197608044-3-3-2022-11-AS-JHAD-CCBRK2-20220308120448

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608044
Report Date: 03/03/2022
Date Signed: 03/03/2022 03:21:05 PM

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
12/21/2021 and conducted by Evaluator Ulysses Coronel

COMPLAINT CONTROL NUMBER: 11-AS-20211221110102

FACILITY NAME:	VISTA VERANDA ASSISTED LIVING		FACILITY NUMBER:	197608044
ADMINISTRATOR:	NISHITH MODI		FACILITY TYPE:	740
ADDRESS:	3540 MARTIN LUTHER KING, JR.		TELEPHONE:	(310) 638-4113
CITY:	LYNWOOD	STATE: CA	ZIP CODE:	90262
CAPACITY:	178	CENSUS:	DATE:	03/03/2022
		UNANNOUNCED	TIME BEGAN:	01:11 PM
MET WITH:			TIME COMPLETED:	02:57 PM

ALLEGATION(S):

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Residents are being rushed during food service.
Not enough staff to meet resident's needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ulysses Coronel initiated a subsequent Complaint Investigation visit and met with Nishith Modi, the administrator and the purpose of the visit was explained.

The investigation consisted of the following: On 12/21/2021 LPA Coronel conducted a tour of the facility, interviewed Administrator and 2 staff. LPA also obtained copies of facility records. On 02/15/2022 LPA Coronel and LPA Jeremiah Randle conducted a tour of the facility’s kitchen and dining area, LPAs interviewed the administrator, 4 staff and 8 out of 73 residents. On 02/28/2022 LPA Coronel conducted a review of the facility’s Personnel Report.

The investigation revealed the following: Regarding the allegation “Residents are being rushed during food service.” On 02/15/2022 4 out of 4 staff interviewed denied the allegation, staff S3 stated that “We will always wait for residents to finish eating.” S2 stated “That's not true, residents know that they have an hour to eat, some residents do come late sometimes but the staff will let them in and will let them finish eating."

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ulysses Coronel	TELEPHONE: (951) 212-8917
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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 11-AS-20211221110102

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: VISTA VERANDA ASSISTED LIVING	FACILITY NUMBER: 197608044
	VISIT DATE: 03/03/2022

NARRATIVE

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During interviews 1 out of 8 residents interviewed agreed with the allegation, R1 stated "They need more staff so they can serve foods faster that way they don't have to be rushing to clean up sooner.", 7 out of 8 residents disagreed with the allegation, R2 stated "I'm okay with it, they don't rush you." Regarding the allegation “Residents are being rushed during food service.” Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation: “Not enough staff to meet resident's needs.” On 02/28/2022 LPA Coronel reviewed the food service staff’s schedule and observed that there was an average of 1 cook and food 2 servers on schedule during breakfast and dinner and there were 2 cooks and 4 servers on overlapping schedules during lunch 7 days a week. On 02/15/2022, 2 out of 4 staff interviewed agreed with the allegation, S2 stated “Unfortunately, we are short staffed, usually the caregivers would help the residents during meals." 2 out of 4 staff interviewed disagreed with the allegation, S4 stated "I don't think we need more staff to serve food." 3 out of 8 residents agreed with the allegation, R2 stated “They need more staff all together." 5 out of 8 residents did not agree with the allegation, R10 stated “They usually have 3 or 4 people serving food." Regarding the allegation: “Not enough staff to meet resident's needs.” Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

A copy of this report was provided with Nishith Modi, administrator.

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ulysses Coronel	TELEPHONE: (951) 212-8917
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC9099 (FAS) - (06/04)

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