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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197606945
Report Date: 12/03/2024
Date Signed: 12/03/2024 03:03:01 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, 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
11/26/2024 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20241126123740
FACILITY NAME:BROOKDALE CENTRAL WHITTIERFACILITY NUMBER:
197606945
ADMINISTRATOR:SANJAY KABADIFACILITY TYPE:
740
ADDRESS:8101 S PAINTER AVETELEPHONE:
(562) 698-0596
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY:92CENSUS: 47DATE:
12/03/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Executive Director Logan Harrison TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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The facility did not respond in writing regarding any action taken in response to the resident council concerns within 14 calendar days
"Rights of Resident Councils" is not posted in a prominent place at the facility accessible to residents, family members, and resident representatives
Facility is in disrepair
Staff did not ensure housekeeping services were provided to residents in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman conducted an initial 10-day complaint investigation visit in regards to the allegations listed above. LPA discussed the purpose of the visit with Staff S1.
Shortly thereafter Executive Director Logan Harrison arrived.

The investigation consisted of: A physical plant inspection of the common areas and resident (R1's) room was completed. Executive Director, Staff (S1- S3) and residents (R2-R6) were interviewed.
Documentation was submitted regarding Resident Council Meeting Minutes and Corrective Action Consent Forms.
In regards to the allegation The facility did not respond in writing regarding any action taken in response to the resident council concerns within 14 calendar days, based on interviews conducted and information gathered it was revealed that resident council meeting was conducted on 11/20/24 and on 11/27/24 Concern Form was completed specifying what the corrective plan would be done by the facility.
Interview with Resident's R2-R6 who all stated that there is a residents meeting once a month and then a




Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Wei Siew HoTELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Glenn TruemanTELEPHONE: (323) 981-1652
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
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 3
Control Number 28-AS-20241126123740
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: 12/03/2024
NARRATIVE
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town hall meeting where the staff addresses all the issues brought up at the council meeting.
Resident's R2-R6 stated that facility writes down how to rectify their concerns and it can be viewed by residents.
Interview with staff who stated that there is a town hall to verbally communicate how they will rectify resident concerns from the council meetings. Stated it is 1 week later and also that the written concern form with corrections to be done are available in the activity director's office and can be viewed at anytime.
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.
In regards to the allegation "Rights of Resident Councils" is not posted in a prominent place at the facility accessible to residents, family members, and resident representatives, based on interviews conducted and information gathered it was revealed on tour of the facility that Rights of Residents is posted in the main hallway of the facility.
Interview with Resident's R2-R6 who all stated that they have seen resident rights posted and that it is also in their file when they are admitted.
Interview with staff who stated that resident rights are posted in the main hallway.
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.
In regards to the allegation Facility is in disrepair, based on interviews conducted, information gathered and tour of the facility it was observed during tour of the facility that there were no leaks and the physical plant was in good condition. Tour of Room 137 revealed that there were no leaks and observed everything to be in good working condition. Also temperature in the facility met Title 22 Regulations and elevator was operable.
Doors by bird cage were observed to be operable and there were no bad spots observed by the pillars.
Interview with Resident's 2-6 who stated the elevator is in working condition and maintenance will jump on it right away if anything needs fixing.
Staff interview stated that there are no issues by Room 137 of leakage and also stated that any leaks were 2 years ago by Room 137. Stated that maintenance is on site and will fix things right away.
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.
In regards to the allegation Staff did not ensure housekeeping services were provided to residents in care, based on interviews conducted and information gathered it was revealed by Resident's 2-6 that their rooms are cleaned 1x a week and the housekeeper does a really good job. Also said she has a schedule and does
SUPERVISOR'S NAME: Wei Siew HoTELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Glenn TruemanTELEPHONE: (323) 981-1652
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20241126123740
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: 12/03/2024
NARRATIVE
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all the rooms and does not miss any.
Interviews with staff who all stated that resident's rooms are cleaned 1x a week and there is a schedule that is followed and every room is completed.
Stated that no residents rooms are missed and there have been no complaints.
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 conducted.
SUPERVISOR'S NAME: Wei Siew HoTELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Glenn TruemanTELEPHONE: (323) 981-1652
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3