198603545-9-11-2025-28-AS-FFIS-DLG3UC-20250912183318

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603545
Report Date: 09/11/2025
Date Signed: 09/11/2025 04:30:57 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
09/04/2025 and conducted by Evaluator Sanjay Vaid

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250904125106

FACILITY NAME:	PARK VIEW PLACE		FACILITY NUMBER:	198603545
ADMINISTRATOR:	LEEANN HEFNER		FACILITY TYPE:	740
ADDRESS:	1054 PARK VIEW DRIVE		TELEPHONE:	(626) 885-1800
CITY:	COVINA	STATE: CA	ZIP CODE:	91724
CAPACITY:	142	CENSUS: 104	DATE:	09/11/2025
		UNANNOUNCED	TIME BEGAN:	09:03 AM
MET WITH:	LeeAnn Hefner-Administrator		TIME COMPLETED:	03:08 PM

ALLEGATION(S):

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Staff isolates resident.
Staff has inappropriate interaction with resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vaid conducted an unannounced 10-day complaint visit and met with LeeAnn Hefner- Executive Director and the purpose of the visit was discussed.

As of todays visit: LPA has toured the physical plant. LPA interviewed staff #1-6 (S1-S6) and residents #1-10(R1-R10). Requested and obtained LIC 500-staff roster and resident roster. Residents' face sheet, pre-appraisal/physicians report, admissions agreement, service and needs plan, resident shower schedules copies of documents from residents’ file related to the allegations.

The investigation revealed the following:

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025

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-20250904125106

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: PARK VIEW PLACE	FACILITY NUMBER: 198603545
	VISIT DATE: 09/11/2025

NARRATIVE

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Regarding the allegation: Staff isolates resident. It is alleged that the staff is isolating residents in their rooms and not allowing them to come out of their room due to mal body odor from the resident. (6) of (6) staff interviewed denied the allegation. (10) of (10) residents interviewed could not corroborate the allegation. Interviews with staff acknowledge a few residents with strong body odors. Staff assist residents with their Assisted daily living needs. Residents are encouraged by staff to shower on their scheduled days. Some residents refuse to shower as scheduled. Staff will attempt three times during their shift to convince the resident to shower and then change personnel and attempted to convince three times again. Records reviewed show R1's scheduled for shower twice weekly and refusing to shower. Staff communicates residents’ behaviors to next shift. Residents are never left alone; staff interact with residents when making their rounds. Family and physician are informed of residents’ behaviors. LPA observed the resident in the common area watching TV interacting with other residents. Based upon record review and interviews conducted the findings indicate that, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation: Staff has inappropriate interaction with resident. It is alleged that the staff make shaming remarks about residents’ foul body odor during the mealtime and resident is forced to eat in their room. (6) of (6) staff interview denied this allegation. (10) of (10) residents interviewed could not corroborate this allegation. Interviews with staff acknowledged that a few residents have strong body odor. Staff encourages residents to keep up with their hygiene and are not shaming any of the residents for their body odor. Staff understands the behaviors that residents have and assists the residents with their needs and services. The residents are allowed to wander the facility freely. Staff acknowledge that some residents will make remarks towards residents with a foul odor. Staff interviewed stated they assist all residents with comfort and safety and treat residents with respect and dignity. Based upon record review and interviews conducted the findings indicate that, although the allegation may have happened or are 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 conducted and copy of this report was given to Lee Ann Hefner- Executive Director.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025

LIC9099 (FAS) - (06/04)

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