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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608291
Report Date: 11/21/2024
Date Signed: 11/21/2024 01:38:29 PM

Document Has Been Signed on 11/21/2024 01:38 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME:BELMONT VILLAGE WESTWOODFACILITY NUMBER:
197608291
ADMINISTRATOR/
DIRECTOR:
SCHROEDER, CHRISFACILITY TYPE:
740
ADDRESS:10475 WILSHIRE BLVDTELEPHONE:
(310) 475-7501
CITY:LOS ANGELESSTATE: CAZIP CODE:
90024
CAPACITY: 240TOTAL ENROLLED CHILDREN: 0CENSUS: 177DATE:
11/21/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Chris Schroeder/Executive DirectorTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On November 21,2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted a Case Management visit. LPA met with Chris Schroeder /Executive Director and the purpose of the visit was explained.

On September 18, 2024, during a subsequent complaint visit to another Residential Care Facility for the Elderly (RCFE), the Department found that the facility's surveillance cameras in the common areas were equipped with audio recording capabilities. This practice violated the privacy rights of the residents. Additionally, LPA Iniguez noted that the facility was not adhering to section 1569.153 of the Health and Safety Code regarding the admission of new residents.

On November 21, 2024, LPA Iniguez and Executive Director Chris Schroeder reviewed the video surveillance cameras together. LPA Iniguez noted that the system does not have audio capabilities. Additionally, they reviewed a total of (17) residents' files and confirmed that the facility is in compliance with Section 1569.153 of the Health and Safety Code.

According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies during this visit; therefore, no citations were issued.

An exit interview was conducted, and a copy of this Case Management report was provided to Chris Schoeder / Executive Director.

Eva M AlvarezTELEPHONE: (323) 629-7047
Alfonso IniguezTELEPHONE: 323-981-1755
DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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