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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197606312
Report Date: 09/25/2024
Date Signed: 11/06/2024 01:56:09 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/17/2024 and conducted by Evaluator Leizl De La Cerra
COMPLAINT CONTROL NUMBER: 31-AS-20240917155334
FACILITY NAME:RIDGEWOOD RESIDENTIAL CARE, INC.FACILITY NUMBER:
197606312
ADMINISTRATOR:MARIA VICTORIA HAMOYFACILITY TYPE:
735
ADDRESS:9403 GERALD AVENUETELEPHONE:
(818) 886-6750
CITY:NORTHRIDGESTATE: CAZIP CODE:
91343
CAPACITY:6CENSUS: 6DATE:
09/25/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Rowena Cruz, Facility AdministratorTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff mishandled the clients medications.
INVESTIGATION FINDINGS:
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This is an amendment of the original report issued 09-25-2024 to clarify the complaint findings.
Licensing Program Analyst (LPA) Leizl de la Cerra conducted an unannounced subsequent complaint visit to deliver the finding for the above stated allegation. LPA met with the administrator and explained the reason for the visit
Licensing Program Analysts LPA Leizl de la Cerra conducted an unannounced visit on 9/25/24 for the above noted allegation. LPA was greeted with staff caregiver, Roanne and explained the reason for the visit. Facility Administrator, Rowena Cruz was contacted and arrived shortly.
Regarding the allegation above, Community Care Licensing (CCL) received a complaint alleging that on 09/05/24 multiple medications were discovered to be unlocked and accessible to clients. Prescription medication was observed in the bathroom and hallway closet.
During investigation, at approximately 10:45 a.m. LPA de la Cerra conducted tour of physical plant and did not observe any medication to be unlocked and accessible to the residents. At approximately 11:30am LPA interviewed the facility administrator and other staff, regarding the medications being accessible to the clients. Administrators admitted that while assisting clients with bathing, staff #1 (S1) took clients individual medication baskets/containers out of the locked cabinet. S1 placed medication baskets in the hallway and in the bathroom to be able to dispence medication after bathing. During inspection, LPA observed that the hallway and the bathroom are the areas that are easily accessible to facility clients.

Based on inspection, observation and the information revealed from the staff and credible witness there is a sufficient information to support the allegation. Therefore the allegation is SUBSTANTIATED at this time. Under California Code of Regulations,Title 22, Division 6 citation was issued and recorded on the attached LIC9099-D.
LPA did not observe any health and safety issues during today's visit. Exit interview conducted. Copy of signed report issued.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leizl De La Cerra
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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 31-AS-20240917155334
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: RIDGEWOOD RESIDENTIAL CARE, INC.
FACILITY NUMBER: 197606312
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/25/2024
Section Cited
CCR
80075(k)(1)
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80075 Health Related Services (k) The following requirements shall apply to medications...:(1) Medication shall be kept in a safe & locked place that is not accessible to persons other than employees responsible...of the centrally stored medication.
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Administrator provided LPA signed copy of facility in service training, Medication Storage Protocols completed on 9/5/24 by staff members. Also provided certificate of completion of SMART Medication training of all the staff members. POC is cleared during today's visit.

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Based on observation of a credible source, the licensee did not comply with the section cited above in approximately C1 & C2's medications which poses an immediate Health, Safety, and Personal Rights risk to clients in care.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leizl De La Cerra
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2