197608478-2-28-2024-29-AS-DPEA-D2X34F-20240229165504

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608478
Report Date: 02/28/2024
Date Signed: 02/28/2024 03:33:12 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: 64	DATE:	02/28/2024
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Patrice O'Grady		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility staff is attempting to isolate resident while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Brian Balisi conducted a subsequent complaint visit to deliver final findings of the allegation listed above. During today’s visit, LPA met with Executive Director Patrice O’Grady and explained the reason for the visit.

On 12/15/2022, from 10:30 a.m. – 3:45 p.m., LPA initiated an unannounced complaint investigation for the allegations listed above. During the visit, LPA toured the physical plant, interviewed staff, and reviewed and obtained pertinent documents relevant to the investigation. On 01/13/2023 from 10:00 a.m. – 02:00 p.m. LPA conducted a subsequent complaint visit toured physical plant, interviewed staff, residents as well as reviewed and obtained copies of additional documentation relevant to the investigation

It was reported Facility staff is attempting to isolate resident while in care, as it was alleged that Staff #2 (S2) purposely turns off Resident #1 (R1)s phone. Interviews conducted with eleven (11) staff revealed all (11) staff have never observed S1 purposely turn off R1’s phone.

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: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

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 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: 02/28/2024

NARRATIVE

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continued from 9099

Additionally, interview with S2 further revealed that they deny ever turning off R1’s phone on purpose and they have never observed R1’s phone to be off. All (12) staff continued to state that R1 typically keeps their cellphone in close vicinity either in a shirt pocket or pants pocket and at times R1 keeps it in a storage compartment on their walker. Interviews further revealed that each staff has often assisted R1 with making and receiving call upon request from R1. All staff interviewed could not recall a time when R1's cell phone was purposely turned off or if R1 was ever not allowed to use their cell phone. LPA conducted physical plant tours and interviews with R1 on 11/29/2022, 12/12/2022 and 12/15/2022 and each time LPA observed R1 with their cell phone in their possession. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation “Facility staff is attempting to isolate resident while in care” is deemed Unsubstantiated at this time.

Exit interview conducted/No citations issues/ A copy of report was provided

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Brian Balisi	TELEPHONE: (818) 421-9171
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

LIC9099 (FAS) - (06/04)

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