191600341-12-12-2023-11-AS-MVAO-CZKSQ8-20240117130418

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191600341
Report Date: 12/12/2023
Date Signed: 12/12/2023 03:16:58 PM

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
12/07/2023 and conducted by Evaluator Alfonso Iniguez

COMPLAINT CONTROL NUMBER: 11-AS-20231207165318

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: 105	DATE:	12/12/2023
		UNANNOUNCED	TIME BEGAN:	09:21 AM
MET WITH:	Heather Argueta-Administrator		TIME COMPLETED:	03:13 PM

ALLEGATION(S):

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Facility staff spoke inappropriately to resident.
Resident was left in a soiled diaper for an extended period of time.

INVESTIGATION FINDINGS:

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On 12/12/2023 LPA Alfonso Iniguez conducted an unannounced complaint visit. LPA Iniguez met with Heather Argueta/Administrator. LPA explained the purpose of this visit.
Investigation Consisted of: LPA conducted the following interviews: Administrator Interview(A#1), Resident interviews (R#1-R#10), Staff interviews (Ca#1-Ca#6) and (Ho#1-Ho#6) and a tour of the facility including 10 residents’ rooms and kitchen. LPA obtained and reviewed the following documents: Client’s roster, Personnel roster, (R#1-R#10) Identification and Emergency Information, (R#1-R#10) Admissions agreements, (R#1-R#10) Physicians Report for Residential Care Facilities for the Elderly, (R#1-R#10) Needs and Services Plan, (R#1-R#10) Medication Administration Record (MAR) for the month of December 2023, (R#1-R#10) Admissions Agreement(Facility Rules), copy of employee schedule from October, November and December 2023, and copy of staff training regarding personal rights done on 11/27/23.
Evaluation Report continues LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Alfonso Iniguez	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023

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-20231207165318

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: 12/12/2023

NARRATIVE

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Investigation Revealed the Following:

Allegation: Facility staff spoke inappropriately to resident.

The details of the complaint alleged that facility staff spoke inappropriately at a resident in care.

During the records review, LPA Iniguez reviewed the mandatory staff training notes performed on 11/27/23. The training was regarding the personal rights of residents.

During an interview with the Administrator (A#1), she stated that all staff know the residents' rights, and we just did training on 11/27/23, which was mandatory for all staff. In addition, per (A#1), she said no staff member has ever spoken inappropriately to a resident.

During interviews with staff (S#1-S#10), 10 out of 10 stated that they knew the residents' rights and had never spoken inappropriately to a resident.

During interviews with residents (R#1-R#10), 10 out of 10 stated that they were aware of their rights and that the facility staff treated the residents respectfully. Also. 10 out of 10 said no staff member has ever spoken to them inappropriately.

Allegation: Resident was left in a soiled diaper for an extended period of time.

The details of the complaint alleged that facility staff are leaving residents in soiled diapers for an extended period of time.

During the records review, LPA observed the facility staff schedule for October, November, and December 2023; LPA observed enough staff coverage for morning, afternoon, and nighttime.

During an interview with the administrator (A#1), she stated that the facility has the necessary staff to provide care and supervision for residents in care. Also, per (A#1), the residents get assistance with their continence needs every two hours and as needed. In addition, (A#1) stated that no resident has been left in a soiled diaper for an extended period.

During interviews with staff (S#1-S#10), 10 out of 10 stated that the facility has the necessary staff to provide care and supervision to residents in care, and they assist the residents with their continence needs every two hours or as needed. Also. 10 out of 10 stated that no resident has ever been left in a soiled diaper for an extended period.

During interviews with residents (R#1-R#10), 10 out of 10 stated that the facility has the appropriate staff to provide care and supervision for the residents in care, and the staff assist them every hour to two hours or as needed in changing their adult diapers. Also, 10 out of 10 stated that they have not been left in a soiled diaper for an extended period.

Evaluation Report continues LIC 9099-C

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Alfonso Iniguez	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20231207165318

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: 12/12/2023

NARRATIVE

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During an Interview with witness number 1 (W#1), he stated that on 12/6/23 at approximately 10:00 am, I was providing therapy sessions to R#1. At approximately 10:30, we finished the session, and R#1 told me that they needed a caregiver because they soiled their dependents; right after that, I looked for a caregiver and told them about R#1 needing assistance with changing. LPA asked (W#1) if he witnessed (S#1) being rude towards (S#1) he said no.

LPA compared the time given by RP and by (W#1), the amount of time RP stated they were left in a soiled diaper was less than 1 hour.

During this investigation, LPA found did not find sufficient evidence to support the above-mentioned allegations.

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be: UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

California Code of Regulations (Title 22, Division 6, Chapter 8).

An exit interview was conducted, and a copy of the Complaint Report was given to Heather Argueta /Administrator.

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Alfonso Iniguez	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023

LIC9099 (FAS) - (06/04)

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