<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197802563
Report Date: 08/25/2026
Date Signed: 08/26/2026 08:33:58 AM

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
05/18/2026 and conducted by Evaluator Sanjay Vaid
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260518121219
FACILITY NAME:EL DESCANSO RETIREMENT HOMEFACILITY NUMBER:
197802563
ADMINISTRATOR:BOUSHERI, CLEMENCIAFACILITY TYPE:
740
ADDRESS:21020 E. CIENEGA AVENUETELEPHONE:
(626) 967-2868
CITY:COVINASTATE: CAZIP CODE:
91724
CAPACITY:15CENSUS: 12DATE:
08/25/2026
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Administrator, Clemencia BousheriTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff took videos of residents without consent
Staff did not intervene when outside vendor took videos and pictures of residents without consent
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
***This licensing report supersedes the report delivered on 08/20/2026, the reason for the superseded report is to clarify information listed on the initial report. The findings will remain unsubstantiated. ***

On today’s visit LPA Vaid met with Administrator Clemencia Bousheri and discussed purpose of visit. LPA Vaid and Bousheri toured the facility and did not observe any health and safety concerns.
On 08/20/26, Licensing Program Analyst (LPA) Vaid conducted a subsequential visit for the above-mentioned allegations and was allowed entry by Caregiver, Norma Salazar. Facility Manager, Escarling Godoy, arrived shortly after, and the reason for the visit was discussed. LPA obtained staff and residents' rosters. LPA Vaid and Manager Godoy toured the facility and did not observe any health and safety concerns. Administrator Bousheri arrived shortly after.
On 05/26/2026, LPA Vaid conducted initial visit and obtained the following documents: staff roster, resident roster, Resident #1 (R1) Face-Sheet, Admissions Agreement, photo release and confidentiality agreement. Interviewed staff, residents and witnesses.
Continued on 9099C........
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
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-20260518121219
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: EL DESCANSO RETIREMENT HOME
FACILITY NUMBER: 197802563
VISIT DATE: 08/25/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
***This licensing report supersedes the report delivered on 08/20/2026, the reason for the superseded report is to clarify information listed on the initial report. The findings will remain unsubstantiated. ***

Regarding the allegation: Staff took videos of residents without consent. It is alleged that the staff took videos of residents without their consent. Interviews with three (3) of three (3) staff deny the allegation, staff state that the facility does not consent to the residents or resident's representatives use of recording equipment in the facility, the only exception is when informed consent and full knowledge is applied. Residents' Representatives can utilize the facility patio areas for private parties. In November of 2025, R1’s family held a party for R1 in the facility’s patio area. R1’s family hired the Entertainer/Videographer (EV) for R1's party and the EV also recorded the event using video/audio. In the video recordings, the individuals identified by staff and witnesses are not facility residents, and were identified as R1's family members who agreed to be video recorded and agreed to participate with holding the recording device. The investigation revealed that the facility staff did not take photos/videos of R1 or any facility residents. Additionally, the facility staff did not hire the entertainer for R1’s party. Interviews with R1’s family members acknowledge that R1’s family hired the entertainer, however, R1’s family members were not aware of the content of the videos posted on social media. Fifteen (15) of fifteen (15) residents interviewed could not corroborate the allegation, residents stated they were not aware of staff video recording residents without consent. Based on interviews with residents, staff and witnesses, review of videos and pictures, 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, therefore the allegation is unsubstantiated.

Regarding the allegation: Staff did not intervene when an outside vendor took videos and pictures of residents without consent. It is alleged that the facility staff did not prevent an outside vendor from taking pictures and videos of residents without their consent and posting the videos on social media. Three (3) of three (3) staff deny the allegation, according to interviews with staff #1 (S1), the entertainment company was not hired by the facility. S1 reported the entertainment company was hired by R1’s family and R1’s family sought facility permission to hold the party in the patio area of the facility. According to R1’s family members, all the individuals shown in the videos were R1 and R1’s family members, and no residents or staff were shown in the videos. R1’s family members stated having hired the entertainer for R1’s party and R1s family members were not aware of the content posted on social media. Fifteen (15) of fifteen (15) residents interviewed could not corroborate the allegation, residents stated they were not aware of an outside vendor video recording residents without consent. Therefore, the investigation revealed that staff did not hire the outside vendor and staff did not organize or participate in R1’s party. Based on interviews with residents, staff and witnesses, review of videos and pictures, 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, therefore the allegation is unsubstantiated.

An exit interview was conducted and copy of this report was provided to Administrator Clemencia Bousheri.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2