198204399-2-28-2024-11-AS-UCOL-D3BTUT-20240313150252

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198204399
Report Date: 02/28/2024
Date Signed: 02/28/2024 02:36:56 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
11/21/2022 and conducted by Evaluator Socorro Leandro

COMPLAINT CONTROL NUMBER: 11-AS-20221121154843

FACILITY NAME:	VILLA REDONDO CARE HOME		FACILITY NUMBER:	198204399
ADMINISTRATOR:	MARIA BRAVO		FACILITY TYPE:	740
ADDRESS:	237 REDONDO AVENUE		TELEPHONE:	(562) 434-9931
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90803
CAPACITY:	80	CENSUS: 61	DATE:	02/28/2024
		UNANNOUNCED	TIME BEGAN:	09:58 AM
MET WITH:	Administrator - Mari Bravo		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff do not treat resident with respect

INVESTIGATION FINDINGS:

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On 02/28/2024 at around 9:58 AM Licensing Program Analyst (LPA) Socorro Leandro initiated a complaint investigation regarding the allegation listed above. LPA met with the Administrator Maria Bravo and the purpose of the visit was explained.

The investigation consisted of the following: During today’s investigation LPA and the Administrator Assistant conducted a tour of the facility which included the library, activity room, and random resident bedrooms. LPA interviewed 5 out of 61 residents and 4 out of 32 staff members. LPA reviewed several documents: Personnel Report; Resident Roster; 6 Resident Personal Rights; 1 Resident’s Basic Fact Sheet; 1 Resident’s Physicians Report; Safety Training for Staff Topic: Personal Rights of Residents; 30 Staff Certificates of Completion – 20 Hours Annual CEU (Continuing Education Units) which includes one hour Resident Rights Training.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Socorro Leandro	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

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 11-AS-20221121154843

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: VILLA REDONDO CARE HOME	FACILITY NUMBER: 198204399
	VISIT DATE: 02/28/2024

NARRATIVE

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The investigation revealed the following: Regarding the allegation "Staff do not treat resident with respect” it is being alleged that staff threatened to evict resident with no reason. 5 out of 5 resident interviews indicated that the facility staff treats residents with respect, and they have not seen or heard staff threaten residents with evictions. 4 out of 4 staff interviews indicated that staff treat residents appropriately. Record reviews indicated that there was an In-service training of Personal Rights of Residents dated 03/13/2023 and staff have completed their 20 hours of Annual CEU training's which included a one hour of Resident Rights Training.

Regarding the allegation " Staff do not treat resident with respect” The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

No deficiencies were cited. An exit interview was conducted. A copy of this report was provided to the Administrator.

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Socorro Leandro	TELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

LIC9099 (FAS) - (06/04)

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