197608267-3-18-2023-31-AS-MVAO-CYVRCW-20231226115502

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 03/18/2023
Date Signed: 03/18/2023 04:23:40 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/21/2021 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20210721130217

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: 133	DATE:	03/18/2023
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Aristotle Vergara		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff is mishandling a resident's personal funds
Resident is being charged for services not received
Resident is left soiled for an extended period of time
Resident hygiene needs are not being met while in care
Resident's personal belongings are not being safeguarded while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allelgations. LPA met with the administrator, Aristotle Vergara, and advised him of the complaint. During the course of the investigation, interviews with staff and residents were held. A record review was also conducted.

Staff is mishandling a resident's personal funds:
In regards to the allegation, it was reported that the licensee is using Resident 1's (R1's) P&I money to make unauthorized purchases. Interview with staff deny the allegation. A review of R1's Record of Safeguarded Cash Resources (LIC 405) reveal that R1's P&I are accounted for with a signature for every cash transactions made. Based on the information obtained, there wasn't enough evidence to corroborate the allegation of staff spending R1's money without R'1s consent. Therefore, the allegation is deemed Unsubstantiated at this time.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2023

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-20210721130217

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: CEDARS ASSISTED LIVING, THE	FACILITY NUMBER: 197608267
	VISIT DATE: 03/18/2023

NARRATIVE

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Resident is being charged for services not received:
In regards to the allegation, it was alleged that R1's clothes are not being washed. When R1 has visitors, R1's clothes are always observed soaked in urine. Interview with staff deny the allegation, stating although R1's family does come to do some of their laundry, the facility does R1's laundry once per week. Interviews made with ten (10) of ten (10) residents confirm they get their laundry done once per week. When LPA attempted to conduct an interview with R1 at R1's room, clothes appeared to be washed and clean. There was no trace of urine smell. Moreover, R1 appeared to be well groomed and had no trace of urine smell. Based on the information obtained, there was insufficient evidence to corroborate the allegation of R1's clothes not being washed. Therefore, the allegation is deemed Unsubstantiated at this time.

Resident is left soiled for an extended period of time:
In regards to the above allegations, it was reported that R1 is often left in their clothes and diaper, soaked in urine. Interviews with staff deny the allegation, stating R1 is checked on often due to their incontinence to insure R1 is dry. Encouragement is also made with R1 to go to the bathroom every couple hours. Moreover, during the complaint investigation, when LPA attempted to interview R1, R1 appeared to be well groomed and had no trace of urine smell. Based on the information obtained, there was insufficient evidence to prove that R1 is left soiled for an extended period of time. Therefore, the allegation is deemed Unsubstantiated at this time.

Resident hygiene needs are not being met while in care:
In regards to the allegation, it was reported that R1 is only allowed to get showered twice a month. Per agreement, R1 was requested to get showered often due to their incontinence. Interviews with staff reveal that R1 gets assistance with bathing twice a week, or as needed when R1 was to have an accident due to their incontinence. Staff also indicated that R1's family would come to the facility and bathe R1. Staff would assist as needed. A copy of R1's shower schedule was obtained to confirm the assistance with bathing. Moreover, during the complaint investigation, when LPA attempted to interview R1, R1 appeared to be well groomed and had no trace of urine smell. Based on the information obtained, there was insufficient evidence to prove that R1's hygiene needs are not being met. Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2023

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20210721130217

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: CEDARS ASSISTED LIVING, THE	FACILITY NUMBER: 197608267
	VISIT DATE: 03/18/2023

NARRATIVE

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Resident's personal belongings are not being safeguarded while in care:
In regards to the allegation, it was reported that R1's clothes get lost constantly at the facility. Review of R1's files reveal that their Personal Property and Valuables inventory list has no entry. According to staff, R1's clothing is washed and returned as given for laundry every week, and is accounted for. Staff adds that there are times when R1's family would pick up R1's clothes so that they can wash R1's clothes as well. Staff stated that there could be a possibility that R1's clothes get left behind with family, after they wash. Based on the information obtained, it could not be proven that R1's clothes would get lost constantly at the facility. Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2023

LIC9099 (FAS) - (06/04)

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