197600430-9-28-2022-29-AS-KHEN-CJQVLD-20220929163147

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197600430
Report Date: 09/28/2022
Date Signed: 09/28/2022 12:21:31 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/27/2022 and conducted by Evaluator Emily Peraldi

COMPLAINT CONTROL NUMBER: 29-AS-20220927145131

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: 71	DATE:	09/28/2022
		UNANNOUNCED	TIME BEGAN:	09:58 AM
MET WITH:	Judith Montoya, Administrator		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Facility is in disrepair.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Emily Peraldi, conducted an unannounced 10-day initial complaint visit to this facility. At 09:58 a.m., the LPA met with Administrator, Judith Montoya and explained the reason for the visit.
At 10:02 a.m., the LPA conducted an interview with the Administrator. Between 10:31 a.m. and 11:31 a.m., the LPA along with the Administrator, conducted a physical plant tour and interviewed fifteen (15) out of seventy-one (71) residents. At 12:05 p.m., the LPA reviewed records and obtained copies of pertinent documents.

Regarding the allegation: Facility is in disrepair.
On 09/27/2022, the Department received a complaint in which it was alleged that the facility’s air condition (AC) units were not working. At 10:02 a.m., the LPA conducted an interview with the Administrator. The Administrator explained that the facility has seven (7) central AC units for resident rooms and three (3) central AC units for the common areas and the kitchen/dinning areas. Continued on LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 593-4493
LICENSING EVALUATOR NAME: Emily Peraldi	TELEPHONE: 818-421-4497
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2022

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-20220927145131

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: VALLEY VIEW RETIREMENT CENTER	FACILITY NUMBER: 197600430
	VISIT DATE: 09/28/2022

NARRATIVE

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The Administrator explained that all the central AC units are controlled through the thermostat and on the Administrator’s and Licensee’s phone through a phone application called Resideo. At 10:04 a.m., the Administrator showed the LPA the phone application that controls the resident room temperatures. The resident room temperatures are set to 75-degree Fahrenheit. The Administrator explained that some of the rooms upstairs have an additional window AC unit if the residents request one. The Administrator stated that the facility has not had major maintenance problems. The Administrator said that a company called, GreenAir goes to the facility once a month to conduct routine maintenance on all the central AC units. During the tour, the LPA observed seventeen (17) resident rooms. The rooms observed were maintained at a comfortable temperature. Additionally, at 11:09 a.m., the LPA observed the dining area room temperature to be at 76-degree Fahrenheit. At 11:31 a.m., the LPA observed the television/common room temperature to be at 75-degree Fahrenheit. The interviews with residents revealed that the residents are comfortable with their room temperatures. Based on the information obtained, there is insufficient evidence to support the claim that facility is in disrepair. This allegation is deemed Unsubstantiated at this time.

Exit interview conducted with the Administrator. A copy of the report will be issued via email.

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 593-4493
LICENSING EVALUATOR NAME: Emily Peraldi	TELEPHONE: 818-421-4497
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2022

LIC9099 (FAS) - (06/04)

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