197608998-9-12-2024-31-AS-NGID-DCGQQ5-20241231112142

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608998
Report Date: 09/12/2024
Date Signed: 09/12/2024 04:50:19 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
09/09/2024 and conducted by Evaluator Perchui Khurshudyan

COMPLAINT CONTROL NUMBER: 31-AS-20240909132246

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: 92	DATE:	09/12/2024
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:			TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility's Air conditioner is not working properly.

INVESTIGATION FINDINGS:

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On 9/12/2024 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted initial ten day complaint visit to the facility to investigate the above noted allegation. Upon arrival, LPA met the Executive Direcotor (ED) Ivan Saa and Assisted Living Director Liliana Solorzano and explained the purpose of the visit.
It was alleged that when outside temperatures reaches over 100-degree F, air conditioning system at the facility stops functioning in the residents rooms, especially on the 2nd floor. Even with 3 large fans, temperature in R1’s room was 90-degree F.

To investigate the allegation at 10:45am LPA Khurshudyan inspected the facility including Randomly selected residents rooms and checked room temperature which was noted between 70 to 80 degree F. On the first and second floor LPA inspected total of 10 rooms (Room #s 121, 131, 133, 122, 214, 212, 218, 222, 206, 208) and conducted interviews with the residents present or residing in selected rooms.

Continue on LIC9099C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4370
LICENSING EVALUATOR NAME: Perchui Khurshudyan	TELEPHONE: (818) 439-7073
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024

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 31-AS-20240909132246

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: CANYON TRAILS AT TOPANGA SENIOR LIVING	FACILITY NUMBER: 197608998
	VISIT DATE: 09/12/2024

NARRATIVE

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Between 11:45am to 3:45pm LPA spoke with the Executive Director (ED) Ivan Saa, Maintenance Director (MD) Julio Arriaga, Generation Program Director (GPD) Diane Parras, and other staff, including Housekeepers and Caregivers attending residents residing in selected rooms.
In addition LPA requested facility maintenance log documenting daily reports regarding repairs and reported issues with A/C system.
Interviews revealed that the facility has one (1) 40 ton chiller for hundred (100) units/rooms and four (4) 3-5 ton AC for hallways and at times during heat wave A/C units may malfunction. Facility accommodated residents by providing portable ACs. ED Saa stated that during the portable AC installation process, residents were transferred to the dining area were the temperature was cool and more comfortable. Interview with Residents revealed the same information provided by the facility staff.

A review of maintenance records verified the information received from interviews. ED stated that the facility is in the approval process of updating the AC system which will be more compatible with the large building.
Although at the time of this visit the temperature in various resident’s rooms and common areas was within required range, based on the information revealed from interviews, and record review, there is a sufficient information to support the allegation. Therefore, the allegation is SUBSTANTIATED at this time.

Under Title 22, Division 6, following citation was issued and recorded on LIC9099D.
Maintenance and Operation 87303 (b)(2)
The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature.

Exit interview was conducted, appeal rights discussed and a copy of report was issued.

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4370
LICENSING EVALUATOR NAME: Perchui Khurshudyan	TELEPHONE: (818) 439-7073
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20240909132246

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: CANYON TRAILS AT TOPANGA SENIOR LIVING	FACILITY NUMBER: 197608998
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/12/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/12/2024 Section Cited CCR 87303(b)(2)	1 2 3 4 5 6 7	Maintenance and Operation 87303 (b)(2) The facility shall cool rooms to a comfortable range, between 78 F and 85 F, or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	POC cleared - Facility installed portable ACs in residents rooms to accomodate comfortable temperature.
	8 9 10 11 12 13 14	Based on interviews, record review and observations, the licensee did not comply with the section cited above as the facility AC was not functioning properly in residents rooms which poses a potential Health, Safety, or Personal Rights risk to residents in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4370
LICENSING EVALUATOR NAME: Perchui Khurshudyan	TELEPHONE: (818) 439-7073
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024

LIC9099 (FAS) - (06/04)

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