197608482-2-7-2024-28-AS-LHIS-D2MLFG-20240220074306

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608482
Report Date: 02/07/2024
Date Signed: 02/07/2024 05:26:20 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/01/2024 and conducted by Evaluator Alberto Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240201141123

FACILITY NAME:	KINGSLEY MANOR		FACILITY NUMBER:	197608482
ADMINISTRATOR:	LIYON O'QUINN		FACILITY TYPE:	740
ADDRESS:	1055 NORTH KINGSLEY DRIVE		TELEPHONE:	(323) 661-1128
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90029
CAPACITY:	299	CENSUS: 183	DATE:	02/07/2024
		UNANNOUNCED	TIME BEGAN:	10:09 AM
MET WITH:	Liyon O'Quinn		TIME COMPLETED:	05:35 PM

ALLEGATION(S):

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Facility staff are interfering with the resident council

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alberto Lopez conducted a complaint investigation for the allegation listed above. LPA arrived unannounced and met with Administrator, Liyon O'Quinn. The purpose for the visit was explained.

LPA obtained copies of the Staff and Resident rosters. Interviews were held with 6 Staff, including administrator, 1 witness and 18 Residents. LPA obtained copy of facility policy on gifts, letter from Front Porch notifying residents of policy change and other pertinent documents and reviewed handbook.

Allegation: Facility staff are interfering with the resident council. It is alleged that facility is interfering with residents council by changing policy as to how the employee appreciation fund is distributed to employees.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Alberto Lopez	TELEPHONE: 323-980-4926
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

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 28-AS-20240201141123

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: KINGSLEY MANOR	FACILITY NUMBER: 197608482
	VISIT DATE: 02/07/2024

NARRATIVE

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The investigation revealed that the facility is not interfering with the resident council meeting. The issue at hand is that corporate office made a policy change in September 2023 regarding the way the Employee Appreciation Fund is handled. Each year in at least the last 20 years, the resident council would accept voluntary donations from residents and provide a lump sum to employees at the end of the year depending on how long the employee has been working at facility. On September 22, 2023, residents were sent a letter notifying them and the residents' council that donations to employees are being treated as "tips" and moving forward, the new policy is that the resident council provide Front Porch (Corporate) a check for the entire amount of donations from the residents and then HR would tax it and distribute it in the employees’ payroll as allocated by residents. LPA interviewed 18 residents R#1 – R18, six staff S#1-S#6 and COO from Front Porch W#1. All the residents interviewed stated they were notified about the change by letter that was placed in their mailbox. 6 of 6 staff stated they were aware of the changes and that it came from Front Porch. COO Jeff Sianko stated policy change was made after consulting with their legal department and was told by the legal department that the monies from the resident council employee appreciation fund had to be treated as "tips" and taxed. R5 stated that R5 never said it was interfering with resident council. There is no evidence that the facility is interfering with Resident Council meeting.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

LPA observed a violation regarding plan of operation and addressed it in a Case Management 809 report.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Alberto Lopez	TELEPHONE: 323-980-4926
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

LIC9099 (FAS) - (06/04)

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