197605820-8-23-2021-29-AS-JAPL-C67RN8-20210824130953

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197605820
Report Date: 08/23/2021
Date Signed: 08/23/2021 12:20:10 PM

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
08/17/2021 and conducted by Evaluator Ashley Smith

COMPLAINT CONTROL NUMBER: 29-AS-20210817151106

FACILITY NAME:	SUNRISE OF WESTLAKE VILLAGE		FACILITY NUMBER:	197605820
ADMINISTRATOR:	HOWELL, ZACHARY		FACILITY TYPE:	740
ADDRESS:	3101 TOWNSGATE RD		TELEPHONE:	(805) 557-1100
CITY:	WESTLAKE VILLAGE	STATE: CA	ZIP CODE:	91361
CAPACITY:	124	CENSUS: 70	DATE:	08/23/2021
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Zak Howell, Executive Director		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are not providing a comfortable enviornment for residents

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced for an initial complaint visit. The LPA met with Executive Director Zak Howell and explained the reason for the visit. During today’s visit, the LPA toured the surrounding perimeters at 9:35 a.m., interviewed staff at 9:57 a.m., 10:00 a.m., 10:05 a.m., 11:04 a.m., and interviewed eleven residents between 9:45 a.m. – 11:45 a.m.

Regarding the allegation, it is alleged that residents are smoking on their balconies and on the outside patio, which is causing secondhand smoke to get into the facility. Interviews conducted with the Executive Director confirmed that the facility recently created a secondary designated smoking area for residents that are unable to leave the facility unassisted. The secondary smoking area is located outside of the facility ‘Lounge’ area, yet upon observation, the LPA observed that it is twenty feet away from any entrances to the facility. The LPA also observed the original smoking area, which is further from the facility, more than twenty feet from the building, and designated for both staff and residents that are able to leave the grounds unassisted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jeralyn Ann Pfannenstiel	TELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Ashley Smith	TELEPHONE: (818) 421-9032
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

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 29-AS-20210817151106

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: SUNRISE OF WESTLAKE VILLAGE	FACILITY NUMBER: 197605820
	VISIT DATE: 08/23/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Interviews confirmed that previously, concerns were raised regarding residents not utilizing the designated smoking area. In response, the Executive Director provided documentation demonstrating that the facility has addressed all staff, residents, and responsible parties of the smoking policy. Furthermore, the facility has reminded said individuals of the smoking policy and that it is allowed only in the designated smoking area.
Interviews with residents could not corroborate the claim that smoke was getting into the facility. Most interviews supported the claim that residents nor staff have smelled smoke in the facility, and all understood that residents were not allowed to smoke in the facility and could only do so in the designated smoking areas. Interviews with residents whom smoke stated that they understood the facility policy and have complied.

Based on the information obtained, there is insufficient evidence to support the claim that the staff are not providing a comfortable environment for residents. This allegation is deemed Unsubstantiated at this time.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.

SUPERVISOR'S NAME: Jeralyn Ann Pfannenstiel	TELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Ashley Smith	TELEPHONE: (818) 421-9032
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 2