198204079-11-16-2023-11-AS-EMAZ-CY9REX-20231206115815

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198204079
Report Date: 11/16/2023
Date Signed: 11/16/2023 12:37:24 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 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
11/07/2023 and conducted by Evaluator Alfonso Iniguez

COMPLAINT CONTROL NUMBER: 11-AS-20231107080217

FACILITY NAME:	SPRING SENIOR ASSISTED LIVING		FACILITY NUMBER:	198204079
ADMINISTRATOR:	CRAIG WEECH		FACILITY TYPE:	740
ADDRESS:	20900 EARL STREET		TELEPHONE:	(310) 370-3594
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90503
CAPACITY:	51	CENSUS: 29	DATE:	11/16/2023
		UNANNOUNCED	TIME BEGAN:	09:01 AM
MET WITH:	Craig Weech/Administrator		TIME COMPLETED:	12:37 PM

ALLEGATION(S):

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Staff does not assist resident with medical appointments.
Staff is not seeking medical attention for resident.
Staff speak inappropriately to resident.

INVESTIGATION FINDINGS:

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On 11/16/2023 LPA Alfonso Iniguez conducted an unannounced complaint visit. LPA Iniguez met with Craig Weech /Administrator. LPA explained the purpose of this visit.

Investigation Consisted of: LPA conducted the following interviews: Administrator Interview(A#1), Resident interviews (R#1-R#6), Staff interviews (S#1-S#6) and a tour of the entire facility. LPA obtained and reviewed the following documents: Client’s roster, Personnel roster, (R#1-R#6) Identification and Emergency Information, (R#1-R#6) Admissions agreements, (R#1-R#6) Physicians Report for Residential Care Facilities for the Elderly, (R#1-R#6) Needs and Services Plan, (R#1-R#6) Medication Administration Record (MAR) for the month of October 2023, copy of November Activities Calendar where is marked Doctor’s appointment every Thursday, copy of facility menu and copy of last staff training regarding personal rights.

Evaluation Report continues LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Alfonso Iniguez	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023

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 11-AS-20231107080217

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: SPRING SENIOR ASSISTED LIVING	FACILITY NUMBER: 198204079
	VISIT DATE: 11/16/2023

NARRATIVE

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Investigation Revealed the Following:

Allegation: Staff does not assist resident with medical appointments.

The details of the complaint alleged that the facility staff does not assist residents with medical appointments.

During the records review, LPA Iniguez reviewed the current facility's activities calendar; it states that Thursdays are doctor's appointment days from 9:00 AM to 3:00 PM. LPA also observed a whiteboard inside the MedTech's room, where they record upcoming resident appointments. During the facility tour, LPA observed an extensive activities calendar in the hallway that announces medical appointments every Thursday from 9:00 AM to 3:00 PM.

During an interview with the Administrator (A#1), he stated that the person who oversees the residents' medical and dental appointments is (S#1). Also, (A#1) noted that the facility assists residents with their medical/dental appointments, but most residents have their families to take them. However, if the family is not able to take the residents or a resident need to go to a medical/dental appointment, every Thursday from 9 to 3, our van takes the residents, drops them at the doctor's office, and when they are ready to return, the doctor's office calls us and will go to bring them back to the facility.

During interviews with residents (R#1-R#6), 6 out of 7 stated that they do not need assistance with their medical/dental appointments since their families or insurance carriers take care of that. Also, 6 out of 7 stated that they have yet to need assistance from the facility to go to their medical or dental appointments, but they are sure that if they need help, the facility can provide it.

During interviews with staff (S#1-S#6), 6 out 6 stated that MedTech oversees the medical/dental appointments (S#1). Also, 6 out of 6 stated that the facility will assist a resident with their medical/dental appointments, and the facility has a transportation mode to take them to their appointments every Thursday.

Evaluation Report continues LIC 9099-C

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Alfonso Iniguez	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20231107080217

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: SPRING SENIOR ASSISTED LIVING	FACILITY NUMBER: 198204079
	VISIT DATE: 11/16/2023

NARRATIVE

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Allegation: Staff are not seeking medical attention for residents.

The details of the complaint alleged that facility staff are not seeking medical attention for residents.

During an interview with the administrator (A#1), he stated that the facility staff would help anyone who needed medical attention.

During interviews with residents (R#1-R#6), 6 out of 6 stated that they felt the facility staff would provide medical attention or assistance if needed.

During interviews with staff (S#1-S#6), 6 out 6 stated that the facility would assist the residents if they needed medical attention.

Allegation: Staff speak inappropriately to resident.

The details of the complaint alleged that facility staff speak inappropriately to resident.

During the records review, LPA observed the yearly staff training the facility takes regarding residents' personal rights. Also, LPA observed the rights posted on the facility walls. In addition, LPA observed a copy of the personal rights in the resident's admissions agreement; this copy has to be signed by them or their representatives upon moving into the facility.

During an Interview with the Administrator (A#1), he stated that the staff knows the residents' rights. They posted them on the facility walls; he said we do annual training when onboarding new staff. Also, (A#1) stated that no staff has spoken inappropriately to a resident.

During interviews with residents (R#1-R#6), 6 out of 6 stated that they were aware of their rights and that no staff had ever spoken inappropriately to them.

During interviews with staff (S#1-S#6), six out of six stated that they know the residents' rights and take training every year or during onboarding. Also, six out of six staff stated that they have never spoken to a resident inappropriately and don't know or have heard another staff member talk to the residents in that way.

Evaluation Report continues LIC 9099-C

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Alfonso Iniguez	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20231107080217

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: SPRING SENIOR ASSISTED LIVING	FACILITY NUMBER: 198204079
	VISIT DATE: 11/16/2023

NARRATIVE

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During this investigation, LPA found did not find sufficient evident to support the above-mentioned allegations.

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

California Code of Regulations (Title 22, Division 6, Chapter 8).

An exit interview was conducted, and a copy of the Complaint Report was given to Craig Weech/Administrator.

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Alfonso Iniguez	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023

LIC9099 (FAS) - (06/04)

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