197608998-4-13-2023-31-AS-EMIR-CRFVGD-20230502162520

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608998
Report Date: 04/13/2023
Date Signed: 04/13/2023 02:36:28 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., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/23/2023 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20230323135929

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: 83	DATE:	04/13/2023
		UNANNOUNCED	TIME BEGAN:	08:34 AM
MET WITH:	Susan Weisbarth		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff are retaining a resident that requires a higher level of care
Staff did not ensure that resident's medications were taken as prescribed

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michael Cava conducted a subsequent visit to the facility to conclude the invesigation regarding the above allegations. The initial visit was made on 03/27/23. LPA met with the administrator, Susan Weisbarth, and advised her of the two allegations. During the course of the investigation, interviews with residents and staff were made, a record review was conducted, and a physical plant inspection was made to insure the health and safety of the residents.

Staff are retaining a resident that requires a higher level of care:
In regards to the allegation, it was reported that Resident 1 (R1) is diagnosed with Alzheimer's. Care and supervision may not be able to meet R1's needs as it was alleged that R1 wandered out of the facility, on foot, and ended up in Malibu, which is approximately 19 miles away from the facility. No date was specified on this incident. According to the administrator and staff, on or around 10/25/22, R1 was dropped off at Costco to pick up their glasses. It was getting late, and R1 never called facility for pick up. R1's family

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

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 31-AS-20230323135929

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: 04/13/2023

NARRATIVE

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and law enforcement were notified. R1 was escorted back to the community early morning the next day. This incident was looked into by LPA Wendell Smith on 11/02/22, as the Department received an Incident Report (IR) from the facility. Based on LPA's review of R1's file, it was revealed that R1 is able to leave the facility unassisted. LPA Cava also reviewed R1's physician's report, assessment and needs and services plan. Review of R1's records reveal that R1 is ambulatory. R1 may be dropped off and later picked up by community van, leaving them unescorted for visits. Exiting does not present a hazard to R1, and does not require additional monitoring. Based on the information obtained, there was insufficient evidence to confirm that R1 requires a higher level of care. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff did not ensure that resident's medication were taken as prescribed:
In regards to the allegation, it was reported that R1 grabs their medicine from staff, who is not able to confirm if medication is being administered as prescribed. LPA conducted interviews with the administrator and Staff 1 (S1), who deny the allegation. They acknowledge that R1 refuses to take their medicine at times, but that gets documented, and R1's physician gets notified. Both the administrator and staff add that R1 gets encouraged by staff to take their medicine, despite their refusal. Review of R1's medication log do not indicate discrepancies with medications. LPA observed documentation/record when R1 refuses medicine, and their physician was notified. In addition, LPA interviewed eight (8) of eight (8) residents, who confirm that their medication is administered as prescribed by their physician, with assistance by staff. Based on the information obtained, there was insufficient evidence to corroborate the allegation of staff failing to insure R1 is administered their medication as prescribed. Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

LIC9099 (FAS) - (06/04)

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