197608907-4-26-2021-31-AS-CHAS-C4BTKT-20210625144829

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608907
Report Date: 04/26/2021
Date Signed: 04/26/2021 02:33:08 PM

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
07/08/2020 and conducted by Evaluator Melissa Spaeth

COMPLAINT CONTROL NUMBER: 31-AS-20200708155841

FACILITY NAME:	COMPASSIONATE ELDERLY CARE MANAGEMENT SYSTEMS, INC		FACILITY NUMBER:	197608907
ADMINISTRATOR:	CELIA T. OYIBU		FACILITY TYPE:	740
ADDRESS:	44161 11TH ST. W		TELEPHONE:	(661) 317-7354
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY:	6	CENSUS: 3	DATE:	04/26/2021
		UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Celia Oyibu		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff is not providing an adequate amount of meals to residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Spaeth initiated a visit with Administrator, Celia Oyibu. LPA stated the reason for the visit was to communicate LPA’s findings regarding the above-referenced complaint. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19) and to implement mitigation measures, today’s complaint investigation was conducted as a MicrosoftTeams virtual visit with the Administrator.

LPA Spaeth confirmed with Administator there are currently three residents at the facility. LPA Spaeth conducted a tour of the facility and observed the COVID 19 signs posted on the front door of the facility. The Administrator then showed the sign-in station for all guests at the front entrance. LPA observed hand sanitizer, thermometer, and sign in sheet for guests when entering the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Melissa Spaeth	TELEPHONE: (818) 421-2278
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021

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-20200708155841

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: COMPASSIONATE ELDERLY CARE MANAGEMENT SYSTEMS, INC	FACILITY NUMBER: 197608907
	VISIT DATE: 04/26/2021

NARRATIVE

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LPA Spaeth requested to see the kitchen. At 11:40 am, Administrator showed the pantry which was stocked with canned soup, vegetables, bread, peanut butter, and other food items. Administrator opened the freezer cabinet and LPA observed frozen chicken, meats, vegetables and frozen fruit. LPA Spaeth observed within the refrigerator section milk, juice, eggs, fresh fruit and vegetables. LPA Spaeth asked what was on the menu for lunch. Administrator stated preparing hamburgers and salad. Administrator stated residents eat at noon.

LPA Spaeth interviewed two out of the three residents today. Both residents (R2 and R3) stated the Administrator provided an adequate amount of food during the breakfast meal today. R2 and R3 both stated the facility staff provide enough food at each meal. LPA Spaeth previously spoke to R1 who stated has had no issues with the amount of food and quality of food received from the facility staff.

The complainant had stated in the complaint that the WDACS received applications for the residents of the facility to receive L/A County's Great Plates delivered meal program. Licensing Program Manager, Cassandra Harris called Administrator on July 8 2020 at 4:05 pm regarding this statement. LPM Harris was told by the Administrator that Administrator saw an email advertising free meals for seniors but did not realize that board and cares did not qualify for the program. The Administrator also stated there are no financial issues at this time. Administrator also stated providing three meals along with snacks each day to the residents.

Based upon LPA's interviews of the residents and the Administrator, there is insufficient evidence to validate the above-mentioned allegation. At this time the complaint is deemed Unsubstantiated. Exit interview conducted and copy of report issued.

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Melissa Spaeth	TELEPHONE: (818) 421-2278
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021

LIC9099 (FAS) - (06/04)

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