197608267-7-8-2024-31-AS-TAGD-D7US6T-20240805133629

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 07/08/2024
Date Signed: 07/08/2024 02:10:03 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
07/01/2024 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20240701082151

FACILITY NAME:	CEDARS ASSISTED LIVING, THE		FACILITY NUMBER:	197608267
ADMINISTRATOR:	KANDICE VERGARA		FACILITY TYPE:	740
ADDRESS:	17300 ROSCOE BLVD.		TELEPHONE:	(818) 344-2042
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91325
CAPACITY:	175	CENSUS: 124	DATE:	07/08/2024
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Mary Jane Reyes		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff confiscated resident's personal belongings
Staff refused to assist resident

INVESTIGATION FINDINGS:

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On 07/08/24, at 9:25am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Mary Jane Reyes, Resident Care Director. LPA explained the purpose of this visit was to gather additional information and deliver findings for this complaint.

On 07/03/2024, LPA Gina Saucedo initiated the complaint investigation. On 07/03/24, LPA Saucedo asked for the census, staff, and resident roster. On 07/03/24, LPA Saucedo interviewed staff and residents and conducted a physical tour. On 07/08/24, at 9:55am, LPA conducted another physical tour with Resident Care Director, gathered additional information and conducted more interviews.

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: 07/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024

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-20240701082151

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: 07/08/2024

NARRATIVE

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Regarding the allegation: Staff confiscated resident's personal belongings. It is being alleged that a staff took a resident’s belongings without permission. Twelve (12) out of twelve (12) residents confirmed that they have received new furniture within the last couple of weeks and that their personal belongings were not confiscated. Four (4) out of four (4) staff confirmed that new furniture has been bought for most of the residents to update the facility. During LPA's physical tour, LPA observed several residents that had new black furniture which included drawers, chairs and tables. In addition, LPA observed resident's personal belongings that were in boxes in their room while the new furniture was being set up. Therefore, based on the LPA's observations, staff, and resident interviews the above allegation(s) is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff refused to assist resident. It is being alleged that staff declined to provide a service for a resident. Twelve (12) out of twelve (12) residents confirmed that staff do assist all residents in care with the help that they can provide. Resident #1 (R1) did confirm that at the time that they asked for help, the staff were busy and they did not wait for the assistance. Four (4) out of four (4) staff confirmed that they try their best to assist all residents in care. One (1) staff did confirm that if legal paperwork must be filled out or an appointment must be made, they will assist the resident as long as they have been given enough time. 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 Administrator.

SUPERVISOR'S NAME: Troy Agard	TELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina Saucedo	TELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024

LIC9099 (FAS) - (06/04)

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