197608478-1-13-2023-29-AS-DPEA-D2X34G-20240229165505

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608478
Report Date: 01/13/2023
Date Signed: 01/13/2023 01:55:40 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. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/12/2022 and conducted by Evaluator Brian Balisi

COMPLAINT CONTROL NUMBER: 29-AS-20221212112432

FACILITY NAME:	SUNRISE ASSISTED LIVING OF WOODLAND HILLS		FACILITY NUMBER:	197608478
ADMINISTRATOR:	PATRICE O'GRADY		FACILITY TYPE:	740
ADDRESS:	20461 VENTURA BLVD		TELEPHONE:	(818) 346-9046
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91364
CAPACITY:	127	CENSUS: 68	DATE:	01/13/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Patrice O'Grady		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility staff is not ensuring that resident's room is maintained at a comfortable temperature while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced subsequent complaint investigation for the allegations listed above. Upon arrival LPA met with Executive Director Patrice O'Grady and explained the reason for the visit.

On 12/12/2022, the Department received a complaint regarding allegation that Facility staff is not ensuring that resident's room is maintained at a comfortable temperature while in care.
On 12/12/2022, from 3:50pm - 4:45pm, LPA conducted an unannounced initial complaint visit and conducted a physical plant tour, interviewed staff and reviewed and obtained copies of pertinent documentation relevant to the investigation. Today LPA condcuted physical plant, interviewed staff, residents and other witnesses.

It was reported that facility staff is not ensuring that resident's room is maintained at a comfortable temperature while in care as it was alleged that Resident 1 (R1)s room was cold.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Brian Balisi	TELEPHONE: (818) 421-9171
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023

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 29-AS-20221212112432

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. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: SUNRISE ASSISTED LIVING OF WOODLAND HILLS	FACILITY NUMBER: 197608478
	VISIT DATE: 01/13/2023

NARRATIVE

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Continued from 9099

LPAs interview with R1 on 12/12/2022 along with (8) other residents as well as a residents personal companion in the Memory care wing on 01/13/2023, revealed that all parties felt their room and the common areas were kept at a comfortable temperature at this time. Further interview with all parties revealed that if they ever wanted to change the temperature they would just inform staff. During LPAs physical plants in the memory care wing on 12/12/2022, 12/15/2022 and 01/13/2023,LPA observed multiple common area temperatures to be kept at a comfortable temperature . On 01/13/2023, LPA also observed 10 bedrooms and each room was observed kept at a comfortable temperature at this time. Based on information gathered during this and previous visits the department does not have sufficient evidence to prove this allegation occurred. Therefore the allegation that facility staff is not ensuring that resident's room is maintained at a comfortable temperature while in care has been deemed UNSUBSTANTIATED at this time.

Exit interview conducted and report issued.

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Brian Balisi	TELEPHONE: (818) 421-9171
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023

LIC9099 (FAS) - (06/04)

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