198202967-12-17-2024-11-AS-SCIS-DD6UL4-20250122144008

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198202967
Report Date: 12/16/2024
Date Signed: 12/17/2024 01:45:15 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 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
12/10/2024 and conducted by Evaluator Pamela Bunker

COMPLAINT CONTROL NUMBER: 11-AS-20241210085331

FACILITY NAME:	ANAND CARE CENTER III		FACILITY NUMBER:	198202967
ADMINISTRATOR:	MEHUL PATEL		FACILITY TYPE:	735
ADDRESS:	11143 SOUTH PRARIE AVE		TELEPHONE:	(310) 419-1225
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90303
CAPACITY:	20	CENSUS: 12	DATE:	12/16/2024
		UNANNOUNCED	TIME BEGAN:	10:13 AM
MET WITH:	Mehul Patel		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff did not ensure clients personal property was safely secured.
Staff does not ensure client is accorded dignity and respect by other persons in the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Monday, December 16, 2024, upon arrival at the facility. The department called the facility by telephone and conducted a risk assessment. Based on the assessment, the facility is cleared of COVID-19 infection. LPA Bunker met with Administrator Mehul Patel. LPA Bunker explained the purpose of today's visit.

The investigation consisted of the following: The department conducted interviews. The department asked questions relevant to the nature of the complaint. The department requested and reviewed the resident's records and asked for copies of the following documents: Personnel report, Resident Roster, Special Incident Reports, Admission Agreement, Identification and Emergency Information, Physician's Report, Medical Assessment, Medication Administration Records (MARs), Medication Logs, Consent Forms, Functional Capability Assessment, Preplacement Appraisal Information, Appraisal, and Needs Service Plan, Individual Program Plan (IPP), Ramco Pest Control Invoices, Facility House Rules/Personal Right.
See continued LIC9099-C page 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024

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 11-AS-20241210085331

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: ANAND CARE CENTER III	FACILITY NUMBER: 198202967
	VISIT DATE: 12/16/2024

NARRATIVE

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Continued LIC9099-C page 2.

Allegation #1: Staff did not ensure residents’ personal property was safely secured.
Interviews were conducted with staff members 1 and 2 (S1-S2) and residents 2 through 6 (R2-R6). Both staff and residents reported that staff ensures residents’ personal property is securely maintained. S1-S2 and R2-R6 stated that residents are not being robbed of personal belongings, including food, clothing, bathroom items, shoes, money, or food stamps.

S1-S2 and R2-R6 also stated that residents have not raised concerns about pests such as bugs or roaches. S1-S2 confirmed that the facility does not have an issue with pests, noting that Ramco Pest Control services the facility monthly.

Resident 1 (R1), however, claimed the personal property incident occurred five years ago. R1 stated they were the only person with a key to their room at the time and were unaware of who might have been stealing. R1 estimated that approximately $40.00 might have been taken but could not recall specific details, including names, dates, or witnesses. R1 stated that the facility does not have any issues with bugs or roaches. During today's visit, we did not observe any bugs or roaches at the premises.

S1-S2 clarified that R1 moved into the facility on May 8, 2024, and could not have been residing there five years ago, as alleged. S1-S2 and R2-R6 denied the allegation.

Allegation #2: Staff does not ensure residents are accorded dignity and respect by other persons in the facility.
Interviews were conducted with staff members 1 and 2 (S1-S2) and residents 2 through 6 (R2-R6). Both staff and residents reported that all residents are treated with dignity and respect by others within the facility. S1-S2 and R2-R6 stated that no residents have been victims of racist attacks or harassment at the facility. Resident 1 (R1) alleged that such an incident occurred five years ago at another facility, not at Anand Care Center lll. S1-S2 stated the resident in room 115 attends a day program and is away from the facility for most of the day. S1-S2 stated that this resident does not bother anyone, and none of the other residents bother R1. S1-S2 stated R1 tends to keep to themselves and does not engage with other residents or participate in facility activities. S1-S2 and R2-R6 denied the allegation.
See continued LIC9099-C page 3

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20241210085331

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: ANAND CARE CENTER III	FACILITY NUMBER: 198202967
	VISIT DATE: 12/16/2024

NARRATIVE

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Continued LIC9099-C page 3

The investigation revealed the following:
Interviews were conducted with staff members 1 and 2 (S1-S2) and residents 2 through 6 (R2-R6), all of whom stated that the allegations did not occur at Anand Care Center lll.

S1-S2 and R2-R6 stated staff safeguards residents' cash resources and personal property.

S1-S2 and R2-R6 reported that residents are treated with dignity and respect in their personal relationships with staff and other individuals within the facility. S1-S2 stated that residents are provided with safe, healthful, and comfortable accommodations, to meet their needs.

S1-S2 stated that residents are free from corporal or unusual punishment, the infliction of pain, humiliation, intimidation, ridicule, coercion, threats, mental abuse, or any other punitive actions. This includes interference with daily living functions such as eating, sleeping, or toileting, as well as withholding shelter, clothing, medication, or aids to physical functioning. R2-R6 stated they feel safe and that the staff is providing residents with the necessary care and supervision to meet the resident's needs.

S1-S2 and R2-R6 stated the facility is free of bugs, roaches and other insects. S1 provided the department with invoices from Ramco Pest Control showing the facility is free of bugs and roaches.

S1-S2 stated that the facility adheres to Title 22 Regulations. Both staff and residents (S1-S2 and R2-R6) denied the allegation.

Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated.

There were no deficiencies cited.

An exit interview conducted

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024

LIC9099 (FAS) - (06/04)

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