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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197605820
Report Date: 04/14/2025
Date Signed: 04/14/2025 08:56:02 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
09/06/2024 and conducted by Evaluator Zabel Chochian
COMPLAINT CONTROL NUMBER: 29-AS-20240906124716
FACILITY NAME:SUNRISE OF WESTLAKE VILLAGEFACILITY NUMBER:
197605820
ADMINISTRATOR:KENNEDY, EDITHFACILITY TYPE:
740
ADDRESS:3101 TOWNSGATE RDTELEPHONE:
(805) 557-1100
CITY:WESTLAKE VILLAGESTATE: CAZIP CODE:
91361
CAPACITY:124CENSUS: 91DATE:
04/14/2025
UNANNOUNCEDTIME BEGAN:
02:37 PM
MET WITH:Edith KennedyTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff did not ensure resident was provided fluids resulting in hospitalization.

Staff did not provide medical attention in a timely manner.

Staff did not meet the needs of resident in care.

Staff forced resident to shower.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Zabel Chochian conducted an unannounced subsequent complaint visit to this facility today. LPA met with Executive Director (ED) Edith Kennedy and explained the reason for the visit.

On 09/06/2024, the Department received the above listed allegations. On 09/12/2024, Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced complaint visit to investigate the allegations listed above. LPA Balisi met with Edith Kennedy and allegations were discussed. At approximately (approx.) 12:30 p.m., LPA Balisi conducted a physical plant tour, interviewed eight (8) staff and reviewed and obtained copies of pertinent documentation relevant to the investigation. Reporting party was contacted on 09/12/2024; 04/04/2025; 04/09/2025 several times and no response was received. On 4/9/2025, Licensing Program Analyst (LPA) Zabel Chochian conducted subsequent complaint visit. LPA met with and discussed the allegations with the ED; reviewed and obtained copies of additional pertinent documentation relevant to the investigation from approximately 10am-1pm. (Continue to 9099c.)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Desaree PereraTELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel ChochianTELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2025
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 3
Control Number 29-AS-20240906124716
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: 04/14/2025
NARRATIVE
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Additional records were requested and reviewed at approximately 1:30pm. LPA conducted interview with staff at approximately 2pm. LPA also toured the Memory care unit at approximately 3pm and attempted to interview residents in the memory care unit.

Following is a summary of the allegations and investigation finding:

Regarding Allegations: Staff did not ensure resident was provided fluids resulting in hospitalization and Staff did not provide medical attention in a timely manner: Information was received that on 07/13/2024, R1's blood pressure was reportedly low and therefore R1 was taken to the hospital by family; R1 was admitted for four days due to low blood pressure and dehydration.

To investigate the allegation, R1 facility records were reviewed and Interview was conducted with facility staff. In additional, several attempts were made to reach the reporting party. Staff interviewed reported that R1 was admitted to the facility on 07/03/2024 and for one week staff attempted to provide care services as needed. Staff reported that R1’s responsible person visited every day and occasional stayed with R1 overnight. Staff stated that the responsible person for R1 did not allow staff to provide routine care and interfered with staff trying to understand and determine R1 level of care needs. Records reviewed and staff interviewed revealed that on 7/13/2024, R1’s blood pressure was recorded in the morning and R1's BP was 127/82; medication was provided as prescribed. Staff reported that R1’s blood pressure is checked in the morning by the nurse and medication is provided as prescribed/ordered by R1’s physician. According to staff unless there is a medical need or an order vitals are not checked regularly. Staff reported that if R1's BP was low on 07/13/2024 they would have record of the BP reading. Records reviewed did not show a low BP record for R1 on 07/13/2024.

Regarding hydration, staff stated that all residents are provided and encouraged to drink fluids daily. Staff reported that R1 was given two cups of orange juice and one cup of water at breakfast; two cups of water and juice between breakfast and lunch; two cups of juice and one cup of water at lunch; two cups of water and juice between lunch and dinner. Staff reported that R1 did eat and drink with no issues. Staff reported that on 07/13/2024, R1 was exhibiting behavioral issues and was very aggressive with staff. Staff reported that they would allow R1 to calm down and return to assist care services. According to staff R1's responsible person arrived to facility on 07/13/2024 in the evening and R1 continued to be aggressive with staff and the responsible person. (Continue to 9099c.)
SUPERVISOR'S NAME: Desaree PereraTELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel ChochianTELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20240906124716
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: 04/14/2025
NARRATIVE
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Staff reported that there was no immediate medical issues for them to call 911; It was R1’s responsible person's decision to take R1 to the hospital due to the behavioral issues. Multiple attempts were made to reach the reporting party was unsuccessful. Based on the information obtained through record review and interviews; the allegations “Staff did not ensure resident was provided fluids resulting in hospitalization and Staff did not provide medical attention in a timely manner”, is deemed Unsubstantiated at this time.

Regarding allegation: Staff did not meet the needs of resident in care and Staff forced resident to shower:
Information was provided that on 07/06/2024, R1 was not assisted with incontinent care needs. It was reported that R1 was asked about using the restroom, R1 nodded yes, however staff insisted that R1 had already used the restroom. R1 was taken to the restroom later by R1's responsible person and it was reported that R1 had a bowel movement and urinated. It was also reported that R1 was forced to shower by staff (date unknown).

To investigate these allegations LPA reviewed records and conducted interview with facility staff. Staff denied allegations and reported that they assist with incontinent care as needed and they never force any resident to shower. Staff reported that R1 was a new resident, and when R1 was assisted with toileting needs staff observed that R1 would not sit on the toilet therefore staff would not force R1. Staff reported that R1 was checked on at least every two hours and before/after meals. According to staff R1’s incontinent needs were met as required by staff. Regarding showers - Staff expressed that R1 was never forced to shower. Staff reported that when resident does not want to shower or receive assistance with care needs they will not force them and try again later to provide care service or shower. During the tour of the memory care unit LPAs observed staff assisting residents with daily routine; no resident observed with dirty or soiled clothing at the time of visits. Attempt made to interview residents in the memory care was unsuccessful. Multiple attempts made to reach the reporting party were also unsuccessful. Based on the information obtained through records review and interviews; the allegations “Staff did not meet the needs of resident in care and Staff forced resident to shower”, are deemed Unsubstantiated at this time.


Exit interview conducted and a copy of the report provide.
SUPERVISOR'S NAME: Desaree PereraTELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel ChochianTELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3