197608998-7-30-2021-31-AS-CHAS-CB3M6R-20220127082021

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608998
Report Date: 07/30/2021
Date Signed: 07/30/2021 02:29:02 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
07/26/2021 and conducted by Evaluator Wendell Smith

COMPLAINT CONTROL NUMBER: 31-AS-20210726090845

FACILITY NAME:	CANYON TRAILS AT TOPANGA SENIOR LIVING		FACILITY NUMBER:	197608998
ADMINISTRATOR:	SUSAN WEISBARTH		FACILITY TYPE:	740
ADDRESS:	7945 TOPANGA CANYON BLVD		TELEPHONE:	(818) 716-9900
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91304
CAPACITY:	120	CENSUS: 76	DATE:	07/30/2021
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Susan Weisbarth		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility has inadequate staffing.
Residents did not have access to water.
Staff are not adequately trained.
Staff do not safeguard resident's personal belongings.
Facility does not offer a variety of foods.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced subsequent complaint visit to finish investigation into the allegations above. LPA met with the administrator and explained the reason for this visit.
Regarding the allegations above LPA conducted a previous visit to this facility on 7/28/21 where LPA conducted interviews with facility staff regarding the allegations above and reviewed staff files.

Facility has inadequate staffing
It is alleged that the facility doesn't have enough staff to c'""are for residents. At approximately 11:30 am LPA began conducting interview with a random sampling of residents. LPA interviewed staff on a visit conducted on 7/28/21. LPA also reviewed incident reports submitted by the facility. Based on the information obtained through interviews with residents, staff, and incident reports reviewed this allegation is deemed Unsubstantiated at this time.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Wendell Smith	TELEPHONE: (818) 738-4525
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

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-20210726090845

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: CANYON TRAILS AT TOPANGA SENIOR LIVING	FACILITY NUMBER: 197608998
	VISIT DATE: 07/30/2021

NARRATIVE

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Residents did not have access to water.
It is alleged that residents do not have access to water. LPA conducted interviews with residents and staff regarding this allegation. Information obtained through interviews revealed that residents have enough access to water. Based on information obtained through interviews this allegation is deemed Unsubstantiated at this time.
Staff are not adequately trained.
It is alleged that caregivers are made to pass out medications of which they are not qualified to do. On 7/28/21 LPA conducted interviews with staff regarding this allegation. LPA interviewed medical technicians and caregivers. At approximately 11:15 am LPA interviewed residents regarding this allegation. Interviews revealed that only qualified staff pass out medications which does not included caregivers. At approximately 12pm LPA observed medication to be passed out during lunch time by qualified staff. Based on information obtained through interviews and observation this allegation is deemed Unsubstantiated at this time.

Staff do not safeguard resident's personal belongings.
It is alleged that the administrator and Assisted Living Director are taking memory care residents belongings and selling them at local garage sales. LPA conducted interviews with administrator Susan Weisbarth and LVN Assisted Living Director, Liliana Solarzano, along with other facility staff. Information from that interview revealed that there was a resident who passed away a few months ago and the family did not wish to take any of the items home. What the administrator decided to have a fund raiser on 4/16/21 where they had residents come and pick what they wanted and whatever was left over staff was able to purchase and the items and all funds were given to the Alzheimer's foundation. LPA was able to observe pictures of the event that the facility had. Based on information obtained through interviews this allegation is deemed Unsubstantiated at this time.

Facility does not offer a variety of foods.
It is alleged that the facility does not offer a variety of food. On 7/28/21 LPA conducted a physical plant walk through and looked at the food supply. LPA conducted interviews with residents and facility staff regarding this allegation. Information obtained through interviews and observation revealed that the facility does offer a variety of foods. At approximately 12:30 pm, LPA was able to observe lunch being served to the residents. Based on information obtained through interviews and observation this allegation is deemed Unsubstantiated.
Exit interview conducted. Copy of report emailed to administrator.

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Wendell Smith	TELEPHONE: (818) 738-4525
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

LIC9099 (FAS) - (06/04)

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