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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197606651
Report Date: 07/27/2023
Date Signed: 07/27/2023 12:46:53 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
07/20/2023 and conducted by Evaluator Luis Mora
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20230720143926
FACILITY NAME:LAKEWOOD GARDENSFACILITY NUMBER:
197606651
ADMINISTRATOR:MARIE JEENE R DE CASTROFACILITY TYPE:
740
ADDRESS:12055 S. LAKEWOOD BLVD.TELEPHONE:
(562) 869-4038
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:150CENSUS: 74DATE:
07/27/2023
UNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Jeenne De Castro - AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Facility does not provide activities to residents as advertised.
Staff does not treat residents with dignity or respect.
Facility failed to meet the needs of the residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Luis Mora conducted an unannounced initial complaint visit to determine the validity of the above-mentioned allegations. LPA met with Jeenne De Castro (Administrator) and explained the reason for the visit.

The investigation consisted of the following: LPA Mora obtained copies of the resident and staff rosters, and June and July activity calendars. LPA toured the activity rooms and patios, and interviewed Administrator, Activity Director, Staff 1 - Staff 3 (S1 - S3), and Resident 1 - Resident 8 (R1 - R8).

The investigation revealed the following: regarding the allegation "facility does not provide activities to residents as advertised", it is alleged that the facility's website list a variety of activities, but the only activity that is offer is bingo. Administrator and staff interviewed denied the allegation. They stated that an activity calendar with a variety of activities is created for the entire month and it is posted in the facility's hallway. The staff stated that they follow this calendar and try to encourage all residents to participate. (Continue to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Wei Siew HoTELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Luis MoraTELEPHONE: 323-981-3964
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
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-20230720143926
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: LAKEWOOD GARDENS
FACILITY NUMBER: 197606651
VISIT DATE: 07/27/2023
NARRATIVE
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Residents interviewed could not corroborate the allegation. Most of the residents stated that there are many different activities and some of the residents were able to list different activities besides just bingo. During the tour, the LPA observed a big activity calendar about 40x52 inches posted on the facility's hallway. The activity calendar has a variety of different activities each day and there are 6 different activities throughout the day starting at 9:30am and ending at 7pm. The LPA observed multiple residents in the two activities rooms doing the activities that were scheduled for today. There was a total of 4 staff in those activity rooms assisting the residents.

Regarding the allegation "staff does not treat residents with dignity or respect", it is alleged that multiple times when a resident has contracted COVID the patients are forced to stay in their rooms/eat in their rooms for several weeks at a time. Administrator and staff interviewed denied the allegation. Administrator stated that the facility follows the Community Care Licensing Division and LA County Public Health Covid-19 guidelines and they have to isolate the residents when they are Covid-19 positive for the safety of other residents. However, they have never isolated any resident for weeks. Administrator stated that previously the isolation period was 10 days, but the most recent Covid-19 guidelines state that the isolation period is 5 days if no fever and no more symptoms are present. Staff stated that they have not isolated residents for multiple weeks and that usually it is 10 days or less. Residents interviewed could not corroborate the allegation.

Regarding the allegation "facility failed to meet the needs of the residents", it is alleged that the residents are receiving poor treatment due to lack of mental stimulation. Administrator and staff interviewed denied the allegation. They stated that they encourage all residents to participate in the activities, but some residents do refuse. However, residents are advice to come out of their rooms to walk around the facility or the patios. The Activity Director stated that staff are being trained to perform mental stimulation activities with residents while assisting the resident's with their Activities of Daily Living (ADLs) such as counting and singing. LPA did observe a caregiver singing with a resident while walking down the hallway. LPA observed multiple residents walking around the hallways and through the patios. Residents interviewed could not corroborate the 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 and a copy of the report was provided
SUPERVISOR'S NAME: Wei Siew HoTELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Luis MoraTELEPHONE: 323-981-3964
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
LIC9099 (FAS) - (06/04)
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