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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602866
Report Date: 05/04/2026
Date Signed: 05/04/2026 11:29:38 AM

Substantiated


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
04/28/2026 and conducted by Evaluator Mario Leon
COMPLAINT CONTROL NUMBER: 11-AS-20260428134950
FACILITY NAME:SENIOR MANOR CARE IIFACILITY NUMBER:
198602866
ADMINISTRATOR:GRADNEY, ANGELIQUEFACILITY TYPE:
740
ADDRESS:1851 REDONDELA DRIVETELEPHONE:
(310) 989-1941
CITY:RANCHO PALOS VERDESSTATE: CAZIP CODE:
90275
CAPACITY:6CENSUS: 4DATE:
05/04/2026
UNANNOUNCEDTIME BEGAN:
08:52 AM
MET WITH:Stephen Gradney - LicenseeTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not provide 90-day notice prior to rent increase.
INVESTIGATION FINDINGS:
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On 05/04/26 Licensing Program Analyst (LPA) Mario Leon conducted an initial, unannounced, complaint visit at the facility. California Department of Social Services (CDSS) was met by staff one, Stephen Gradney - Licensee (S1), and the purpose of the visit was explained. S1 and CDSS toured the facility.
The investigation consisted of the following:
On 05/04/26 CDSS requested and reviewed facility documents and toured the facility. CDSS interviewed four (4) out of four (4) residents (R1-R4) and three (3) out of seven (7) staff.

The investigation revealed the following:
Regarding the allegation, “Staff did not provide 90-day notice prior to rent increase.", it is being alleged that a resident received a 60-day notice of rent increase.

Report continues, please see LIC9099-C.
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026
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 3
Control Number 11-AS-20260428134950
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: SENIOR MANOR CARE II
FACILITY NUMBER: 198602866
VISIT DATE: 05/04/2026
NARRATIVE
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Between 09:00AM and 11:00AM, CDSS interviewed (4) residents (R1-R4) and three (3) staff (S1-S3). Interviews revealed that one (1) out of four (4) residents (R1) and two (2) out of three (3) staff (S1-S2) have agreed the allegation has taken place. Two residents (R2-R3) were not familiar with an increase in rent and one (1) resident (R4) was not available for interview due to medical condition. When an increase in rent, or any changes regarding a resident, their responsible person(s) have been made aware through Nino Echevarra (S2) or S1. Record reviews have indicated that a 60-day notice has been provided to R1. Based on record reviews and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached LIC 9099D.

There has been one (1) deficiency cited during today's inspection, please see LIC9099-D.

An exit interview was held with Stephen Gradney - Licensee (S1) and a plan of corrections has been developed, a copy of facilities' appeal rights and this report has been provided to S1.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20260428134950
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: SENIOR MANOR CARE II
FACILITY NUMBER: 198602866
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/04/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/04/2026
Section Cited
HSC
1569.655(a)
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1569.655(a) Increase in fee rates for elderly residents; 90 days' written notice standing amount of reasons for increase
(a) If a licensee...increases the rates...the licensee shall provide no less than 90 days' prior written notice to the residents or the residents' representatives.
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Licensee and LPA have agreed that an updated notice will be provided to R1, dated 05/04/26. Notice will be emailed to LPA at MARIO.LEON@DSS.CA.GOV
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This has not been met as evidenced by:
based on record reviews and interviews conducted, the licensee did not ensure Resident #1's representative was provided a 90 days' prior written notice, which poses a potential health risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026
LIC9099 (FAS) - (06/04)
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