197608267-7-15-2024-31-AS-TAGD-D7UP5K-20240805110048

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 07/15/2024
Date Signed: 07/15/2024 03:10:13 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
09/02/2022 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20220902132402

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:	07/15/2024
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Mary Jane Reyes		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Facility is financially abusing resident in care
Unlawful eviction
Facility did not cooperate with Ombudsman Representative

INVESTIGATION FINDINGS:

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On 07/15/24, at 9:45am, 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 09/07/2022, Licensing Program Analyst (LPA) Wendell Smith and Joscelyn Martinez initiated the complaint investigation. On 07/15/24, LPA Saucedo asked for the census, staff, and resident roster. On 07/15/24, LPA Saucedo interviewed staff and residents and conducted a physical tour, gathered additional information, and delivered findings.

LIC 90999C-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: 07/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024

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-20220902132402

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: 07/15/2024

NARRATIVE

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Regarding the allegation: Facility is financially abusing resident in care. It is being alleged that the resident was not receiving their money from social security. Ten (10) out of twelve (12) residents confirmed that they oversee their own money. Two (2) out of two (2) staff confirmed that they were present at a meeting with resident #1 (R1)'s family and there was confirmation that R1's son was paying at the beginning and stopped paying the rent because the above facility was going to become the payee. There was also confirmation in one (1) of the meetings with the family that R1's friend assisted with their finances before the above facility became the resident’s payee. The above facility was given authorization to become R1's payee in May of 2021 and the application was finally processed in September 2021. The above facility did not officially become the payee for the R1 until May 13, 2022. Therefore, based on the LPA's record review, staff, and resident interviews the above allegation(s) is UNSUBSTANTIATED at this time.

Regarding the allegation: Unlawful eviction. It is being alleged that there was an unlawful eviction that was issued to the resident which was an unlawful eviction. For several months there was nonpayment of rent and non-payment of basic needs. An eviction notice was issued on 07/08/2022. Two (2) out of two (2) staff denied the allegation that resident #1 (R1) was given an unlawful eviction. The administrator was able to provide the past due payments that were owed to the above facility. LPA interviewed ten (10) out of twelve (12) residents that were interviewed and denied the allegation that the facility issues unlawful evictions. Therefore, based on the LPA's record review, staff, and resident interviews the above allegation(s) is UNSUBSTANTIATED at this time.

Regarding the allegation: Facility did not cooperate with Ombudsman Representative. It is being alleged that the facility staff (management staff) did not cooperate with Ombudsman Representative. The Ombudsman Representative made multiple phone calls and emails in which they were answered and in addition attended a meeting at the above facility on 03/16/2022 with the management staff and family members. Furthermore, the Resident Care Director and Administrator confirmed that they were also present at the meeting with the Ombudsman Representative and have the minutes to confirm their presence. Ten (10) out of twelve (12) residents confirmed that the facility does cooperate with the Ombudsman Representative and other representatives such as their case managers, family members and social workers. Therefore, based on the LPA's record review and staff 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: 07/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024

LIC9099 (FAS) - (06/04)

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