197609641-3-7-2023-29-AS-DPEA-CQDQRY-20230329122439

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609641
Report Date: 03/07/2023
Date Signed: 03/07/2023 03:41:11 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. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2022 and conducted by Evaluator Brian Balisi

COMPLAINT CONTROL NUMBER: 29-AS-20220520152257

FACILITY NAME:	COMMONS AT WOODLAND HILLS, THE		FACILITY NUMBER:	197609641
ADMINISTRATOR:	SOPHIA LUKAS		FACILITY TYPE:	740
ADDRESS:	21711 VENTURA BLVD		TELEPHONE:	(818) 999-2610
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91364
CAPACITY:	200	CENSUS: 101	DATE:	03/07/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Jeanne Skondin		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff are not meeting the residents dietary needs while in care

Residents are not being fed in a timely manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced subsequent complaint visit to investigate the allegation listed above. Upon arrival LPA met with Executive Director Jeanne Skondin and explained the reason for the visit.

During the investigation, LPA initiated the initial investigation on 05/27/2022 and conducted a physical plant tour, as well as interviewed Executive Director Hannah Meyers,(5) residents and (2) staff as well as reviewed and obtained copies of pertinent documents relevant to the investigation. Today LPA conducted physical plant, interviewed staff, (6) residents and reviewed and obtained copies of additional pertinent documents relevant to the investigation.

It was reported that facility does not meet resident's dietary needs as it was alleged that residents are not offered a nutritious variety of food. LPA's interview with (11) residents revealed that all eleven (11) residents are satisfied with the variety of food the facility is providing.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Brian Balisi	TELEPHONE: (818) 421-9171
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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 29-AS-20220520152257

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. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: COMMONS AT WOODLAND HILLS, THE	FACILITY NUMBER: 197609641
	VISIT DATE: 03/07/2023

NARRATIVE

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Continued from 9099

Interviews further revealed, that all residents interviewed stated that if they did not like what's on the current menu, they can order something else and the kitchen will prepare it for them as long as they have the supply. LPA observed that the kitchen has a sufficient supply of fresh fruits and other perishable and non-perishable food in stock. LPA also observed that an alternative menu is offered to residents upon request, which consisted of Salad, cheeseburger, hot dog, sandwiches, grilled Salmon, grilled chicken, pasta and a variety of other items specifically for breakfast, lunch and dinner. During the physical plants an adjacent room located near the dining room labeled the bistro. LPA observed a table that offered residents, snacks, fruits, coffee and tea. Based on information gathered during this and previous visits, the department does not have sufficient evidence to determine that residents are not offered a nutritious variety of food. Therefore, the allegation that facility does not meet resident's dietary needs has been deemed UNSUBSTANTIATED at this time.

It was reported that Residents are not being fed in a timely manner, as it was alleged that residents are made to wait up to 90 mins for their food to be served in the dining room. LPA's interview with eleven (11) resident's revealed that all eleven (11) residents have not experienced or observed long wait times for their food to be served in the dining room. Majority of the residents stated they did not have to wait no more than fifteen (15) mins on average for their order to come out from the kitchen. LPA's observations during lunchtime also revealed that the residents were being served their food on average approximately within fifteen (15) minutes upon seating at their table at this time. Based on information gathered during this and previous visits, the department does not have sufficient evidence to determine that residents have to wait up to 90 mins for food to be served. Therefore, the allegation that residents are not being fed in a timely manner has been deemed UNSUBSTANTIATED at this time.

Exit interview conducted and a copy of the report issued.

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Brian Balisi	TELEPHONE: (818) 421-9171
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC9099 (FAS) - (06/04)

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