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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320315
Report Date: 09/23/2026
Date Signed: 09/23/2026 04:48:20 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/15/2026 and conducted by Evaluator Socorro Leandro
COMPLAINT CONTROL NUMBER: 11-AS-20260915112212
FACILITY NAME:BAY TOWERS AT BIXBY KNOLLSFACILITY NUMBER:
198320315
ADMINISTRATOR:MCDONALD, DONFACILITY TYPE:
740
ADDRESS:3747 ATLANTIC AVENUETELEPHONE:
(562) 426-6123
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY:65CENSUS: 52DATE:
09/23/2026
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Executive Director, Don McDonaldTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff does not ensure transportation vehicle is maintained in good working order
INVESTIGATION FINDINGS:
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On 09/23/2026, Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced complaint investigation visit regarding the allegations listed above. LPA met with the Executive Director, Don McDonald, and the purpose of the visit was explained. LPA was granted entry to the facility.

Investigation consisted of the following:

On 9/22/2026, records were gathered which consisted of facility’s Plan of Operation regarding transportation services. On 09/23/2026, interviews were conducted, a facility tour was conducted, and records were reviewed. Interviews conducted consisted of Resident 1 (R1) to Resident 5 (R5) and Staff 1 (S1) to Staff 3 (S3). Records gathered and reviewed consisted of Resident Roster, Personnel Report dated 4/14/2026, Transportation Schedule for 09/2026, Bus Repair Bids, Residence and Care Agreement California.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
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 5
Control Number 11-AS-20260915112212
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: BAY TOWERS AT BIXBY KNOLLS
FACILITY NUMBER: 198320315
VISIT DATE: 09/23/2026
NARRATIVE
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Investigation revealed the following:

Allegation: “Staff does not ensure transportation vehicle is maintained in good working order”, it is being alleged that the facility’s bus lift (used for people with wheelchairs) is not in good repair.

Interviews conducted with S1 to S3 revealed the following: 3 out of 3 staff agreed with the allegation, moreover, staff indicated that the lift on the bus has not been operational for about a year.

Interviews conducted with R1 to R5 (residents who use wheelchairs) revealed the following: 3 out of 5 residents agreed with the allegation, furthermore, residents indicated that the bus lift has been non-operational for almost a year; 2 out of 5 residents were unable to provide additional information.

On 09/23/2026 at proximately 2:30 PM, the facility bus was toured. The facility bus was observed to be operational, but the driver indicated that the lift was in disrepair and not in use due to it being a safety hazard.

Record reviewed of Bus Repair Bids revealed the following: The facility has three bids/estimates for the facility bus lift.

Substantiated: Based on observation, interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

An exit interview was conducted, appeal rights were reviewed, and plans of corrections were developed. A copy of this report was left with the Resident Service Director, MaryLou Escobedo.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/15/2026 and conducted by Evaluator Socorro Leandro
COMPLAINT CONTROL NUMBER: 11-AS-20260915112212

FACILITY NAME:BAY TOWERS AT BIXBY KNOLLSFACILITY NUMBER:
198320315
ADMINISTRATOR:MCDONALD, DONFACILITY TYPE:
740
ADDRESS:3747 ATLANTIC AVENUETELEPHONE:
(562) 426-6123
CITY:LONG BEACHSTATE:CAZIP CODE:
90807
CAPACITY:65CENSUS: 52DATE:
09/23/2026
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Executive Director, Don McDonaldTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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2
3
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5
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9
Staff does not ensure transportation arrangements are provided to residents
INVESTIGATION FINDINGS:
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5
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9
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On 09/23/2026, Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced complaint investigation visit regarding the allegations listed above. LPA met with the Executive Director, Don McDonald, and the purpose of the visit was explained. LPA was granted entry to the facility.

Investigation consisted of the following:

On 9/22/2026, records were gathered which consisted of facility’s Plan of Operation regarding transportation services. On 09/23/2026, interviews were conducted, a facility tour was conducted, and records were reviewed. Interviews conducted consisted of Resident 1 (R1) to Resident 5 (R5) and Staff 1 (S1) to Staff 2 (S2). Records gathered and reviewed consisted of Resident Roster, Personnel Report dated 4/14/2026, Bus Repair Bids, Transportation Schedule for 09/2026, Residence and Care Agreement California.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 11-AS-20260915112212
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: BAY TOWERS AT BIXBY KNOLLS
FACILITY NUMBER: 198320315
VISIT DATE: 09/23/2026
NARRATIVE
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Investigation revealed the following:

Allegation: “Staff does not ensure transportation arrangements are provided to residents”, it is being alleged that transportation arrangements are not provided to residents who use wheelchairs.

Interviews conducted with S1 to S2 revealed the following: 2 out of 2 staff denied the allegation, additionally, staff explained that transportation arrangements are provided to residents who use wheelchairs via residents’ insurance, private companies, and public services.

Interviews conducted with R1 to R5 (residents who use wheelchairs) revealed the following: 5 out of 5 residents denied the allegation, moreover, residents indicated that the facility schedules their transportation and/or assist them with their transportation needs.

Record reviewed of Transportation Schedule for 09/2026 revealed the following: The facility has a transportation schedule that includes residents name, address, appointment time, and departure time. The schedule included medical appointments and personal outings.

Unsubstantiated: 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 a copy of this report was provided to Resident Service Director MaryLou Escobedo.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 11-AS-20260915112212
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: BAY TOWERS AT BIXBY KNOLLS
FACILITY NUMBER: 198320315
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/30/2026
Section Cited
CCR
87312
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Motor Vehicles Used in Transporting Residents Only drivers licensed for the type of vehicle operated shall be permitted to transport residents. The rated seating capacity of the vehicles shall not be exceeded. Any vehicle used by the facility to transport residents shall be maintained in a safe operating condition.
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The Executive Director has agreed to repair the facility’s bus lift.

Email invoice of bus lift repair and footage of bus lift in good repair to Socorro.Leandro@dss.ca.gov
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This requirement was not met as evidence by:
Based on interviews conducted the licensee did not comply with the section above by not maintaining the facility bus lift in operating condition which poses/posed an immediate health, safety or personal rights risk to persons in care.
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Note: The facility bus provides transportation to residents from Monday to Friday for appointments. The facility assists with scheduling transportation services for residents who use wheelchairs.
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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.
SUPERVISOR'S NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5