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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191801803
Report Date: 06/02/2026
Date Signed: 06/02/2026 12:51:09 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
05/28/2026 and conducted by Evaluator Luis DeLeon
COMPLAINT CONTROL NUMBER: 28-AS-20260528091814
FACILITY NAME:GARDEN CRESTFACILITY NUMBER:
191801803
ADMINISTRATOR:WAYNN-NIETZLE ROMEROFACILITY TYPE:
740
ADDRESS:889 LUCILE AVETELEPHONE:
(323) 663-8281
CITY:LOS ANGELESSTATE: CAZIP CODE:
90026
CAPACITY:44CENSUS: 24DATE:
06/02/2026
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Admininstrator Waynn RomeroTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff handled resident in a rough manner.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Luis De Leon conducted an initial unannounced complaint investigation visit for the allegation listed above. LPA met with the Administrator Waynn Romero and explained the reason for the visit.
The investigation consisted of the following: On today’s visit, LPA De Leon toured the physical plant with Facility Administrator and obtained the current resident and staff roster. Relevant copies of resident (R1's) file documents were reviewed and obtained, along with admission agreement, physician’s report, needs and service plan, MARs log and facility training for transferring techniques.

Regarding allegation: Staff handled resident in a rough manner.
It is alleged that residents are handled in a rough manner when staff assist residents with transferring from bed to chair. Investigation consisted of interviews with staff, residents, and review of R1 facility file, including admission agreement, physician’s report, needs and service plan, and MARs logs. (Report continues on page LIC-9099C...)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Luis DeLeon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026
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-20260528091814
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: GARDEN CREST
FACILITY NUMBER: 191801803
VISIT DATE: 06/02/2026
NARRATIVE
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The investigation reveals the following: interview with residents revealed that six (6) out of seven (7) residents stated that staff does not treat residents rough while assisting residents with activities of daily living, including bed transferring. Interview with R1 revealed that R1 was not able to describe an incident where staff was rough when providing assistance to R1. R1 stated that two guys have hurt R1 when transferring, but R1 was not able to provide names or times of incidents. LPA’s interview with R1 revealed that R1 was not able to provide consistent answers to LPA’s questions. Interview with staff revealed that six (6) out of six (6) staff stated not to be aware of staff treating residents in a rough manner. Three (3) out of three (3) staff providing direct care to residents denied handling residents in a rough manner or knowing any other staff treating residents in a rough manner. S3 confirmed providing transferring assistance to R1, but denied treating R1 in a rough manner. Administrator stated that staff is trained as much as possible with transferring techniques. Based upon the investigation, resident and staff interviews, document review, and LPA observations, there was insufficient evidence to corroborate the allegation that staff treats residents in a rough manner.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was held with Administrator Waynn Romero. A copy of the report was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Luis DeLeon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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