198602944-9-9-2026-11-AS-UCOL-DYNTNF-20261008145239

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602944
Report Date: 09/09/2026
Date Signed: 09/09/2026 09:31:09 AM

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
04/22/2026 and conducted by Evaluator Felisa Shirley

COMPLAINT CONTROL NUMBER: 11-AS-20260422095106

FACILITY NAME:	BRIGHT SUNLIFE GUEST HOME		FACILITY NUMBER:	198602944
ADMINISTRATOR:	MORALES, MARIO		FACILITY TYPE:	740
ADDRESS:	22633 VAN DEENE AVE		TELEPHONE:	(424) 558-8761
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90502
CAPACITY:	6	CENSUS: 6	DATE:	09/09/2026
		UNANNOUNCED	TIME BEGAN:	08:58 AM
MET WITH:	Algel Culala, Caregiver		TIME COMPLETED:	09:40 AM

ALLEGATION(S):

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Staff did not provide adequate care resulting in resident developing infections

INVESTIGATION FINDINGS:

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*This report serves as an amendment to clarify findings. It does not supersede the complaint investigation findings reflected on report created 7/6/26.

On 7/6/26, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by Algel Culala, Caregiver and explained the purpose of the visit is to investigate and deliver findings for the allegation mentioned above. LPA was granted access to the facility.
The investigation consisted of the following:
On 7/6/26 LPA Shirley reviewed copies of the following records: Staff and Resident Roster, Discharge papers from Hollywood Presbyterian Hospital, Patient Service Instructions from St. Joseph Medical Supply, Copy of text messages from R1’s family member, and Hospice of St. Care folder. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff- 3 (S1 – S3), and Resident -2 – Resident - 6(R2-R6). R1 passed away 2/3/26 and R-7 is non-verbal
Con'd on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026

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-20260422095106

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: BRIGHT SUNLIFE GUEST HOME	FACILITY NUMBER: 198602944
	VISIT DATE: 09/09/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Staff did not provide adequate care resulting in resident developing infections

It is being alleged that R1 was placed in the above mentioned facility where he had developed several infections. On 7/6/26, LPA Felisa Shirley observed that R1 was not on the resident roster. LPA Shirley also reviewed annual records for this facility for 2025, 2024, 2023 and 2022 and noted that R1 was not listed as a resident. Upon review of Patient Service Instructions from St. Joseph Medical Supply, R1’s address was listed as an address from the prior facility that R1 resided. Per interview with S1 on 7/6/26, R1 was admitted to Bright Sunlife Guest Homes on 6/19/25 and resided at this facility for 1 day. LPA Shirley observed a text message dated 6/19/26 from a family member advising S1 that R1 would be picked up the next day at 1pm. Per interview with a family member on 4/28/26, the family arranged for R1 to be transferred to West Los Angeles Veteran Affairs Medical Center for further evaluation and care. On 7/6/26, LPA Shirley reviewed the discharge paperwork for R1 dated 5/22/25 from Hollywood Presbyterian Hospital and observed that R1 was treated for end stage kidney disease.

LPA interviewed staff 1 – staff 3 (S1 – S3). Of those interviewed 3 out of 3 denied the allegation. LPA interviewed resident 2 – resident 6 (R2 – R6). Of those who interviewed 4 out of 5 denied the allegation. One resident was not sure.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff did not provide adequate care resulting in resident developing infections,” therefore, the allegation is unsubstantiated.

No deficiencies were cited for these allegations.

An exit interview was conducted and a copy of this report was provided to the Caregiver, Algel Culala.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026

LIC9099 (FAS) - (06/04)

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