197606945-12-12-2020-28-AS-MVAO-BXFN9L-20210120091603

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606945
Report Date: 12/08/2020
Date Signed: 12/12/2020 06:49:41 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/18/2020 and conducted by Evaluator Christine Wong

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20200318161520

FACILITY NAME:	BROOKDALE CENTRAL WHITTIER		FACILITY NUMBER:	197606945
ADMINISTRATOR:	TAMI OJIWANG		FACILITY TYPE:	740
ADDRESS:	8101 S PAINTER AVE		TELEPHONE:	(562) 698-0596
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90602
CAPACITY:	92	CENSUS: 72	DATE:	12/08/2020
		UNANNOUNCED	TIME BEGAN:	03:03 PM
MET WITH:	Steven Sciurba		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff intimidates residents while in care.
Staff threatened residents with eviction.
Resident personal belonging was not safeguarded while in care.
Staff provided resident with incorrect medication.
Resident was not properly fed while in care.
Staff mishandled resident's medication while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christine Wong conducted a subsequent complaint investigation to deliver findings on the allegations listed above. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted telephonically with Administrator Steven Sciurba.

The investigation consisted of the following:, the initial complaint visit was conducted on 03/25/2020, LPA Irra requested copies of: resident and staff rosters, a list of Residents that have moved out from this facility including their contact information (from September 2019 to March 2020) and a list of Staff that are no longer working at this facility including their contact information (from September 2019 to March 2020). LPA Wong also interviewed current administrator, ten (10) staff and eight (8) residents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Christine Yee	TELEPHONE: (323) 981-3978
LICENSING EVALUATOR NAME: Christine Wong	TELEPHONE: (323) 981-3963
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020

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-20200318161520

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: BROOKDALE CENTRAL WHITTIER	FACILITY NUMBER: 197606945
	VISIT DATE: 12/08/2020

NARRATIVE

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The investigation revealed of the following: Allegation#1 “Staff intimidates residents while in care.” LPA interviewed residents and staff, and all denied the allegation. They all reported that the previous administrator is a nice man, and everyone likes him. No staff or resident heard him being intimidated or bullied the residents in the facility.

Allegation#2 “Staff threatened residents with eviction.” LPA interviewed residents and staff; all denied the allegation. They all reported they never heard the previous administrator being threatened residents with eviction. They all stated that the administrator is very friendly and would never say something like that to the residents in the facility.

Allegation#3 “Resident personal belonging was not safeguard while in care.” LPA interviewed residents and two reported that they lost their personal belongings in the facility before, they reported to the staff and staff tried to locate it. Although it was not able to find, the residents do feel safe living in the facility, and they have no concerns of the facility.

Allegation#4 “Staff provided resident with incorrect medication.” LPA interviewed residents and staff; all denied the allegation. They all reported it’s never happened, and they are not aware of anything like that. All staff are very professional and given the correct prescribed medication to the residents.

Allegation#5 “Resident was not properly fed while in care.” LPA interviewed residents, four reported that the food that facility served can be better. The food is not what they thought supposed to be. Although the facility provides the variety selection of food for residents to choose and they are always properly fed. The dietary manager reported residents can choose an entrée each meal and if they do not like the entrée, they have another five selection of food to choose which include sandwiches, fruit, salad ...etc. In addition, all the meals are created by the dietician and its tailored to each residents’ diet.

Allegation#6 “Staff mishandled resident's medication while in care.” LPA interviewed residents and staff, and all denied the allegation. All residents reported the staff never mishandled their medication. Staff reported there’s an incident happened before which the resident is no longer living in the facility. That particular resident would keep insisting the staff to put medication/diaper cream inside her virginal area, but the medication is only a diaper cream. Staff was not allowed to change the instruction from the doctor and tried to explain to the resident and family, but they were not understanding.

SUPERVISOR'S NAME: Christine Yee	TELEPHONE: (323) 981-3978
LICENSING EVALUATOR NAME: Christine Wong	TELEPHONE: (323) 981-3963
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20200318161520

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: BROOKDALE CENTRAL WHITTIER	FACILITY NUMBER: 197606945
	VISIT DATE: 12/08/2020

NARRATIVE

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Based on statements and interviews conducted with staff a and there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

A telephonic exit interview was conducted with Administrator Steven Sciurba. A hard copy of the report was emailed. Staff was instructed to sign the LIC 9099 reports and return to LPA.

SUPERVISOR'S NAME: Christine Yee	TELEPHONE: (323) 981-3978
LICENSING EVALUATOR NAME: Christine Wong	TELEPHONE: (323) 981-3963
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020

LIC9099 (FAS) - (06/04)

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