was provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2