198204972-6-3-2026-11-AS-PMAA-DV6SUL-20260618141119

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198204972
Report Date: 06/03/2026
Date Signed: 06/03/2026 04:59:01 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/26/2026 and conducted by Evaluator Regina Cloyd

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260526094929

FACILITY NAME:	ROSECRANS VILLA RESIDENTIAL CARE		FACILITY NUMBER:	198204972
ADMINISTRATOR:	SANDRA LOPEZ		FACILITY TYPE:	740
ADDRESS:	14110 CORDARY AVENUE		TELEPHONE:	(310) 675-9163
CITY:	HAWTHORNE	STATE: CA	ZIP CODE:	90250
CAPACITY:	135	CENSUS: 109	DATE:	06/03/2026
		UNANNOUNCED	TIME BEGAN:	08:49 AM
MET WITH:	Sandra Lopez		TIME COMPLETED:	05:10 PM

ALLEGATION(S):

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Staff did not provide adequate supervision, resulting in resident being sexually abused.
Staff are not ensuring inside of facility is free of marijuana smoke.
Staff are not providing medical records to resident's responsible person.

INVESTIGATION FINDINGS:

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On 06/03/26, Licensing Program Analyst (LPA) Regina Cloyd conducted an initial visit to gather information regarding the above allegations. LPA met with Administrator Sandra Lopez and the purpose of the visit was explained.

Investigation consisted of the following: On 06/03/26, the Department obtained Personnel Report, Register of Residents, Work Schedule (May 2026), Resident Records (#1 - 9), interviewed Staff #1 – 9 (S1-S9) and Residents #1, 3 – 9 (R1, R3 – R9), toured the outdoor areas, and observed video recordings. Note: Resident #2 was out of the facility. LPA left voicemails for Staff #10 - #11.

Investigation revealed the following:
Allegation: Staff did not provide adequate supervision, resulting in resident being sexually abused.
It is alleged another resident inappropriately touched Resident #1 (R1) and pushed R1 up against a wall to try to kiss R1. Seven out of eight staff interviews (S1 – S5, S7 – S9.)... continue to LIC9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026

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 11-AS-20260526094929

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: ROSECRANS VILLA RESIDENTIAL CARE	FACILITY NUMBER: 198204972
	VISIT DATE: 06/03/2026

NARRATIVE

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indicated there is adequate supervision. S6 indicated there is adequate supervision mainly in the mornings. Two out of four staff members (S1 - S2, S5-S6) indicated they have not received any complaints concerning R1 being sexually abused. Five out of seven resident interviews (R1, R3 - R8) indicated there is adequate supervision. Three out of five resident interviews (R1, R3 - R5, R9) indicated they feel safe at the facility. LPA observed video recordings from 05/23/26 3:00pm – 4:00pm and 05/24/26 3:00pm – 4:00pm and did not observe a male resident enter into R1’s bedroom.

Regarding the allegation, “Staff did not provide adequate supervision, resulting in resident being sexually abused,” based on interviews and observations, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated.

Allegation: Staff are not ensuring inside of facility is free of marijuana smoke

It is alleged, on 05/24/26, there was marijuana smoke inside of the building "halfway down the hall" on the first floor. Six out of seven staff interviews (S1 – S7) indicated residents are not allowed to smoke marijuana inside of the facility. S1, S2, and S7 indicated there is a designated patio for smoking cigarettes and most residents smoke marijuana outside of the facility. S1 indicated that the neighbors smoke marijuana and it can also cause a smell. S2 indicated residents may come back into the facility smelling like marijuana. Six out of seven resident interviews (R1, R3-R8) indicated residents are not allowed to smoke marijuana in the facility. R9 indicated R9 is unsure. Review of Register of Residents (May 2026) revealed R1, R3 – R9 lives on the first floor. LPA observed an outdoor patio reserved for smoking near rooms 115, 112, 110, 109, 108, 106, 104, and the recreation room. LPA observed an outdoor patio for non-smokers near rooms 116, 114, 111, dining room, 122, 124, and beauty shop. LPA observed a rear parking lot where residents may smoke near the laundry rooms, dishwashing area and kitchen. LPA did not smell marijuana in the facility.

Regarding the allegation, “Staff are not ensuring inside of facility is free of marijuana smoke,” based on record reviews and interviews, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated. Continue to LIC9099-C.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260526094929

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: ROSECRANS VILLA RESIDENTIAL CARE	FACILITY NUMBER: 198204972
	VISIT DATE: 06/03/2026

NARRATIVE

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Allegation: Staff are not providing medical records to resident's responsible person.

Record review of R1’s Admission Agreement (08/19/25) revealed R1 signed off on own agreement. R1's Medical Assessment (08/01/25) revealed R1 signed off as the prospective resident or legal representative on 08/14/25. R1 is able to care for self and mental health is fair. R1's Identification and Emergency Information (08/19/25) revealed R1 is responsible for financial affairs. Three out of three staff interviews (S1 - S2, S5) indicated responsible persons may request medical records. S1, S2, and S7 indicated there have been no complaints from authorized persons being unable to access records. S1 indicated Resident #1 (R1) is self responsible and does not have a Power of Attorney. Five out of six resident interviews (R1, R3 - R7) indicated they or their responsible persons can have access to their medical records. R9 has never requested records.

Regarding the allegation, “Staff are not providing medical records to resident's responsible person,” based on record reviews and interviews, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated.

An exit interview was conducted and a copy of this report was provided to the Administrator Sandra Lopez.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026

LIC9099 (FAS) - (06/04)

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