197600430-12-6-2023-29-AS-KHEN-CZY2L9-20240129162910

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197600430
Report Date: 12/06/2023
Date Signed: 12/06/2023 03:15:15 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/20/2023 and conducted by Evaluator Emily Peraldi

COMPLAINT CONTROL NUMBER: 29-AS-20230320151242

FACILITY NAME:	VALLEY VIEW RETIREMENT CENTER		FACILITY NUMBER:	197600430
ADMINISTRATOR:	JUDITH MONTOYA		FACILITY TYPE:	740
ADDRESS:	7720 WOODMAN AVE.		TELEPHONE:	(818) 997-6756
CITY:	PANORAMA CITY	STATE: CA	ZIP CODE:	91402
CAPACITY:	116	CENSUS: 70	DATE:	12/06/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Judith Montoya Administrator, Rosalba "Rosie" Monarrez, staff		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Facility staff lock(ed) resident outside of the facility.
Resident is not being accorded dignity in their personal relationships with staff.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Emily Peraldi conducted a subsequent visit to this facility today to deliver findings. At 9:30 a.m., the LPA met with the Administrator, Judith Montoya and explained the reason for the visit. During the time of the visit, the Administrator left the facility and authorized staff, Rosalba "Rosie" Monarrez to sign the report.

During the initial visit on 03/29/2023 between 8:15 a.m. and 10:30 a.m., LPA Brian Balisi conducted a brief physical plant tour and conducted an interview with Staff #1 (S1) and Resident #1 (R1). During today’s visit, at 9:35 a.m., LPA Peraldi conducted an interview with the Administrator. Between 9:44 a.m. and 2:31 p.m., the LPA conducted interviews seven (7) out of seventy (70) residents and two (2) staff. At 2:35 p.m., the LPA along with S1, conducted a physical plant tour.

Continued on LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Emily Peraldi	TELEPHONE: 818-421-4497
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

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 29-AS-20230320151242

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: VALLEY VIEW RETIREMENT CENTER	FACILITY NUMBER: 197600430
	VISIT DATE: 12/06/2023

NARRATIVE

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Regarding the allegation: Facility staff lock(ed) resident outside of the facility. It was alleged that Resident #1 (R1) was locked out of the facility and was pressing the call button for a while. Interview with R1 revealed that R1 has a car and leaves the facility daily. R1 explained that R1 parks inside the facility parking lot and enters the parking lot with a controller but sometimes the controller does not work and must press the call button/ buzzer to get in. R1 explained that their controller for the parking lot is currently working. R1 stated that there has not been issues with getting inside the facility ever since facility staff gave R1 a new controller earlier this year. Interview with the Administrator revealed that the front gate is always open during the day and at nighttime the gate locks on the outside but remains unlocked from the inside. The Administrator explained that the parking lot gate is locked but that there is a call button/ buzzer that can be pressed to reach a staff member that will open the gate. The Administrator said that R1 drives their own car and has their own controller for opening the parking lot gate. Interviews with multiple residents did not reveal any concerns regarding being locked out of the facility. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

Regarding the allegation: Resident is not being accorded dignity in their personal relationships with staff. It was alleged that a staff member is being disrespectful to Resident #1 (R1). During the interview with R1, R1 explained that there is a staff member who is rude to R1, however R1 does not recall the staff member’s name. Interviews with multiple residents revealed that staff treat residents with respect and dignity. Furthermore, interviews with multiple residents did not reveal any concerns regarding staff. Interviews with the Administrator revealed that there have not been any issues between staff and residents. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

Exit interview conducted. A copy of the report was issued.

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Emily Peraldi	TELEPHONE: 818-421-4497
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

LIC9099 (FAS) - (06/04)

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