197608267-8-19-2020-31-AS-JAPL-BTC2SE-20200910173902

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 08/19/2020
Date Signed: 08/19/2020 02:03:04 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/25/2020 and conducted by Evaluator Desaree Perera

COMPLAINT CONTROL NUMBER: 31-AS-20200325103446

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: 101	DATE:	08/19/2020
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Aristotle Vergara		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility staff are serving a poor quality of food

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Desaree Perera initiated a subsequent complaint to the above facility. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted telephonically with Aris Vergara at 1:50pm. The purpose of the telephonic visit is to conclude an investigation initiated by LPA on 04/02/2020.

It was alleged that the facility was serving a poor quality of food and the food was always cold when the resident received it. During the course of the investigation, LPA conducted interviews with a sample of facility staff on 04/02/2020 at 1:50pm, 08/12/2020 between 9:58am and 10:51am and on 08/14/2020 at 11:53am. Interviews were also conducted with a sample of residents and/or family members on 07/30/2020 between 12:48pm and 1:00pm, and on 08/14/2020 between 10:00am and 11:00am. LPA also conducted a tour of the physical plant on 07/30/2020 at 12:30pm. LPA also obtained and reviewed facility documentation pertinent to the allegation on 08/14/2020 between 1:30pm and 3:15pm.
Continued on LIC9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jeralyn Ann Pfannenstiel	TELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Desaree Perera	TELEPHONE: (747) 230-3888
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2020

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-20200325103446

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

FACILITY NAME: CEDARS ASSISTED LIVING, THE	FACILITY NUMBER: 197608267
	VISIT DATE: 08/19/2020

NARRATIVE

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Information gathered revealed that due to COVID-19 restrictions and dinning room closures all resident meals are been served individually to each resident room. Therefore, by the time some residents’ meals are served it is not at the desired temperature. Interviews conducted also revealed that if residents do request the meals to be warmed up, staff will reheat the food as requested. Moreover, the facility has also implemented a different method of distributing food as of the beginning of August which entails the meals to be cooked and distributed in batches to the residents rather than cooking and delivering all the meals to the residents at once. Based on the information gathered, it has been determined that the Department does not have sufficient information to determine the facility staff are serving a poor quality of food; therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted/ No citations issued/ A copy of report sent via email for signature.

SUPERVISOR'S NAME: Jeralyn Ann Pfannenstiel	TELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Desaree Perera	TELEPHONE: (747) 230-3888
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2020

LIC9099 (FAS) - (06/04)

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