198320032-11-10-2022-11-AS-MVAO-CM5UUX-20221215145417

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320032
Report Date: 11/10/2022
Date Signed: 11/10/2022 06:18:20 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
10/31/2022 and conducted by Evaluator Ana Soto

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20221031085112

FACILITY NAME:	KENSINGTON REDONDO BEACH, THE		FACILITY NUMBER:	198320032
ADMINISTRATOR:	MAY, ROBERT		FACILITY TYPE:	740
ADDRESS:	801 S PACIFICA COAST HIGHWAY		TELEPHONE:	(424) 241-2064
CITY:	REDONDO BEACH	STATE: CA	ZIP CODE:	90277
CAPACITY:	132	CENSUS:	DATE:	11/10/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Robert May, Executive Director		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility staff are withholding resident(s) mail.
Facility administrator does not spend a sufficient amount of time at the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ana Soto conducted a complaint investigation for the allegation listed above. Today’s complaint investigation was conducted with Robert May, Executive Director.

The investigation consisted of following: Interviews and Record reviews. On 11/10/22, LPA Soto interviewed S#1 – Robert May - Executive Director, S#2 – Rachel Martinez – via telephone, S#3 – S#10, R#1 – R#10. LPA requested and received the following documents on 11/10/22: ex: Resident Roster, Staff Schedule, Mail Process Procedure letter, and Executive Director work week schedule.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ana Soto	TELEPHONE: (323) 383-8284
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

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-20221031085112

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: KENSINGTON REDONDO BEACH, THE	FACILITY NUMBER: 198320032
	VISIT DATE: 11/10/2022

NARRATIVE

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Based on the LPA's investigation, the investigation revealed the following:

For Allegation 1 – Facility staff are withholding resident(s) mail. Interviews conducted with S#1 – S#10, communicated that the mail is sorted and distributed daily. Facility has a sheet that shows which resident can get mail personally and which resident has their family member receive the mail for them. In the Memory Care Unit – Connection side the mail is given to the resident directly by the manager. In the Haven side- the mail is giving to manager and the manager’s give it to the assistants which open and read the mail for the resident. LPA reviewed the letter of who’s allowed to received mail directly and whom has it picked up by family member. LPA also reviewed the Residents roster which also shows who get mail and who doesn’t. Interviews conducted with R#1 – R#10, communicated that they all get their mail. The mail hasn’t been withheld by staff or it hasn’t gone missing either. The interviews and records reviewed do not concur with the above allegation.

Allegation 2 - Facility administrator does not spend a sufficient amount of time at the facility. The interviews conducted with S#1, communicated that he is always at the facility. If he is not in his office, it’s because he is making his rounds around the facility. The only time is not at the facility is when his on vacation or a business trip. In those instances, he will notify all the staff, residents, and family members that he will not be available, and leave the contact information of the person taking over for him. S#2 - S#10, communicated that Robert May is always at that facility 5 days a week. He is always making his rounds in the facility. Helping staff, residents and speaking to family members. His always available when needed. Even on his days off, the staff, residents, and family members can get a hold of him by cell phone. Interviews with R#1 – R#10, communicated that they see the Executive Director, but they really haven’t needed him or needed his help. So, they feel his there enough at the facility. LPA review executive Director’s work week schedule. It showed his there at the facility enough time to oversee facility. The interviews conducted and records reviewed do not concur with the above allegation.

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

An exit interview was conducted with Robert May, Executive Director and a hard copy of report was provided.

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ana Soto	TELEPHONE: (323) 383-8284
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

LIC9099 (FAS) - (06/04)

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