Regency Grand At West Covina

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced initial complaint visit to investigate the above allegation. LPA met with Mary Mims-Burris, Executive Director and explained the purpose of the visit. The investigation consisted of the following: LPA conducted a tour of the facility including the kitchen, dining room during lunch time, and observed facility food supply. LPA obtained copies of the staff & resident rosters, dining hours schedule, weekly meal menus for 11/09/2025 - 12/13/202, today's menu and always available menu, Food council minutes (11/28/2025), Residency/Admission Agreement and Resident handbook indicating supplemental charges for additional dining services provided. LPA also reviewed pertinent files for cook staff. Between 11:45am-1:00pm, LPA interviewed Staff #1 (S1) - Staff #4 (S4) and Resident #1 (R1) - Resident #13 (R13). *****CONTINUED ON LIC9099-C***** UnsubstantiatedRead the full finding— CDSS inspection report, December 11, 2025 · control 28-AS-20251203083729

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced initial complaint visit to investigate the above allegation. LPA met with Mary Mims-Burris, Executive Director and explained the purpose of the visit. The investigation consisted of the following: LPA obtained copies of the staff & resident rosters, Staff in service training (Residents' Rights), House Rules, Resident #1 (R1) and Resident #2 (R2) pertinent files and Incident report. LPA interviewed Staff #1 (S1) - Staff #4 (S4), (S2 was telephonically interviewed at 12:57pm) and Resident #1 (R1) - Resident #12 (R12). In regards to the allegation: “Facility staff are not preventing resident from bullying other residents in care.” It is alleged that on 06/12/2025, R1 was bullied by R2 who has been bullying residents and staff for months without consequence. (4) out of (4) staff interviewed denied the allegation. Staff interviewed stated that the facility conducts internal investigation and do corrective actions on probRead the full finding— CDSS inspection report, June 23, 2025 · control 28-AS-20250617164800

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent compliant investigation visit regarding the above allegations. LPA met with Mary Mims Burris Executive Director and explained the reason for the visit. The investigation consisted of the following: On 3/6/25 LPA Deleon and LPM Fierros conducted an unannounced complaint investigation visit and toured the facility, obtained a copy of the staff and resident roster, resident #1's face sheet, admission agreement, and medical assessment, repair invoices from February to March 2025. LPA conducted interviews with administrator and staff 1 (S1) and resident #1(R1) . On 3/25/25 LPA Flores conduced interviews with 9 residents and 7 staff, requested work orders, LPA toured room #354 and #206 and delivered findings. The investigation revealed the following: Regarding allegation: Staff speak inappropriately to resident in care. It is alleged staff is harassing resident for disrepairs in the room. (CONTINUED ON LIC 9099C)Read the full finding— CDSS inspection report, March 25, 2025 · control 28-AS-20250225160630

This report serves as an addendum and supersedes the complaint investigation report created on 3/20/2023. This addendum is written to provide the clarification on LIC 9099C and LIC9099D and does not change the complaint investigation report findings recorded on 3/20/2023. Licensing Program Analyst (LPA) Christine Wong conducted the “Initial 10-Day” visit to ascertain information pertaining to the above-mentioned allegation and to establish the validity of the complaint. LPA met with Receptionist Debbie Golden who allowed entry into the facility and was later met by Administrator Nichole Greene arrived and assisted with the visit. The investigation consisted of the following: LPA toured the kitchen and interviewed the administrator, six (6) staff and nine (9) residents (R1-R9) in the facility and also obtained resident and staff roster, the copy of monthly services bill from Wipe out Pest Control and services notification dated on 10/12/22, 11/7/22, 01/24/23, 2/22/23 and 03/06/23. (SeeRead the full finding— CDSS inspection report, March 21, 2023 · control 28-AS-20230317082628

Licensing Program Analyst (LPA) Christine Wong conducted the “Initial 10-Day” visit to ascertain information pertaining to the above-mentioned allegation and to establish the validity of the complaint. LPA met with Receptionist Debbie Golden who allowed entry into the facility and was later met by Administrator Nichole Greene arrived and assisted with the visit. The investigation consisted of the following: LPA toured the kitchen and interviewed the administrator, six (6) staff and nine (9) residents (R1-R9) in the facility and also obtained resident and staff roster, the copy of monthly services bill from Wipe out Pest Control and services notification dated on 10/12/22, 11/7/22, 01/24/23, 2/22/23 and 03/06/23. The investigation revealed of the following: Allegation "Facility has cockroaches" LPA interviewed nine (9) residents and all denied the allegation and reported that facility is clean and they never seen any cockroaches in their rooms or dining room. (See LIC 9099C for continuaRead the full finding— CDSS inspection report, March 20, 2023 · control 28-AS-20230317082628

Licensing Program Analyst (LPA) Christine Wong conducted an initial 10 days complaint to address the above allegation. LPA met with receptionist Debbie Golden and explained the purpose of the visit. Shortly after, the Executive Director Nichole Greene arrived and assisted with the visit. The investigation consisted of the following: LPA interviewed administrator, three staff (S1-S3) and ten residents (R1-R10) and obtained R1's documents include face sheet, admission agreement, physician report and POA documents and letter from R1. The investigation revealed of the following: In regards to the allegation of "Facility staff restricting resident from receiving visitors" LPA interviewed residents and all denied the allegation and stated that facility staff never restricted their family members to visit them. LPA interviewed R1 and reported its R1's decision whom can come to R1's room or where to meet. (See LIC 9099C for continuation) UnsubstantiatedRead the full finding— CDSS inspection report, October 31, 2022 · control 28-AS-20221027091629

Licensing Program Analyst (LPA) Christine Wong conducted an initial 10 days complaint investigation to address the above allegations. LPA met with receptionist Veronica Cordero and explained the reason of the visit. Shortly after the Wellness Director Debbie Galaviz and Executive Director Nicole Greene arrived and assisted with LPA's visit. The investigation consisted of the following: LPA interviewed Executive Director, Wellness Director and five (5) staff and ten residents (R2-R11) and obtained copy of the documents included staff roster, resident roster, Resident#1 (R1)'s LIC 601, LIC603A, Admission Agreement, Physician Report (08/16/2021), Service Plan (06/12/21, 12/16/21, 02/17/22, 04/14/22) and Medication List of May, 2022. The investigation revealed of the following: Allegation#1 "Staff did not observe resident's change of condition." LPA interviewed staff and reported R1 was doing well and did not complaint any pain before the date of having vomitting episode. (See LIC 9099C foRead the full finding— CDSS inspection report, May 31, 2022 · control 28-AS-20220524085436