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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197603385
Report Date: 06/20/2024
Date Signed: 06/20/2024 02:43:19 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
06/13/2024 and conducted by Evaluator Alma Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240613160701
FACILITY NAME:COMMONWEALTH ROYALE GUEST HOMEFACILITY NUMBER:
197603385
ADMINISTRATOR:ANNA REMPELFACILITY TYPE:
740
ADDRESS:150 S. COMMONWEALTH AVETELEPHONE:
(213) 382-6381
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY:99CENSUS: 78DATE:
06/20/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Anna RempelTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff speak to residents inappropriately while in care.
Staff do not treat residents with dignity and respect.
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 allegations. 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 1-5 (S1-5) and Residents 1-7 (R1-7). S6 was not interviewed as they were not working at the time of LPA visit. LPA obtained copies of Staff and Resident Rosters. LPA reviewed S1-6 files. LPA collected copies of documents pertinent to the complaint investigation. LPA conducted a tour of the facility inside and out which consisted of inspection and observations of the lobby, dining room, medication room, patio and (5) five resident rooms.


(See LIC9099C for continuation)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Wei Siew HoTELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Alma GonzalezTELEPHONE: (323) 981-3973
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 28-AS-20240613160701
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: 06/20/2024
NARRATIVE
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Investigation revealed the following: Regarding allegation, Staff speak to residents inappropriately while in care, it is alleged that facility staff yell at residents when they are having their meals. Interview with Administrator revealed that facility staff do not yell at residents when they are having their meals or at any other time. Interviews conducted with 1 out of 5 staff revealed that there is one staff (S6) that has been observed yelling at residents when they are having their meals. 4 out of 5 staff stated that staff do not yell at residents or speak to residents inappropriately at any time. S6 was not interviewed as they were not working at the time of LPA visit. Interviews conducted with 7 out of 7 residents revealed that staff do not yell at them when they are having their meals and also stated that staff speak to them appropriately at all times. During the visit, LPA observed staff interacting with residents during the lunch hour and throughout the facility and did not observe anything of concern. The interactions between staff and residents were observed to be respectful. LPA additionally reviewed staff files and observed that they receive annual training on abuse. Based on statements gathered from interviews conducted with staff, facility residents and LPA record review and observations, there was not enough supportive evidence to concur with the reported allegation.

For allegation, Staff do not treat residents with dignity and respect, it is alleged that facility staff do not treat residents with respect. Interview conducted with Administrator Rempel revealed that all facility residents are treated with dignity and respect at all times, staff do not speak to any resident inappropriately or yell at any resident. Interviews conducted with 1 out of 5 staff revealed that there is one staff (S6) that does not treat residents with dignity and respect. 4 out of 5 staff stated that staff treat residents with dignity and respect at all times. S6 was not interviewed as they were not working at the time of LPA visit. Interviews conducted with 7 out of 7 residents revealed that they are satisfied with the services, staff treat them with dignity and respect, staff do not yell at residents and staff do not speak inappropriately to residents. During the visit, LPA observed staff interacting with residents and did not observe anything of concern. The interactions between staff and residents were observed to be respectful. LPA additionally reviewed staff files and observed that they receive annual training on abuse. Based on statements gathered from interviews conducted with staff, facility residents and LPA record review and observations, there was not enough supportive evidence to concur with the reported allegation.

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.

Exit interview held. A copy of the report was provided to Administrator Anna Rempel.
SUPERVISOR'S NAME: Wei Siew HoTELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Alma GonzalezTELEPHONE: (323) 981-3973
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
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