197607718-10-12-2022-11-AS-SCIS-CKY2X8-20221107164643

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197607718
Report Date: 10/12/2022
Date Signed: 10/12/2022 04:36:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 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
09/12/2022 and conducted by Evaluator Jeremiah Randle

COMPLAINT CONTROL NUMBER: 11-AS-20220912155843

FACILITY NAME:	CENTINELA ASSISTED LIVING CENTRE		FACILITY NUMBER:	197607718
ADMINISTRATOR:	GWENDOLYN CRAIG		FACILITY TYPE:	740
ADDRESS:	1000 S FLOWER ST		TELEPHONE:	(310) 674-3216
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90301
CAPACITY:	96	CENSUS:	DATE:	10/12/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator Gwendolyn Craig		TIME COMPLETED:	04:31 PM

ALLEGATION(S):

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Resident is not receiving prescribed diabetic medicine at the facility.

Licensee did not safeguard resident personal possessions.

Staff speak inappropriately to resident

INVESTIGATION FINDINGS:

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Investigation Revealed the following.

On 10/12/2022 Licensing Program Analyst (LPA) Jeremiah Randle conducted an unannounced subsequent complaint investigation at the facility listed above. LPA arrived at facility and was greeted by Administrator Gwendolyn Craig. LPA explained the purposed of the visit is to deliver findings on the allegations listed above.

The investigation consisted of the following:
On 9/20/2022 LPA Randle toured facility grounds, reviewed facility files and interviewed staff (S1-S2) and residents (R1). On 10/12/2022 LPA Randle spoke with staff (S1-S4) and residents (R2-R7). LPA requested and received the following files: Staff roster, resident roster, and other documents relevant to the investigation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Jeremiah Randle
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022

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 11-AS-20220912155843

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: CENTINELA ASSISTED LIVING CENTRE	FACILITY NUMBER: 197607718
	VISIT DATE: 10/12/2022

NARRATIVE

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Allegation: Resident is not receiving prescribed diabetic medicine at the facility.

The complainant alleges resident it’s not receiving prescribed diabetic medication. LPA spoke to administrator Gwendolyn Craig who stated resident has refused on several occasions to attend required necessary medical appointments in order to have diabetic medication renewed. Administrator added that resident has switched physicians on several occasions which has impeded the continuity of care for the resident. LPA has interviewed R1 who acknowledged that they switched physicians on several occasions and will probably switch again to a physician that is closer to where she resides, R1 also acknowledged that they have missed medical appointments regarding the reissue of their medication. LPA interviewed residents (R2-R7) regarding the allegation of not receiving medication. Resident interviewed all stated (R2-R7) they receive their medication on time daily without incident. LPA interviewed staff (S1-S3) regarding allegation all stated there were no delays in receiving medication.

Based on information gathered, the department did not find sufficient evidence to support allegation " Resident is not receiving prescribed diabetic medicine at the facility.

Allegation: Licensee did not safeguard resident personal possessions.

The complainant alleges facility did not safeguard resident’s personal possessions. LPA interviewed resident (R1) regarding the allegations. R1 stated that they had given away an article of clothing however she maintains that her coat is missing , LPA asked R1 if her locks were broken or in disrepair on her door R1 stated that her locks work fine, LPA ask R1 if she could have left items at the other facility, R1 stated “I didn’t think so”. LPA interviewed (R2-R7) and asked if they had any property stolen or missing items those interviewed R2-R7 stated in the facility they feel safe and the facility keeps their property safe. LPA interviewed staff (S1-S4) regarding allegation,S1-S4 had not been made aware of any personal property or items missing at any time by R1, R1 indicated that she never told anyone or staff that any items were missing

Based on information gathered, the department did not find sufficient evidence to support allegation " Licensee did not safeguard resident personal possessions.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Jeremiah Randle
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20220912155843

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: CENTINELA ASSISTED LIVING CENTRE	FACILITY NUMBER: 197607718
	VISIT DATE: 10/12/2022

NARRATIVE

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Allegation: Staff speak inappropriately to resident

The complainant alleges staff speak inappropriately to residents. LPA spoke with staff S1-S4 who stated they are not speaking to residents, inappropriately. LPA spoke with residents (R2-R7) regarding the allegation staff speak to residents inappropriately those interviewed 6 out of 6 stated staff were not speaking to residents inappropriately.

Based on information gathered, the department did not find sufficient evidence to support allegation "

The Department’s investigation consisted of an inspection of the facility, observation, analysis of facility records and interviews conducted and found no evidence to support the allegations:

Resident is not receiving prescribed diabetic medicine at the facility. Staff speak inappropriately to resident. Licensee did not safeguard resident personal possessions.

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.

An exit interview was conducted with Administrator Gwendolyn Craig and a hard copy was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Jeremiah Randle
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022

LIC9099 (FAS) - (06/04)

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