198204848-7-31-2026-11-AS-PMAA-DXJLES-20260902084201

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198204848
Report Date: 07/31/2026
Date Signed: 07/31/2026 02:48:31 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
07/24/2026 and conducted by Evaluator Lizeth Villegas

COMPLAINT CONTROL NUMBER: 11-AS-20260724155120

FACILITY NAME:	PLD FAMILY HOME CARE		FACILITY NUMBER:	198204848
ADMINISTRATOR:	PRECIOUS DENNIS		FACILITY TYPE:	740
ADDRESS:	139 WEST ELLIS AVENUE		TELEPHONE:	(310) 419-5829
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90302
CAPACITY:	6	CENSUS: 6	DATE:	07/31/2026
		UNANNOUNCED	TIME BEGAN:	09:13 AM
MET WITH:	Administrator Precious Dennis		TIME COMPLETED:	02:50 PM

ALLEGATION(S):

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Resident is being restrained.
Facility is limiting visitation.
Resident was not allowed to leave facility.

INVESTIGATION FINDINGS:

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On 07/31/26 at 9:00 am Licensing Program Analyst (LPA) Villegas conducted an initial complaint visit regarding the allegation(s) above. LPA met with Administrator
Precious Dennis as the purpose of today’s visit was explained.

The investigation consisted of the following: On 07/31/26 LPA Villegas obtained copies of the staff and resident roster, visitation policy, facility sign in/out sheets, and copies of the following documents for Resident #1 (R1) Emergency ID form, pre-appraisal dated: 07/01/24, Functional capability assessment dated: 12/29/25, Admission agreement dated: 07/01/24, Physicians report dated: 12/16/25, needs and service plan dated: 12/11/25, Power of attorney, and Dual power of attorney documents. On 07/31/26 LPA conducted interviews with Resident #1-6 (R1-R6), and interviews with

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026

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-20260724155120

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: PLD FAMILY HOME CARE	FACILITY NUMBER: 198204848
	VISIT DATE: 07/31/2026

NARRATIVE

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staff #1-2 (S1-S2). On 07/31/26 LPA conducted a review of R1's file.

The investigation revealed the following:
Allegation: Resident is being restrained.
It is alleged that a resident in care was restrained in a wheelchair with a belt around body and the chair. On 07/31/26 LPA conducted interviews with R1-R6 regarding the allegation above. 5 of 6 residents interviewed denied the allegation above. 1 of 6 residents interviewed confirmed the allegation above and reported being informed by staff that it is being done to ensure safety. Furthermore, 6 of 6 residents reported feeling safe when assisted by staff. On 07/31/26 LPA conducted interviews with S1-S2 regarding the allegation above. 2 of 2 staff interviewed denied the allegation above. On 07/31/26 LPA conducted a review of R1's file, LPA observed that there is a physicians order for a seat belt for R1.

Allegation: Facility is limiting visitation.
It is alleged that a resident family not allowed to visits without any explanation. On 07/31/26 LPA conducted interviews with R1-R6 regarding the allegation above. 6 of 6 residents interviewed denied the allegation above, and reported that facility staff has not denied them of any visitations. On 07/31/26 LPA conducted interviews with S1-S2 regarding the allegation above. 2 of 2 staff interviewed denied the allegation above and reported that visiting hours are 11am-7pm daily. On 07/31/26 LPA conducted a review of Admission agreement dated: 07/01/24. Per Admission agreement page 24 under family visits, the following is documented: Visitation is daily from 11 am-7 pm, if other times are needed please contact facility in advance for arrangements. On 07/31/26 LPA conducted a review of visitors sign in sheets from 11/2025 to 07/2026, LPA observed that R1 is actively having visitors at the facility and there are no documented refused visits.

Allegation: Resident was not allowed to leave facility.
it is alleged that a resident in care was not allowed to attend a family event. 07/31/26 LPA conducted interviews with R1-R6 regarding the allegation above. 6 of 6 residents

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20260724155120

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: PLD FAMILY HOME CARE	FACILITY NUMBER: 198204848
	VISIT DATE: 07/31/2026

NARRATIVE

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interviewed denied the allegation above, and reported that facility staff has not refused to let them leave the facility with family. On 07/31/26 LPA conducted interviews with S1-S2 regarding the allegation above. 2 of 2 staff interviewed denied the allegation above, 1 of the 2 staff interviewed reported that it is encouraged that residents spend time out of the facility with family. Additionally, 2 of 2 staff stated that it is recommended but not mandatory that visitors notify the facility ahead of time if they will be taking a resident out in to the community so that staff ensures the resident is ready to go at the time of pick up.

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 conducted, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026

LIC9099 (FAS) - (06/04)

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