197603385-2-8-2024-28-AS-RORN-D2WVQ5-20240229153746

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197603385
Report Date: 02/08/2024
Date Signed: 02/08/2024 03:08:11 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/02/2024 and conducted by Evaluator Alma Gonzalez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240202135715

FACILITY NAME:	COMMONWEALTH ROYALE GUEST HOME		FACILITY NUMBER:	197603385
ADMINISTRATOR:	KITT, GARY		FACILITY TYPE:	740
ADDRESS:	150 S. COMMONWEALTH AVE		TELEPHONE:	(213) 382-6381
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90004
CAPACITY:	99	CENSUS: 88	DATE:	02/08/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Anna Rempel		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility staff are withholding resident's P&I money.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced complaint visit to gather information pertaining to the above-mentioned allegation. LPA met with Administrator Anna Rempel and explained the reason for the visit.

The Investigation consisted of the following: LPA conducted interviews with Administrator Anna Rempel, Staff 1-4 (S1-4) and Residents 1-8 (R1-8). LPA obtained copies of Staff and Resident Rosters. LPA reviewed R1-8's facility files, collected copies of documents pertinent to the complaint investigation.

(See LIC9099C for continuation)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Alma Gonzalez	TELEPHONE: (323) 981-3973
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

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 28-AS-20240202135715

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: COMMONWEALTH ROYALE GUEST HOME	FACILITY NUMBER: 197603385
	VISIT DATE: 02/08/2024

NARRATIVE

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Investigation revealed the following: Facility staff are withholding resident's P&I money, it is alleged that R1 has not been provided their P&I funds of $268 each month, since the resident has resided at the facility and R1 has been at the facility for several years. It is alleged that on 01/31/24, R1's records showed that they were paid their P&I funds except for December of 2023 and January of 2024 and on 02/01/24 R1 again stated that they had not received their P&I funds. R1 allegedly stated that they never said anything because they were afraid. Interview conducted Administrator Anna Rempel revealed that R1's responsible party is Telecare Corp and they pay their rent and issue P&I funds for R1 as well as other residents. She stated that R1 receives their money each month at the beginning of the month as well as any other resident who's responsible party are Telecare. She stated that many residents are independent and either they handle their own money or a family member does. Interviews conducted with with 4 out of 5 facility staff revealed that residents receive their P&I funds at the beginning of the month. 1 out of 5 staff stated that they are not aware of anything that is financial as they only provide caregiver services to the residents. Interviews conducted with 7 out of 8 residents revealed that they do not have any concerns regarding their money and once they pay their rent they are left with a certain amount that is given to them at the time when their rent is paid. They stated that they have have always been given their money and do no have any complaints about their money not given to them by the previous administrator Gary Kitt or current Administrator Anna Rempel. They also stated that they like the facility and do not feel afraid. 1 out of 8 residents stated that they have been given their money but it is only paper money and stated that they are scared of being around any people and do not feel safe around anyone. They also stated that they staff are nice at the facility. LPA reviewed residents P & I ledger(s) and did not observe that staff are withholding residents P & I money. LPA also reviewed R1's Physician's Report for Community Care Facilities which states that R1 is able to handle their own cash resources. Based on statements gathered from interviews conducted with staff, residents and LPA record review there was not enough supportive evidence to concur with the reported 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 UNSUBSTANTIATED.

Exit interview held. A copy of the report was provided to Administrator Anna Rempel.

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Alma Gonzalez	TELEPHONE: (323) 981-3973
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

LIC9099 (FAS) - (06/04)

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