197606945-10-8-2024-28-AS-LHIS-DA3LPM-20241015085609

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606945
Report Date: 10/08/2024
Date Signed: 10/08/2024 01:50:48 PM

Substantiated

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
10/02/2024 and conducted by Evaluator Noemi Galarza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20241002102332

FACILITY NAME:	BROOKDALE CENTRAL WHITTIER		FACILITY NUMBER:	197606945
ADMINISTRATOR:	SANJAY KABADI		FACILITY TYPE:	740
ADDRESS:	8101 S PAINTER AVE		TELEPHONE:	(562) 698-0596
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90602
CAPACITY:	92	CENSUS: 43	DATE:	10/08/2024
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Logan Harrison, Interim Administrator		TIME COMPLETED:	01:55 PM

ALLEGATION(S):

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Facility staff are not maintaining laundry equipment in good repair.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Galarza and Mayra Cota conducted an initial 10-day complaint investigation visit in regards to the allegation listed above. LPA discussed the purpose of the visit with Interim Administrator Logan Harrison.

The investigation consisted of: A tour of the common areas, with special focus on laundry rooms was completed. Staff (S1- S5) and residents (R1-R7) were interviewed. Resident (R1's) file documents were reviewed. The following documents were obtained: Residency Agreement, staff roster, and resident roster.

*Narrative continues next page.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Noemi Galarza	TELEPHONE: (323) 981-3974
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024

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-20241002102332

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: 10/08/2024

NARRATIVE

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Allegation: Facility staff are not maintaining laundry equipment in good repair. It is alleged that the 2nd floor "Resident Laundry Room" dryer is in disrepair and makes a loud thumping noise, that is keeping resident's awake at night when NOC shift staff use the dryer. As a result, some residents are not able to dry their clothes in a timely manner because it is in use by staff or other residents. It was reported that management staff, maintenance staff, and caregivers have received reports from residents of the aforementioned issue, and noise nuisance. In addition, during the last resident council meeting the dryer disrepair was also addressed. A total of 5 staff and 7 residents were interviewed. All staff interviewed confirmed the dryer in the 2nd floor has been in disrepair for approximately 2 - 4 weeks. They stated that the dryer was not working, and maintenance staff installed another dryer over 1 1/2 weeks ago, but the dryer that was installed was observed to be damaged and makes a loud thumping noise. Six (6) out of 7 residents interviewed stated the 2nd floor dryer has been in disrepair for over 1 month; and the replacement dryer also is in disrepair because the dryer drum makes a loud thumping noise. Several residents stated that the dryer disrepair has caused delays in their laundry routine. Based on observation, LPA's observed dents on the 2nd floor dryer, heard the loud thumping noise, and noticed the dryer knob control turns on in "off" mode. In addition, the basement staff laundry room has one (1) washer in disrepair. Staff reported that the washer had a water leak, and was replaced with a new dryer. However, the new dryer did not have a gas line. Therefore, the 2nd floor dryer and basement washer are in disrepair. A new washer and dryer have been ordered and should be arriving by the end of this week or early next week. The findings corroborate the allegation.

Exit interview was conducted with Interim Administrator Logan Harrison. A copy of the report and appeal rights will be emailed due to printing issues. A hard copy of the report will be mailed.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Noemi Galarza	TELEPHONE: (323) 981-3974
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 28-AS-20241002102332

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/08/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/21/2024 Section Cited CCR 87303(g)(1)	1 2 3 4 5 6 7	Maintenance and Operation .Facilities which have machines and do their own laundry shall: Have adequate supplies available and equipment maintained in good repair. This requirement was not met evidenced by:	1 2 3 4 5 6 7	Interim Administrator stated he approved the order for a new dryer and washer that should be delivered by early next week. Please submit a copy of the invoice and a picture of the installed new dryer and washer.
	8 9 10 11 12 13 14	Based on interviews and observation, the 2nd floor Resident Laundry Room has a dryer that is in disrepair. During the inspection, LPAs also observed the basement washer in disrepair. Both have been in disrepair for approximately 4 weeks. This poses a potential health and safety risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Noemi Galarza	TELEPHONE: (323) 981-3974
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024

LIC9099 (FAS) - (06/04)

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