197802527-4-8-2022-28-AS-LHIS-CDFRWB-20220413132251

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197802527
Report Date: 04/08/2022
Date Signed: 04/08/2022 01:28:58 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,
, CA

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/01/2019 and conducted by Evaluator Angelica Rea

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20191101100629

FACILITY NAME:	SCANDIA GUEST LODGE		FACILITY NUMBER:	197802527
ADMINISTRATOR:	GINA SUAREZ		FACILITY TYPE:	735
ADDRESS:	1248 E. 10TH STREET		TELEPHONE:	(562) 599-2451
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90813
CAPACITY:	74	CENSUS: 57	DATE:	04/08/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Ericka Jimenez		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Client is not afforded any privacy while in care
Staff is denying client access to bedroom
Staff is drinking alcohol while providing care and supervision
Staff used inappropriate language towards client
Staff failed to keep the facility free from bug infestation
Staff fail to properly maintain the facility
Clients are smoking within the facility grounds
Staff is not providing adequate transportation for client's scheduled meetings

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angelica Rea conducted another visit to issue the final results of the investigation. LPA met with Administrator, Ericka Jimenez who assisted with today's visit.

Regarding the allegation(s) that client #1 is not afforded any privacy while in care, and staff is denying client access to bedroom, the investigation consisted of interview(s) with Resident #2 - Resident #8, and interview with Administrator. Resident #1 refused to be interviewed. Residents interviewed were unable to corroborate the allegation. 7 out of 7 resident interviewed stated that they are afforded privacy while in care, and staff do not deny access to their bedroom(s). Administrator stated that there was an incident on 10/28/19 during which they were doing a room check in resident #1's room, and found smashed mirror with shards of glass all over the room. They stated that they observed contraband, that is not permitted at the facility. Staff provided LPA with a copy of the special incident report that was sent to community care licensing.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Angelica Rea
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2022

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 28-AS-20191101100629

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

FACILITY NAME: SCANDIA GUEST LODGE	FACILITY NUMBER: 197802527
	VISIT DATE: 04/08/2022

NARRATIVE

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Regarding the allegation(s) that Staff is drinking alcohol while providing care and supervision, and staff use inappropriate language towards clients, the investigation consisted of interview(s) with Resident #2 - Resident #8, and interview with Administrator. Resident #1 refused to be interviewed. Administrator denied the allegation, and said that no staff drink alcohol while on duty. Residents interviewed were unable to corroborate the allegation. 7 out of 7 residents interviewed stated that they have not observed staff drinking alcohol while providing care and supervision. 7 out of 7 residents interviewed stated that staff do not use inappropriate language towards client(s).

Regarding the allegation(s) that staff failed to keep the facility free from bug infestation and staff fail to properly maintain the facility. The investigation consisted of tour of facility, and interview(s) with Resident #2 - Resident #8, and interview with Administrator. Resident #1 refused to be interviewed. Administrator denied the allegation. Administrator stated that they do not have a bed bug infestation, and the staff do properly maintain the facility. Resident interviewed were unable to corroborate the allegation. 7 out of 7 residents stated that the facility does not have a bed bug infestation to their knowledge. Residents interviewed stated that the staff do properly maintain the facility.

Regarding the allegation that clients are smoking within the facility grounds, the investigation consisted of interview(s) with Resident #2 - Resident #8, and interview with Administrator. Resident #1 refused to be interviewed. Administrator denied the allegation. Administrator stated that the facility has a smoking area and that is where the residents smoke. Residents interviewed were unable to corroborate the allegation. 7 out 7 residents interviewed stated that residents smoke in the designated smoking area.

Regarding the allegation that staff is not providing adequate transportation for client #1's scheduled meetings, the investigation consisted of interview(s) with Resident #2 - Resident #8, and interview with Administrator. Resident #1 refused to be interviewed. Administrator denied the allegation and stated that residents who need assistance are provided with obtaining transportation. Residents interviewed were unable to corroborate the allegation. 7 out of 7 residents interviewed state that the facility provides them with transportation or they are able to get to their appointments independently.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Angelica Rea
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2022

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20191101100629

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

FACILITY NAME: SCANDIA GUEST LODGE	FACILITY NUMBER: 197802527
	VISIT DATE: 04/08/2022

NARRATIVE

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Based on LPA's observations and interviews, investigation revealed: Although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) are unsubstantiated.

No Deficiencies cited under California Code of Regulations Title 22. Exit interview conducted, and a copy of report was provided to Administrator, Ericka Jimenez.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Angelica Rea
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2022

LIC9099 (FAS) - (06/04)

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