197608044-10-25-2024-11-AS-UCOL-DAKTT4-20241031150005

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608044
Report Date: 10/25/2024
Date Signed: 10/25/2024 04:40:47 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 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
04/24/2024 and conducted by Evaluator Socorro Leandro

COMPLAINT CONTROL NUMBER: 11-AS-20240424162238

FACILITY NAME:	VISTA VERANDA ASSISTED LIVING		FACILITY NUMBER:	197608044
ADMINISTRATOR:	JESSE LOERA-MOTA		FACILITY TYPE:	740
ADDRESS:	3540 MARTIN LUTHER KING, JR.		TELEPHONE:	(310) 638-4113
CITY:	LYNWOOD	STATE: CA	ZIP CODE:	90262
CAPACITY:	0	CENSUS: 0	DATE:	10/25/2024
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Licensee		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not ensure residents care needs are being met in a timely manner.
Staff do not treat residents with dignity or respect.
Staff speak to residents in an inappropriate manner.
Staff do not safeguard resident's personal belongings.
Staff do not seek timely medical attention for residents.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 10/25/2024, the Department of Social Services - Community Care Licensing Division (CCLD) staff delivered findings on the allegations listed above via mail due to facility closure. This facility Vista Veranda Assisted Living closed on 06/04/2024 due to change of ownership.

The investigation consisted of the following:
On 05/01/2024, CCLD staff interviewed 5 out of 61 residents and 6 out of 49 staff. CCLD staff requested and gathered facility records.
On 10/04/2024, CCLD staff interviewed former residents and staff from Vista Veranda Assisted Living; CCLD staff interviewed 7 residents and 6 staff.
On 10/25/2024, CCLD staff reviewed 12 staff interviews, 12 resident interviews, 1 Admission Agreement, Personnel Report dated 03/01/2024, Register of Facility Residents – Residential Care Facilities for the Elderly dated 04/19/2024, Resident Council Meeting Minutes dated 03/28/2024, and Resident Council Meeting Minutes dated 04/25/2024.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Socorro Leandro	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

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 4

Control Number 11-AS-20240424162238

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: VISTA VERANDA ASSISTED LIVING	FACILITY NUMBER: 197608044
	VISIT DATE: 10/25/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The investigation revealed the following:

Regarding the allegation “Staff do not ensure residents care needs are being met in a timely manner”, it is being alleged that staff were not assisting residents with their care needs, staff were not answering residents call button calls, and staff were taking over 20 minutes to respond to residents call button calls. Interviews conducted revealed the following: 5 out 12 residents agreed with the allegation. 5 out 12 residents denied the allegation. 2 out of 12 residents indicated that they did not ask for help from staff. 3 out of 12 staff agreed with allegation. 7 out 12 staff denied the allegation. 2 out 12 staff indicated that they assisted residents, but they do not know if the alleged allegation has occurred. Records reviewed revealed the following: Resident Council Meeting Minutes dated 03/28/2024, stated “Caregivers: Kudos to all caregivers.” Resident Council Meeting Minutes dated 04/25/2024, stated “Other residents chimed in that they appreciate the other caregivers as well.” Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

Regarding the allegation “Staff do not treat residents with dignity or respect”, it is being alleged that staff were being dismissive to residents, staff were mistreating residents, and staff were not assisting residents as they should. Interviews conducted revealed the following: 5 out of 12 residents agreed with the allegation. 6 out of 12 residents denied the allegation. 2 out of 12 staff agreed with the allegation. 9 out of 12 staff denied the allegation. 1 out of 12 staff indicated that they did not see staff mistreat residents, but they do not know if the alleged allegation occurred. Records reviewed revealed the following: Resident Council Meeting Minutes dated 03/28/2024, stated “Caregivers: Kudos to all caregivers.” Resident Council Meeting Minutes dated 04/25/2024, stated “Other residents chimed in that they appreciate the other caregivers as well.” Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Socorro Leandro	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20240424162238

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: VISTA VERANDA ASSISTED LIVING	FACILITY NUMBER: 197608044
	VISIT DATE: 10/25/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Regarding the allegation “Staff speak to residents in an inappropriate manner”, it is being alleged that staff screamed, argued, and spoke disrespectfully to residents. Interviews conducted revealed the following: 3 out of 12 residents agreed with the allegation. 7 out of 12 residents denied the allegation. 2 out 12 residents do not remember if the alleged allegation occurred. 4 out of 12 staff agreed with the allegation. 8 out of 12 staff denied the allegation. Records reviewed revealed the following: Resident Council Meeting Minutes dated 03/28/2024, stated “Caregivers: Kudos to all caregivers.” Resident Council Meeting Minutes dated 04/25/2024, stated “Other residents chimed in that they appreciate the other caregivers as well.” Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

Regarding the allegation “Staff do not safeguard resident's personal belongings”, it is being alleged that staff lost residents clothing items and personal belongings. Interviews conducted revealed the following: 2 out of 12 residents agreed with the allegation. 6 out of 12 residents denied the allegation. 4 out of 12 residents do not know if the alleged allegation occurred. 4 out of 12 staff agreed with the allegation. 6 out of 12 staff denied the allegation. 2 out of 12 staff do not know if the alleged allegation occurred. Records reviewed revealed the following: Resident Council Meeting Minutes dated 03/28/2024, stated “Laundry/Housekeeping…They are doing an excellent job.” Resident Council Meeting Minutes dated 04/25/2024, stated “No complaints about Laundry – all is good.” Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Socorro Leandro	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20240424162238

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: VISTA VERANDA ASSISTED LIVING	FACILITY NUMBER: 197608044
	VISIT DATE: 10/25/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Regarding the allegation “Staff do not seek timely medical attention for residents”, it is being alleged that staff did not acknowledge residents’ medical concerns, staff did not respond to residents’ medical needs on time, and staff refused residents request to call 911. Interviews conducted revealed the following: 1 out of 12 residents agreed with the allegation. 9 out 12 residents denied the allegation. 1 out 12 resident interviews did not know if the alleged allegation occurred. 1 out 12 resident interviews were unintelligible. 3 out of 12 staff interviews agreed with the allegation. 9 out of 12 staff interviews denied the allegation. Records reviewed revealed the following: Resident Council Meeting Minutes dated 03/28/2024, stated “Wellness – med techs etc. Unanimous in saying they were doing a good job…Caregivers: Kudos to all caregivers.” Resident Council Meeting Minutes dated 04/25/2024, stated “Other residents chimed in that they appreciate the other caregivers as well.” Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

No deficiencies were cited.

This report was mailed to the Licensee’s mailing address on file.

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Socorro Leandro	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

LIC9099 (FAS) - (06/04)

Page: 4 of 4