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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198202233
Report Date: 07/21/2022
Date Signed: 07/21/2022 04:56:58 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/14/2022 and conducted by Evaluator Lourdes Montoya
COMPLAINT CONTROL NUMBER: 11-AS-20220714090135
FACILITY NAME:DENKER HOUSEFACILITY NUMBER:
198202233
ADMINISTRATOR:GREG SWIFTFACILITY TYPE:
735
ADDRESS:20902 DENKER AVENUETELEPHONE:
(310) 212-6721
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY:9CENSUS: 9DATE:
07/21/2022
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Carla Kerker TIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Facility not maintaining a comfortable temperature

INVESTIGATION FINDINGS:
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On 7/21/2022, Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced 10-day complaint visit at this facility. Upon arrival, LPA called the facility to conduct a risk assessment. LPA spoke with Facility Nurse Carla Kerker who confirmed the facility has a total of six (6) residents tested positive for Covid-19. LPA donned with full PPE and met with Facility Nurse Kerker. LPA explained the purpose of the visit.

The investigation consisted of the following: LPA toured the inside and outside grounds of the facility with Facility Nurse Kerker. LPA requested and obtained copies of Staff Roster, Resident Roster, and Food Menu. LPA interviewed two staff (S#1-#2) and eight clients (C#1-#8), while one client (C#9) was not present during the visit.

Report continued in LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Lourdes Montoya
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
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 11-AS-20220714090135
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: DENKER HOUSE
FACILITY NUMBER: 198202233
VISIT DATE: 07/21/2022
NARRATIVE
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Investigations revealed:

Allegation: Facility not maintaining a comfortable temperature

It is alleged the facility is not maintaining a comfortable temperature. The Reporting Party (RP) reported the facility has no air conditioner. Based on interviews with clients (C#1-#8) and staff (S#1-#2) revealed they are comfortable with the temperature inside the facility. The facility does not have a thermometer to detect the room temperature but based on LPA's observation, the temperature is comfortable. Based on observations and interviews, there is no sufficient evidence to support the allegation above.

Based on LPA’s observation, interviews conducted, the preponderance of evidence standard has not been met. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged allegations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview conducted, and a copy of the report was provided to Facility Nurse Carla Kerker.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Lourdes Montoya
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2