197608129-6-19-2024-29-AS-KLOZ-D6NSA8-20240628134156

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608129
Report Date: 06/19/2024
Date Signed: 06/19/2024 05:39:46 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/10/2024 and conducted by Evaluator Sandra Urena

COMPLAINT CONTROL NUMBER: 29-AS-20240610145601

FACILITY NAME:	RESIDENCES AT ROYAL BELLINGHAM, THE		FACILITY NUMBER:	197608129
ADMINISTRATOR:	LORI MCKAY		FACILITY TYPE:	740
ADDRESS:	12229 CHANDLER BOULEVARD		TELEPHONE:	(818) 980-2997
CITY:	VALLEY VILLAGE	STATE: CA	ZIP CODE:	91607
CAPACITY:	96	CENSUS: 96	DATE:	06/19/2024
		UNANNOUNCED	TIME BEGAN:	09:49 AM
MET WITH:	Lori McKay		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff are not providing a comfortable environment for resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced 10-day visit to investigate the allegation listed above. The LPA met with staff and explained the reason for the visit. The Administrator Lori McKay arrived shortly thereafter, and LPA explained the reason for the visit.

The LPA and the administrator conducted a tour of the physical plant at 10:24 a.m. The LPA checked for temperature readings recorded on the temperature thermostats found throughout the hallways in the facility. The LPA interviewed the residents from approximately 10:17 a.m. to 10:52 a.m., and the administrator at approximately 11:15 a.m.
Continues on LIC 809C…

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kasandra Lopez	TELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Sandra Urena	TELEPHONE: 747-230-3919
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2024

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 29-AS-20240610145601

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: RESIDENCES AT ROYAL BELLINGHAM, THE	FACILITY NUMBER: 197608129
	VISIT DATE: 06/19/2024

NARRATIVE

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Staff are not providing a comfortable environment for resident.

On the allegation that ‘Staff are not providing a comfortable environment for resident’; it is the concern of the reporting party (RP) that the temperature in the residents' rooms is hot, and the residents have to call the staff to turn on the air conditioning (AC). Per the RP the thermostat in one room was recorded at 80 degrees. The LPA interviewed the RP and the RP stated that the AC has been on since the concern was brought up to the facility staff the week of June 10th, 2024. The AC continues to run, and the rooms are now too cold.

The LPA interviewed residents about the temperature in their rooms, and in the facility overall; some residents stated that the room temperature was colder than what they like it to be and have asked staff to turn the AC down or off. The LPA interviewed staff about the overall facility temperature, and staff interviews revealed that the facility keeps the temperature set the highest at 78 degrees. The thermostat is on automatic setting.

Based on interviews and observation, the facility has made efforts to keep the facility at a comfortable temperature on hot days. And although the RP observed the temperature to be at 80 degrees Fahrenheit, there is not sufficient evidence to support that ‘Staff are not providing a comfortable environment for resident. Regulations state the following: The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), Therefore, the allegation is deemed Unsubstantiated at this time.

Exit interview was conducted and a copy of the report was issued.

SUPERVISOR'S NAME: Kasandra Lopez	TELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Sandra Urena	TELEPHONE: 747-230-3919
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2024

LIC9099 (FAS) - (06/04)

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