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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609969
Report Date: 02/13/2024
Date Signed: 02/13/2024 06:27:31 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
02/04/2022 and conducted by Evaluator Christine Yee
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20220204075140
FACILITY NAME:VALLEY VISTA SENIOR LIVINGFACILITY NUMBER:
197609969
ADMINISTRATOR:JOLIE HIGGINSFACILITY TYPE:
740
ADDRESS:7040 VAN NUYS BLVDTELEPHONE:
(818) 906-4400
CITY:VAN NUYSSTATE: CAZIP CODE:
91405
CAPACITY:164CENSUS: 68DATE:
02/13/2024
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Elizabeth Whittington, Executive DirectorTIME COMPLETED:
06:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1. Staff are neglecting residents in care
2. Residents' hygiene needs are not being met.
4. Staff leave residents unattended in soiled diaper for extended periods of time
5. Residents sustained diaper rashes while in care
6. Staff are failing to meet residents’ needs
INVESTIGATION FINDINGS:
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5
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7
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13
Licensing Program Analyst (LPA) Christine Yee conducted an unannounced complaint visit to conduct further investigation for the above allegations and met wth Elizabeth Whittington, Executive Director. The reason for today's visit was explained.

On 2/8/22, LPAs Salia Walker and Ashley Smith conducted an initial unannounced complaint viisit to investigate the 8 allegations submitted on the complaint. The LPAs met with Executive Director Becca Black and Business Office Manager Angela Webb and explained the reason for the visit. During today’s visit, the LPAs conducted a physical plant tour with the Executive Director at 11:10 a.m., to ensure there are no health and safety hazards. From 12:10 p.m. until 1:48 p.m., the LPAs conducted interviews with six (6) facility staff. Based on LPA Walker and LPA Smith's investigation, It was determined at the time of the initial visit that allegation #3 - the facility is unkempt, allegation #7 - Staff failed to provide residents with clean linens
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kristin HeffernanTELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Christine YeeTELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 29-AS-20220204075140
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VALLEY VISTA SENIOR LIVING
FACILITY NUMBER: 197609969
VISIT DATE: 02/13/2024
NARRATIVE
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and allegation #8 - Staff do not practice social distancing that the allegations were unsubstantiated. Interviews were also conducted with the 6 staff regarding the other five allegations during the initial visit and it was determined that further investigation was needed to make a finding.

On today's visit, LPA Yee conducted an interview with Elizabeth Whittington, Executive Director at 12:10pm, Maria Calderon, Wellness Director at 1:30pm, Staff #1 at 1:59pm and Resident #1 at 2:34pm. The four facility bathrooms located on the first floor and each of the bathrooms located on the second floor through the fifth floor were toured beginning from 2:31pm through 3:05pm and all were observed to be clean. One of the bathrooms located on the first floor by the elevators was observed being cleaned during today's visit.

Per information obtained from interviews at the time of the initial visit on 2/8/22 and today regarding allegation #1 - Staff are neglecting residents in care, staff state that they do not neglect the residents. Residents are monitored by staff. Staff are on hand to provide assistance to the residents getting to the bathroom, changed, cleaned and transferring. If the residents do not feel well, they ensure that the resident get's the care that they need. If something is observed, it is reported to management and the appropriate care or action is taken. Staff do not neglect to address any health concerns observed such as rashes on a resident.
Based on the information obtained, there is insufficient evidence to support the claim that the staff neglected the residents in care.. This allegation is deemed Unsubstantiated at this time.

Regarding Allegation #2 - Residents' hygiene needs are not being met, interviews reveal that residents who need assistance with bathing are placed on a bathing schedule. Some resident's request daily showers and some are bathed two times a week or the family requests more showers. If residents refuse to take a bath it is documented and the residents are encouraged during the evening shift if they refused to bath in the morning. Residents are also offered a bath the following day. Per Staff, they just come back at a later time and offer the shower again. The reasons that the residents refuse to bath are due to being tired, it being too cold or not feeling well. Currently Resident #3 is refusing to shower and the family is involved in encouraging Resident #3 to shower due to the resident being combative with staff. Based on the information obtained, there is insufficient evidence to support the claim that the residents' hygiene care are not being met. This allegation is deemed Unsubstantiated at this time.

Regarding Allegation #4 - Staff leave residents unattended in soiled diaper for extended periods of time. Per
SUPERVISOR'S NAME: Kristin HeffernanTELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Christine YeeTELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20220204075140
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VALLEY VISTA SENIOR LIVING
FACILITY NUMBER: 197609969
VISIT DATE: 02/13/2024
NARRATIVE
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interviews conducted with staff, residents are checked and changed every 2 hours. Residents are not left in a dirty diaper. Per interviews conducted during the initial complaint, a regular staff did observe residents left in wet diapers on the night shift covered by staff hired through an employment agency. The regular staff would change them in the morning. Residents are also able to ask staff to change them. Based on the information obtained, there is insufficient evidence to support the claim that staff leave residents unattended in soiled diaper for extended periods of time. This allegation is deemed Unsubstantiated at this time.

Regarding Allegation #5 - Residents sustained diaper rashes while in care, staff interviewed state that their residents do not have diaper rash. They are checked every 2 hours and the residents do not develop diaper rashes. There are a couple of residents who have a rash or redness but it is not diaper rash, some residents like to stay in bed or sit all day. Per interview with the Executive Director, they currently have a new resident who sits all day due to fear of falling. As a result of sitting all day, the resident has redness in the bottom area. Based on the information obtained, there is insufficient evidence to support the claim that the residents sustained diaper rashes while in care. This allegation is deemed unsubstantiated at this time.

Regarding Allegation #6 - Staff are failing to meet residents’ needs, staff state that they take good care of the residents. Staff state that they are meeting the needs of the residents. Residents are monitored by staff for any changes in their condition. Prescribed medications or creams are given or applied to ensure that the resident's health condition is healing or appropriate medical attention is obtained. Just recently, Resident #2 who was admitted with an ongoing leg condition was observed with swollen and weepy legs by staff. Resident #2 also complaint that there was burning pain in the legs. Staff ensured that the resident was sent to the hospital for treatment despite objections from a family member. Based on the information obtained, there is insufficient evidence to support the claim that the staff are failing to meet residents needs. This allegation is deemed unsubstantiated at this time.


No citation were issued on today's visit.

Exit interview was conducted with Maria Calderon and a copy of the report was provided
SUPERVISOR'S NAME: Kristin HeffernanTELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Christine YeeTELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3