197608998-10-7-2020-31-AS-CHAS-CAVTU6-20220121140146

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608998
Report Date: 10/07/2020
Date Signed: 10/07/2020 11:03:38 AM

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
09/24/2020 and conducted by Evaluator Wendell Smith

COMPLAINT CONTROL NUMBER: 31-AS-20200924145553

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: 75	DATE:	10/07/2020
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Susan Weisbarth		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff not responding to residents call button in a timely manner
Staff not providing adequate food service
Residents bathrooms are dirty

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Wendell Smith initiated a complaint investigation for the allegation listed above. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted virtually through Face-time with Susan Weisbarth.

Staff not responding to residents call button in a timely manner
Regarding this allegation LPA previously made a virtual face-time visit on 9/29/2020. LPA also conducted interviews over the telephone with random residents regarding this allegation. Interviews revealed that there have been no issues with staff responding to residents call buttons in a timely manner to residents interviewed. Based on the information obtained through interviews 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: 10/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2020

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-20200924145553

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: 10/07/2020

NARRATIVE

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Staff not providing adequate food service
Regarding this allegation LPA conducted a virtual face-time visit on 9/29/2020 with the administrator. LPA was able to tour the kitchen and observe the facility food supply. LPA also conducted interviews with residents regarding the food service. Interviews revealed that the food served by the facility was good and there was no issue. LPA also observed the food supply to be sufficient and having different options for residents. Based on information obtained through interviews and observation this allegation is deemed Unsubstantiated at this time.

Resident bathrooms are dirty
It is alleged that common areas bathrooms are dirty. LPA conducted a virtual face-time visit and conducted a physical plant walk through on 9/29/2020, which included common area bathrooms for residents. LPA also conducted interviews with random residents regarding this allegation. LPA observed bathrooms to be in clean and in good order during the virtual tour on face-time. Interviews revealed that there were no issues with common area bathrooms. Based upon the information obtained through observation and interviews this allegation is deemed Unsubstantiated at this time.
Exit Interview obtained. Report emailed for signature.

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Wendell Smith	TELEPHONE: (818) 738-4525
LICENSING EVALUATOR SIGNATURE:	DATE: 10/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2020

LIC9099 (FAS) - (06/04)

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