191600341-3-13-2024-11-AS-RORN-D3KN9V-20240321101634

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191600341
Report Date: 03/13/2024
Date Signed: 03/13/2024 08:33:02 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
03/08/2024 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20240308103101

FACILITY NAME:	HUNTINGTON RETIREMENT HOTEL		FACILITY NUMBER:	191600341
ADMINISTRATOR:	HEATHER ARGUETA		FACILITY TYPE:	740
ADDRESS:	20920 EARL STREET		TELEPHONE:	(310) 370-5828
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90503
CAPACITY:	155	CENSUS: 101	DATE:	03/13/2024
		UNANNOUNCED	TIME BEGAN:	09:16 AM
MET WITH:	Heather Argueta-Administrator		TIME COMPLETED:	04:57 PM

ALLEGATION(S):

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Facility staff yelled at the resident.

INVESTIGATION FINDINGS:

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On 03/13/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced complaint visit at this facility. LPA met with Resident Care Coordinator Corina Kalh who contacted Administrator Heather Argueta who later join the visit. LPA explained the purpose of this visit is to gather information for the allegation mentinoned above.

Investigation consisted of: Interviewes with Administrator Interview(A#1), Resident interviews (R#1-R#10), Staff interviews (S#1-S#5) and a tour of the facility. A review of following documents: Resident Roster, Personnel Roster (R#1) service records and (S#1) personnel records, Facility Staff In-Service Trainings and other pertinent records associated with this complaint.

Evaluation Report continues LIC 9099

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Ernand Dabuet	TELEPHONE: (323) 629-5526
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024

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-20240308103101

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: HUNTINGTON RETIREMENT HOTEL	FACILITY NUMBER: 191600341
	VISIT DATE: 03/13/2024

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Facility staff yelled at the resident.

The details of this complaint alleged that resident #1 (R1) was yelled at by a facility staff. On 03/05/24, the complainant witnessed staff #1 (S1) yell at (R1). The complainant reported that (S1) had commanded (R1) to get out of bed inappropriately. This incident was a disturbance and it was witnessed by staff #2 (S2) who diffused the situation.

On 03/13/24 between 11:13 am - 11:27 am, the Department interviewed resident #1 (R1). (R1) claimed to have lived at Huntington Retirement Hotel since 02/06/23. (R1) claimed to enjoy living in this community and stated the staff had treated (R1) well. (R1) claimed not to have experienced or observed any type of verbal or mistreatment by any staff. (R1) stated that (R1) is auditory impaired and does not usually have hearing devices in place. It would result in having individuals speak to (R1) in a higher level volume. (R1) does not construe staff of being disrespectful or abusive when they do have to speak with (R1) at this volume level. (R1) denied the incident ever happened on 03/05/24.

On 03/13/24 between 12:08 pm - 12:37 pm, the Department interviewed staff #1- #2 (S1-S2). (S1-S2) were identified by the complainant. (S1-S2) denied the incident ever occurred on 03/05/24 with (R1). (S2) claimed not to have witnessed or had knowledge of such incident. (S2) stated to be a mandated reporter, and if such unwarranted behavior ever occurred it would be reported. (S1) denied ever acting inappropriately toward any residents in care and does not support the assertion.

On 03/13/24, 11:30 am - 02:10 pm, the Department interviewed administrator #1 (A1) and staff #1-#5 (S1-S5). (A1) and (S1-S5) indicated that resident's rights are being protected and promoted through training and staff meetings. Mandatory annual In-Service Training on this topic completed on 11/27/23. Additional training included: Caregiver Training (dated: 06/23/23), Direct Care Orientation Training (dated: 06/13/23), Employee Orientation Training (dated: 06/13/23), Time and Attendance (dated: 06/09/23), and Resident's Rights (dated: 06/09/23). (A1) expressed that the Resident's Personal Rights are discussed during Resident Council meetings.

Evaluation Report continue LIC 9099-C

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Ernand Dabuet	TELEPHONE: (323) 629-5526
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20240308103101

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: HUNTINGTON RETIREMENT HOTEL	FACILITY NUMBER: 191600341
	VISIT DATE: 03/13/2024

NARRATIVE

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On 03/13/24, 10:00 am - 11:12 am, the Department interviewed (9) out of (9) residents #2-#10 (R2-R10) who reported no mistreatment or inappropriate verbal treatment by staff. (R2-R10) expressed their appreciation for the facility's staff and the healthy and safe environment it promotes.

On 03/23/24 between 02:10 pm – and 02:21 pm, the Department interviewed family representative witness #1 (W1) to (R1). (W1) claimed the facility is well maintained and managed. (W1), who is very involved with (R1's) care during weekly visits, has not witnessed any staff acting inappropriately toward residents.

Based on gathered information, there is no evidence to corroborate the allegation "Facility staff yelled at the resident.

Based on information gathered, an inspection of the facility, observation, and interviews conducted, an analysis of records reviewed, the Department found no evidence to support the allegation mentioned above. 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 with Heather Argueta, and a copy of this report was provided.

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Ernand Dabuet	TELEPHONE: (323) 629-5526
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024

LIC9099 (FAS) - (06/04)

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