197610376-2-20-2024-31-AS-NGID-D4ENQU-20240417104026

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610376
Report Date: 02/20/2024
Date Signed: 02/20/2024 01:39:43 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
02/14/2024 and conducted by Evaluator Leslie Ngo-Castaneda

COMPLAINT CONTROL NUMBER: 31-AS-20240214134709

FACILITY NAME:	LIFESYNC MALIBU		FACILITY NUMBER:	197610376
ADMINISTRATOR:	O'HOP, RYELY		FACILITY TYPE:	772
ADDRESS:	6231 MURPHY WAY		TELEPHONE:	(310) 951-6340
CITY:	MALIBU	STATE: CA	ZIP CODE:	90265
CAPACITY:	6	CENSUS: 4	DATE:	02/20/2024
		UNANNOUNCED	TIME BEGAN:	09:51 AM
MET WITH:	Ryely Ohop- Administrator		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not prevent resident resident's room from flooding.
Facility Heating and Air Conditioning system is in disrepair.
Facility is malodorous.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced visit to investigate the above allegation. LPA was greeted by the facility manager Ryely Ohop at 9:51AM, LPA explained the reason for the visit.

Entrance interview conducted.

LPA conducted a physical plant tour at 10:00 AM, requested facility documents relevant to the investigation which include but not limited to maintenance records, admissions agreement, plan of operation, and physicians report. LPA reviewed records between 10:15 AM and 12:30 PM. LPA interviewed 6 staff and 4 residents between 12:30 PM and 1:20 PM.

Allegation #1: Staff did not prevent resident resident's room from flooding.
Conitnue to LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2024

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 2

Control Number 31-AS-20240214134709

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: LIFESYNC MALIBU	FACILITY NUMBER: 197610376
	VISIT DATE: 02/20/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During interviews with staff, all staff stated that they were unaware or did not recall any damage that may have led to flooding a resident’s room #1a. During interviews with residents, Resident #1 (R1) stated there was a leak in one of the resident’s rooms on the back sliding door of the bedroom # 1a. During the visit, LPA did not observed leak in the facility and it was raining on during the visit. All other residents stated they did not know about any flooding in any of the rooms or the facility.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is Unsubstantiated at this time.

Allegation #2: Facility Heating and Air Conditioning system is in disrepair.

It was alleged that the facility is hot at times and cold at times and that the vents are in disrepair. LPA interviewed six (6) out of six (6) staff on who unanimously stated the facility temperature is always comfortable everyday. LPA interviewed four (4) out of the four (4) residents stated the facility is always comfortable. During the visit, when it was raining, LPA observed the thermostat was set to be 69 degrees F and observed the facility vents were open, cleaned, and not clogged. LPA observed that the filter had been replaced. In addition, LPA had administrator turn on the AC and heater to see if it worked. LPA noted that both the AC and heater were operational. During the facility tour at 10:15 am, LPA used an infrared thermometer and observed the facility temperature was 71 degrees F. Based on interviews, there is not enough information to verify the allegation.

Based on records review and observation, there is insufficient evidence to support this allegation. Thus, this allegation is deemed unsubstantiated at this time.

Allegation #3: Facility is malodorous.

It was alleged the facility is malodorous. Interviews with administrator revealed that they have not smelled any foul odors in the facility. Interviews with six (6) out of six (6) staff revealed have not smelled any odor in the facility. Staff #1 (S1) and staff #6 (S6) revealed facility is cleaned and freshened during and after each shift. LPA observed staff to be cleaning the facility during visit and LPA did not detect any foul odors at time of visit.

The allegation is deemed Unsubstantiated at this time. Exit interview conducted. A copy of this report is given to the administrator.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2