198204399-2-21-2025-11-AS-RORN-DEHUFU-20250306143319

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198204399
Report Date: 02/21/2025
Date Signed: 02/21/2025 01:51:03 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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/12/2025 and conducted by Evaluator Antonine Richard

COMPLAINT CONTROL NUMBER: 11-AS-20250212150220

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: 58	DATE:	02/21/2025
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	MARIA BRAVO		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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Staff leave resident in wet diapers for extended period of time.
Staff do not respond to resident's calls for assistance in timely manner.

INVESTIGATION FINDINGS:

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On 2/21/25, the department conducted an unannounced complaint visit. The department met me with staff Yvonne Garcia and explained the purpose of this visit. The department and staff toured the facility. Later, the department was joined by the Administrator, Maria Bravo.

The Investigation Considted of:
The department Interviews the Administrator (A1), six Staff (S1-S6), and six Residents (R1-R6). The department obtained and reviewed the following documents: Resident’s roster, Personnel roster, (R1-R6) Identification, and Emergency Information, (R1-R6) Physicians Report or LIC 602A. Facility Changing schedules residents wearing diapers and Alarms by apartment.

Evaluation Report continues LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025

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-20250212150220

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: VILLA REDONDO CARE HOME	FACILITY NUMBER: 198204399
	VISIT DATE: 02/21/2025

NARRATIVE

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Allegation #1: Staff leave resident in wet diapers for extended periods of time.

The details of the complaint alleged that facility staff are not changing resident's diapers, resulting in residents experiencing rash and burning. The department interviewed the administrator (A1), stated that the facility has a schedule, and that the facility staff also changed the resident's diapers as needed. The department interviewed six residents (R2-R7) 4 out of 6 residents stated that the staff regularly changed their diapers, including incontinence services. The department interviewed six staff (S1-S6), 6 out of 6 stated that the facility has a diapers and incontinence schedule, and in addition, the facility staff changes residents' diapers every 2 hours and as needed. The department records review of facility changing diapers and incontinence services dated 04/01/24 to the present indicated that all the residents who wear diapers have a scheduled time to check and change diaper services between one to two hours seven days a week. The department was unable to interview (R1).

Based on the interviews, observation, and record reviews, the Department found no evidence to support the allegation mentioned above. 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 Unsubstantiated

Continued LIC-9099-C Page 2

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20250212150220

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: VILLA REDONDO CARE HOME	FACILITY NUMBER: 198204399
	VISIT DATE: 02/21/2025

NARRATIVE

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Allegation: Staff do not respond to resident’s calls for assistance in a timely manner.

The details of the complaint alleged that the resident called the night shift, and the staff failed to respond in a timely manner. The department interviewed the administrator (A1), who stated that the facility staff tends to the residents' needs as fast as possible, even in the middle of the night, between 5 to 10 minutes. Additionally, (A1) stated they encourage all staff to answer the Emergency Call System (ECS) if they hear it ringing. A1 stated they have five (5) residents who usually call the facility, averaging 150 times per shift, for assistance just to get the TV remote or to close the bathroom door (etc.) for them. In interviews with six Staff (S1-S6), 6 out of 6 stated if they are available and if they hear the (ECS), they will answer it. The staff also stated that the resident must initiate the (ECS), and the caregivers or the Medical Technician (MedTech) would assist the resident. The department inspected four residents' bedrooms, #219, #220, #303, and # 313, and found that the (ECS) was accessible to residents, and once pressed, the facility staff answered in less than a minute. The department confirmed it. The department interviewed six residents (R2-R7) 5 out of 6 residents interviewed indicated that they had used the (ECS) and that staff members had assisted them in less than five minutes. Once the (ECS) is pushed, the system sends an alert to the MedTech station and the caregiver's cell phone for assistance. The MedTech or the caregivers were notified of the alert and went to the resident's room to assist. The department was unable to interview (R1). Based on the interviews, observation, and record reviews, 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 Unsubstantiated.

No deficiencies were cited. The exit interview was conducted, and a copy of this report was given to Administrator Maria Bravo.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025

LIC9099 (FAS) - (06/04)

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