197609050-3-7-2022-11-AS-AJKK-CD3TUU-20220401150255

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609050
Report Date: 03/07/2022
Date Signed: 03/07/2022 02:58:42 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/31/2022 and conducted by Evaluator Troy Agard

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20220131113717

FACILITY NAME:	TERRAZA OF CHEVIOT HILLS		FACILITY NUMBER:	197609050
ADMINISTRATOR:	JOEY ALVARADO		FACILITY TYPE:	740
ADDRESS:	3340 SHELBY DR		TELEPHONE:	(310) 837-9181
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90034
CAPACITY:	100	CENSUS: 44	DATE:	03/07/2022
		UNANNOUNCED	TIME BEGAN:	09:31 AM
MET WITH:	Doina "Stephanie" Radu, Administrator		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility is not providing residents toiletries when requested.

INVESTIGATION FINDINGS:

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On 03/07/2022 Licensing Program Analyst (LPA) Troy Agard conducted a subsequent complaint investigation at the above facility to address the following allegation. LPA Agard was met with Administrator, Doina "Stephanie" Radu and explained the purpose of the visit was to gather information regarding this complaint.

The investigation consisted of the following: On 02/09/2022, LPA conducted a 10-day visit and met with Administrator. LPA completed interviews and requested copies of facility records. LPA requested: Staff and Client roster. On 03/07/2022, LPA conducted additional interviews.

On 03/07/2022, LPA Agard delivered findings.

Continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Angela J Kendrick	TELEPHONE: (323) 981-3347
LICENSING EVALUATOR NAME: Troy Agard	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2022

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 11-AS-20220131113717

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: TERRAZA OF CHEVIOT HILLS	FACILITY NUMBER: 197609050
	VISIT DATE: 03/07/2022

NARRATIVE

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Regarding the allegation: Facility is not providing residents toiletries when requested. It’s being alleged residents are being denied toilet paper. The investigation revealed the following: 7 out of 7 staff interviewed denied the allegation to be true. S1 states, “housekeeping came to me and told me that we were out of toilet paper. I asked how that could be and they informed me they had been giving 1 role every day to everybody. I looked into our admissions agreement and there is nothing stating anything about us being required to give toilet paper daily. I have a budget and I need to stay within the budget. S6 stated we could give 2 roles per week on the residents housekeeping day.” S2 states, “I helped them make the chart to track inventory. The point S1 wanted me to make to the housekeepers was residents were to receive 2 toilet paper roles per resident on their cleaning day.” S3 states, “before we used to give out a roll per day. S1 said to put only 2 per week.” S4 states, “yes, I heard something about it. The residents use a lot of toilet paper but usually they have enough. No one usually runs out.” S6 states, “the toilet paper issues started with R1 and R2, who collected toilet paper. We decided we could not sustain this. It’s 48 roles per month. I had S1 put a policy together. We would provide 2 per week, per resident and additional as needed, but 2 roles per day is not reasonable.”

During interviews with the residents the following was revealed. 5 of the 6 denied the allegation to be true. 1 resident was unable to interview. R1 was unavailable for an interview. R2 states, “they are given only 2 rolls per week. I can understand why but still I don’t like it. I don’t like the change. I don’t know if 2 rolls are good enough for everyone. I’m conservative. I only use what I need. Speaking for myself I’m good.” R3 states, “we only get 2 rolls per person, per week. They changed it. We used to get 2 rolls per day, every day. That was 2 x 7. We told them we want it to go back to the way it was before because 2 is not enough.” R4 confirmed receiving but states, “it’s not enough. Enough would be more than what we are currently getting. It should not be rationed.” R5 states, “No, no issues with the toilet paper here. They are keeping me well supplied.” LPA observed a chart used to track the supplies given with the residents signature acknowledging receipt of toilet paper weekly.

Based on LPA’s observation, interviews conducted, and record review, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted, and a copy of the report was given

SUPERVISOR'S NAME: Angela J Kendrick	TELEPHONE: (323) 981-3347
LICENSING EVALUATOR NAME: Troy Agard	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2022

LIC9099 (FAS) - (06/04)

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