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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197607718
Report Date: 09/22/2021
Date Signed: 03/28/2022 01:19:39 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 DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/03/2021 and conducted by Evaluator Pamela Bunker
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20210903085057
FACILITY NAME:CENTINELA ASSISTED LIVING CENTREFACILITY NUMBER:
197607718
ADMINISTRATOR:GWENDOLYN CRAIGFACILITY TYPE:
740
ADDRESS:1000 S FLOWER STTELEPHONE:
(310) 674-3216
CITY:INGLEWOODSTATE: CAZIP CODE:
90301
CAPACITY:96CENSUS: 55DATE:
09/22/2021
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Gwen Craig TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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9
Staff will not transport resident
Administrator is harassing the resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Wednesday, September 22, 2021, at 10:10 A.M., LPA Bunker met with Administrator Gwen Craig. Upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is clear of COVID-19 infection. LPA Bunker met with Administrator Gwen Craig. LPA Bunker explained the purpose of today's visit.

The Investigation consisted of the following: Interviews conducted with staff 1-4 (S1-4) and Residents 2-6 (R2-6). Staff and residents stated residents are provided transportation, and the Administrator is not harassing any of the residents. The complainant stated the issue was resolved and he had no problem with transportation or harassment. Staff and residents denied the above allegations.

See continued LIC9099-C page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Angela J Kendrick
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
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 11-AS-20210903085057
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 DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: CENTINELA ASSISTED LIVING CENTRE
FACILITY NUMBER: 197607718
VISIT DATE: 09/22/2021
NARRATIVE
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Continued LIC812-C page 2

Allegation #1: Staff will not transport resident
Interviews with staff 1-4 (S1-S4) all claim that the accusation is false and that (S3) is an excellent worker and well experienced and trained. Based on the information gathered, there’s no evidence to collaborate the allegation mentioned above. Interviews with Residents 2-6 (R2-R6) revealed they all have utilized the transportation services provided in-house and felt safe during their transport services. (R2-R6) all claim that (S3) conducts himself professionally, communicates well and is committed to safety on the road.

Allegation #2: The administrator is harassing the resident Interviews were conducted with staff 1-4 (S1-S4) and residents 2-6 (R2-R6). During the interviews, staff and residents stated that they had no problem with the Administrator, she does not harass residents. Residents stated they are being treated with dignity and respect by the Administrator and staff.

Investigation revealed the following: LPA Bunker conducted interviews with staff 1-4 (S1-S4) and residents 2-6 (R2-R6) they all stated staff does transport residents to their appointments. LPA observed staff personnel files and found no evidence to support the allegations. Staff and residents stated the Administrator does not harass any of the residents. Residents stated that they are all happy with how they are treated by the Administrator and they had no problems. Residents stated if they need assistance with anything staff is available to assist. Residents stated staff provided them with the necessary care and supervision. Staff and residents interviewed denied allegations.

Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated.

LPA Bunker provided Administrator Gwen Craig with copies of the Complaint Investigation Report LIC9099, LIC9099-C, and LIC811.

An exit interview was conducted.
SUPERVISORS NAME: Angela J Kendrick
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2