197610035-10-30-2024-31-AS-NGID-DAYSXX-20241113131639

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610035
Report Date: 10/30/2024
Date Signed: 10/30/2024 11:26:51 PM

Unsubstantiated

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
10/21/2024 and conducted by Evaluator Leslie Ngo-Castaneda

COMPLAINT CONTROL NUMBER: 31-AS-20241021101729

FACILITY NAME:	MONTARE AT THE BOULEVARD		FACILITY NUMBER:	197610035
ADMINISTRATOR:	DANIELLE LANDIS		FACILITY TYPE:	772
ADDRESS:	4944 LINDLEY AVE		TELEPHONE:	(203) 823-8588
CITY:	ENCINO	STATE: CA	ZIP CODE:	91316
CAPACITY:	6	CENSUS: 6	DATE:	10/30/2024
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Danielle Landis- Program DIrector		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff allow smoking on the facility grounds
Staff do not provide adequate food service
Staff do not properly maintain the facility grounds
Staff do not meet the resident's dietary needs
Staff do not provide comfortable accommodations for a client
Staff mishandled the clients medication

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted a initial complaint visit to the facility to investigate the above allegations. LPA met with the administrator, Danielle Landis, and advised them about the visit. At 9:10 PM LPA conducted a physical plant tour to ensure the health and safety of the clients in care.

An entrance interview was conducted.

Allegation #1: Staff allow smoking on the facility grounds

LPA requested copies of facility documents relevant to the investigation at 10:30 AM and interviewed residents and staff between 9:31 AM to 1:15 PM. Regarding the allegation that staff allow smoking on facility grounds, it was alleged that staff was seen vaping inside the facility.
Continue to LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

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 4

Control Number 31-AS-20241021101729

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: MONTARE AT THE BOULEVARD	FACILITY NUMBER: 197610035
	VISIT DATE: 10/30/2024

NARRATIVE

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LPA did a record review today at 10:15 AM and revealed that the admission agreement of the facility includes a copy of the facility rules wherein all clients, upon admission informed and signed the house rules specifically stating that smoking/ vaping inside the facility is strictly prohibited. LPA interview with all five (5) out of six (6) clients between 9:31 AM to 12:30 PM. The interview revealed unanimously stated that staff was not seen smoking/ vaping in the facility. LPA interview with the Chief Operating Officer (COO), Program Director, and four (4) mental health staff. The interview revealed that smoking within the facility is prohibited and staff has not witnessed any staff or client smoking/ vaping in the facility. The alleged staff does not even smoke/vape.

Therefore, based on record reviews, observations, and interviews, the allegation is deemed unsubstantiated.

Allegation #2: Staff do not provide adequate food service

It was alleged that the facility would feed the clients cold food left out for hours. LPA interviews staff and clients from 9:31 to 1:15 PM. The interview revealed that food is being cooked at the facility for lunch and dinner on Mondays, Tuesday, and Fridays. During Wednesday and Thursdays, the facility chef will be cooking at Montare at the Lake (Facility #197610020); which is four (4) minutes away. For the weekends, the facility chef would have food prep for the clients. Continental breakfast is served in the morning, facility would serve cereal, oatmeal, yogurt, bagels, etc. During the visit, LPA observed food to arrive on time just for lunch at 1 PM and LPA observed that the food was properly sealed and hot. LPA also observed an abundant stock of food in the refrigerator, pantry, fruits, and snacks in the facility. Interviews with staff also revealed that food is kept in the wrap and kept in the refrigerator for a few hours after lunch is served. If clients want to eat, food is self-service.

Therefore, based on record reviews, observations, and interviews, the allegation is deemed unsubstantiated at this time.

Continue to LIC 9099-C

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 31-AS-20241021101729

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: MONTARE AT THE BOULEVARD	FACILITY NUMBER: 197610035
	VISIT DATE: 10/30/2024

NARRATIVE

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Allegation #3: Staff do not properly maintain the facility grounds

It was alleged that the facility oven and kitchen garbage disposal were not working. LPA interviews the COO, Program Director, staff, and clients from 9:31 to 1:15 PM. The interview revealed that client #1 (C1) was not aware of how to turn on the kitchen oven to heat their frozen food. During the LPA physical plant tour, with the assistance of staff, LPA requested to test all of the facility kitchen equipment and LPA observed all of the facility equipment to be working and properly functioning.

Therefore, based on record reviews, observations, and interviews, the allegation is deemed unsubstantiated.

Allegation #4: Staff do not meet the resident's dietary needs

It was alleged that the facility did not follow and meet clients' dietary needs and food allergies. LPA interview with all five (5) out of six (6) clients between 9:31 AM to 12:30 PM. The interview unanimously stated that the staff has been very accommodating to their dietary needs and has no issues with food being served in the facility. LPA interview with the Chief Operating Officer (COO), Program Director, and four (4) mental health staff, the interview revealed that they are respectful and follow dietary needs and allergies since they are reliable for the clients in care.

Therefore, based on record reviews, observations, and interviews, the allegation is deemed unsubstantiated.

Allegation #5: Staff do not provide comfortable accommodations for a client

It was alleged that the facility did not provide a comfortable accommodation for clients. It was alleged that C1's roommate would snore or have the lights on, which would cause them to lack sleep. LPA interview with all five (5) out of six (6) clients between 9:31 AM to 12:30 PM. The interview revealed unanimously stated that clients are happy with the room accommodation. LPA interview with the Chief Operating Office (COO), Program
Continue to LIC 9099-C

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 31-AS-20241021101729

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: MONTARE AT THE BOULEVARD	FACILITY NUMBER: 197610035
	VISIT DATE: 10/30/2024

NARRATIVE

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Director, and four (4) mental health staff, interviews revealed that staff always do an interview and proper pairing to accommodate the clients in care.

Therefore, based on record reviews, observations, and interviews, the allegation is deemed unsubstantiated.

Allegation #6: Staff mishandled the client's medication.

It was alleged that the facility did not provide over-the-counter Melatonin to clients when needed in the facility. It was alleged that C1 was requesting Melatonin from staff due to their lack of sleep. LPA interview with all five (5) out of six (6) clients between 9:31 AM to 12:30 PM. The interview revealed unanimously that clients would get all of their necessary medications on time and if over-the-counter medication is requested it is given to them with no issue. During the LPA interview with the COO, LPA observed that client #2 (C2) had a migraine and requested Ibuprofen. LPA observed that the license vocational nurse (LVN) agreed to dispense it and log the medication in the system that it was given to C2. LPA interview with the Chief Operating Officer (COO), Program Director, and four (4) mental health staff, interview revealed that they have abundant supplies of OTC when clients are in need. LPA also observed C1 Melatonin to be half-full in the locked medicine drawer in the locked LVN office, which was available to them when needed.

Therefore, based on record reviews, observations, and interviews, the allegation is deemed unsubstantiated.

No other health and safety hazards were noted during the visit.

Exit interview conducted. A copy of this report is given to the Program Director.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

LIC9099 (FAS) - (06/04)

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