Complaint Investigation Report

198601962-11-4-2025-28-AS-FFIS-DNY2WS-20251201164600

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

MONTEREY PARK ASC , 1000 CORPORATE CNTR DR. ST 500

This is an official report of an unannounced visit/investigation of a complaint received in our office on

10/28/2025 and conducted by Evaluator Kimberly Ramirez

COMPLAINT CONTROL NUMBER: 28-AS-20251028093157

Staff does not keep facility free from pests.

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced initial complaint investigation visit on 11/04/2025 regarding the above allegation. During today’s visit LPA Ramirez was greeted by Administrator Victoria Tran and explained the purpose of the visit.

During today’s visit, LPA Ramirez obtained a copy of the resident rosters dated 10/01/2025 and 10/31/2025, staff roster and interviewed two (2) staff. Interview with staff#1 (S1) revealed that resident#1(R1) does not reside at the facility and was never admitted into the facility. LPA Ramirez did not observe R1’s name in resident rosters. This agency has investigated the complaint alleging: Staff does not keep the facility free from pest. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint.

LPA Ramirez conducted an exit interview with Administrator Tran and provided a copy of this report.