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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197607718
Report Date: 08/25/2021
Date Signed: 08/25/2021 05:28:47 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
MONTERY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/08/2021 and conducted by Evaluator Jey Cardenas
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20210708161708
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: 49DATE:
08/25/2021
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Gwendolyn CraigTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff are not providing appropriate care and supervision to the residents while in care.
Staff are not responding to residents alerts while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Jey Cardenas conducted a subsequent complaint visit to deliver findings for the allegations listed above. Upon arrival at the facility LPA conducted a risk assessment over the telephone with Med-Tech, Laura Lopez Based on the assessment, the facility is clear of Covid-19 infection. LPA met with administrator Gwendolyn Craig and the purpose of the visit was explained.

Investigation consisted of: LPA Interviewed Administrator Gwendolyn Craig, eight (8) staff, and ten (10) residents , Obtained a copy of resident and staff roster, reviewed facility record files for resident #1 (R1) and obtained physicians report, admission agreement, and appraisal.

Investigation Revealed the following: It is alleged that at approximately 5:00am/ 5:39am R1 was having trouble sleeping went to the front office/nursing station and there was no staff there, resident waited around for staff and no one showed. R1 contacted Reporting Party (RP) at that time, who then called facility number and staff didn’t pick up call.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Angela J Kendrick
LICENSING EVALUATOR NAME: Jey Cardenas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
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-20210708161708
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
MONTERY PARK, CA 91754
FACILITY NAME: CENTINELA ASSISTED LIVING CENTRE
FACILITY NUMBER: 197607718
VISIT DATE: 08/25/2021
NARRATIVE
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-Regarding allegation #1 Staff are not providing appropriate care and supervision to the residents while in care. On 7/14/2021 LPA interviewed ten (10) Residents regarding care and supervision. Seven residents (#1, #2, #3, #4, #5, #7, #9) indicate that their needs are being met. When they call for assistance, staff provides them with what they need. There’s always staff around to provide care. One resident (#6) is unsure if needs are being met. One resident (#8) indicates needs are not being met because staff doesn’t clip toenails, and resident hasn’t had a haircut. R8 says, “Ive gone a year without getting toenails clipped.” One resident (#10) indicates most of the time needs are met. During interview with Gwendolyn she indicates that there is always staff on shift to provide care and supervision. During the overnight shift (11pm- 7am) there is one (1) caregiver and one (1) med-tech on shift. Caregiver conduct room checks every two hours to check on residents. During interviews with staff, staff indicates that residents have not expressed concerns to them about lack of care and supervision.
-Regarding allegation #2 Staff are not responding to residents’ alerts while in care. On 7/14/2021 LPA Cardenas interviewed ten (10) resident regarding above allegation, R1 states staff is responsive when assistance is requested. LPA asked if staff is quick to respond when called; R1 states “I guess so.” However, there was one time resident needed assistance and there was no one on duty. Resident was unable to remember when and time the incident took place. LPA asked if incident happened during the morning, afternoon, night, R1 couldn’t remember. R1 later stated that there is sufficient staff. Six residents (#2, #3, #4, #5, #7, #9 ) indicated that when they need assistance they call to staff and staff are very responsive. One resident (#6) indicates staff is responsive sometimes, it depends on the staff who is on shift. Two residents (#8, #10) indicated staff responds, but they take a while to come. A while ago R8 called through the room alert button and no one came. R8 stated alert button in bedroom doesn’t work. LPA conducted room check and found that bottom was operable. During interview with administrator, Gwendolyn she indicates that she hasn’t received many complaints about staff not responding to residents’ alerts. During council meetings resident did mention that there isn’t enough staff. Gwendolyn states she is working on hiring staff, and interviews are being scheduled. The over-night caregivers report to Gwendolyn that during the graveyard shift its usually slow and everyone is asleep. During interviews with staff; staff indicate that when residents need assistance, they call the call button and staff respond immediately. Residents also come to the office desk if they need assistance and staff renders assistance.
Based on investigation gatherings, LPA did not find sufficient evidence to support the allegations, Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED. Exit interview was conducted. A copy of the report to be provided to Administrator Gwendolyn Craig via email.
SUPERVISORS NAME: Angela J Kendrick
LICENSING EVALUATOR NAME: Jey Cardenas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2