197608267-7-3-2024-31-AS-TAGD-D7PKXX-20240731081813

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 07/03/2024
Date Signed: 07/03/2024 02:06:11 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/25/2022 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20220325133246

FACILITY NAME:	CEDARS ASSISTED LIVING, THE		FACILITY NUMBER:	197608267
ADMINISTRATOR:	ARISTOTLE B. VERGARA		FACILITY TYPE:	740
ADDRESS:	17300 ROSCOE BLVD.		TELEPHONE:	(818) 344-2042
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91325
CAPACITY:	175	CENSUS: 124	DATE:	07/03/2024
		UNANNOUNCED	TIME BEGAN:	10:44 AM
MET WITH:	Mary Jane Reyes		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Resident was not accorded dignity in relationships with staff, residents, and other persons
Communications to the licensee from resident's representatives were not answered promptly and appropriately

INVESTIGATION FINDINGS:

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On 07/03/24, at 8:55am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Activities Director, Tabetha Whitehall. LPA asked for the census, resident, and staff rosters. The Resident Care Director Mary Jane Reyes arrived about fifteen (15) minutes later. LPA explained the purpose of this visit was to gather additional information and deliver findings for this complaint.

On 03/30/2022, Licensing Program Analyst (LPA) Joscelyn Martinez initiated the complaint investigation. On 07/03/24, at 8:55am LPA Saucedo asked for the census, staff, and resident roster, interviewed staff, residents and conducted a physical tour at 9:45am.

LIC 9099C-continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Troy Agard	TELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina Saucedo	TELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024

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 31-AS-20220325133246

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: CEDARS ASSISTED LIVING, THE	FACILITY NUMBER: 197608267
	VISIT DATE: 07/03/2024

NARRATIVE

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Regarding the allegation: Resident was not accorded dignity in relationships with staff, residents, and other persons. It is being alleged that residents yell obscenities and vulgar things around visitors. Twelve (12) out of twelve (12) residents confirmed that they have not witnessed any residents yell obscenities and vulgar things around visitors and/or their family members. Five (5) out of five (5) staff also confirmed that they have not witnessed any residents yell obscenities and vulgar things around visitors and/or resident family members which is not allowed at the above facility. During LPA's physical tour, LPA did not observe any residents yelling obscenities and vulgar things. Therefore, based on the LPA's observations, staff, and resident interviews the above allegation(s) is UNSUBSTANTIATED at this time.

Regarding the allegation: Communications to the licensee from resident's representatives were not answered promptly and appropriately. It is being alleged that the administration did not return any emails pertaining to residents. Twelve (12) out of twelve (12) residents confirmed that they have not had any issues talking to the administration or any staff at the above facility including their family members being in contact with the administration. Five (5) out of five (5) staff confirmed that the residents and the resident family members can communicate with any staff including administration. One (1) of the management staff did confirm that they have stayed past their working schedule to talk to family members and the residents to resolve any issues and that residents including their family members and/or responsible party have the facility's phone number and email address if it is an emergency. The licensee did state that emails and phone calls are answered right away on a first come basis. During LPA's physical tour, LPA did observe the facility contact number and business cards at the lobby of the facility if any visitors and/or residents need to communicate with anyone. Therefore, based on the LPA's observations, staff, and resident interviews the above allegation(s) is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued for the above allegations, and a copy of this report was given to the Resident Care Director.

SUPERVISOR'S NAME: Troy Agard	TELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina Saucedo	TELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024

LIC9099 (FAS) - (06/04)

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