191600341-2-16-2023-11-AS-MVAO-CTHQP5-20230707122011

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191600341
Report Date: 02/15/2023
Date Signed: 02/16/2023 09:32:50 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 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
02/06/2023 and conducted by Evaluator Pamela Bunker

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20230206171432

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: 90	DATE:	02/15/2023
		UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Corina Kahl		TIME COMPLETED:	02:55 PM

ALLEGATION(S):

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Resident is being mistreated by staff.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Tuesday, February 14, 2023. Upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is cleared of COVID-19 infection. LPA Bunker met with Resident Care Coordinator Corina Kahl. LPA Bunker explained the purpose of today's visit.

The investigation consisted of the following: Interviews were conducted with staff 1-2 (S1-S2) and residents 1-9 (R1-R9). LPA Bunker asked questions relevant to the nature of the complaint. During today's visit, we did not observe any signs of neglect or abuse, nor were any of the residents in placement being mistreated. S1-S2 and R2-R9 stated residents are not being mistreated by staff. R1 stated she is being mistreated by staff. LPA Bunker requested and reviewed resident 1's (R1) records and requested copies of supporting documents.

See continued LIC9099-C page 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephanie Cifuentes	TELEPHONE: (661) 644-7743
LICENSING EVALUATOR NAME: Pamela Bunker	TELEPHONE: (323) 213-1113
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023

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-20230206171432

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: HUNTINGTON RETIREMENT HOTEL	FACILITY NUMBER: 191600341
	VISIT DATE: 02/15/2023

NARRATIVE

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Continued LIC9099-C page 2

Allegation: The resident is being mistreated by staff.
S1-S2 and R2-R9 stated staff does not mistreat residents in care. R1 stated she is being mistreated by staff and she feels discriminated against. R1 stated this place is for rich people. R1 stated she is treated differently because she pays less money to live at this facility, and you have to be rich to live here. R1 stated that she is not neglected by the employees. R1 stated staff doesn't treat the poor people in a lower category that are on a special rate the same as the rich people that can afford to pay and live here. R1-R9 stated the staff is nice and very helpful.

The Investigation revealed the following: Staff 1-2 (S1-S2) and residents 2-9 (R2-R9) interviewed stated staff does not mistreat any of the residents. R2-R9 stated staff is providing residents with the necessary care and supervision and that residents' daily care needs are been met. R1 stated staff mistreats those residents that pay less than those that pay more. R1 stated staff keep telling her she is on a special rate. S1 stated the residents that pay less that are on a special assisted waiver through medical are all treated equally. S1 stated the amount of room and board has nothing to do with the service the facility is providing to the residents. R1-R9 stated that they are happy with the staff. R2-R9 stated they are happy living at the facility, and the staff treats all of the residents with dignity and respect. R1 stated that she wants to move and prefers living on her own. S1-S2 stated R1 cannot live at home alone she needs assistance with her daily living. S1-S2 and R2-R9 denied the allegation.

Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. 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 deemed unsubstantiated.

There were deficiencies cited.

Exit interview conduct.

SUPERVISOR'S NAME: Stephanie Cifuentes	TELEPHONE: (661) 644-7743
LICENSING EVALUATOR NAME: Pamela Bunker	TELEPHONE: (323) 213-1113
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023

LIC9099 (FAS) - (06/04)

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