<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320184
Report Date: 01/31/2025
Date Signed: 01/31/2025 01:51:32 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
08/09/2024 and conducted by Evaluator Elvira Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20240809141713
FACILITY NAME:AVENIR MEMORY CARE WESTSIDEFACILITY NUMBER:
198320184
ADMINISTRATOR:JODI KANOWITZFACILITY TYPE:
740
ADDRESS:7501 OSAGE AVETELEPHONE:
(424) 282-0040
CITY:LOS ANGELESSTATE: CAZIP CODE:
90045
CAPACITY:88CENSUS: 50DATE:
01/31/2025
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Terri WeitzmanTIME COMPLETED:
02:10 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff imposed restrictions on resident’s visits.
Staff did not accord resident privacy during visits.
Staff did not allow resident to receive telephone calls.
Licensee does not ensure a telephone is readily accessible to residents.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 01/31/25 the department conducted a subsequent complaint visit to deliver findings. The department met with Executive Director, Terri Weitzman, and the purpose of the visit was explained.

The investigation consisted of the following: On 08/19/24, the department received the following documents: staff roster, resident roster, resident records, including Admissions Agreement, Pre-Appraisal Assessment, Needs & Services Plan, and Physician Report. The department also received the Visitor Logs, Visitor Policy, Caregiver/Staff Assignment sheet and the facility handbook. Additionally, the department toured the facility.
On 12/18/24, the department received the following documents: staff roster, resident roster and conducted interviews with staff #1-#5 (S1-S5), residents #1-#5 (R1-R5) and toured the facility.


Continued LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
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 4
Control Number 11-AS-20240809141713
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: AVENIR MEMORY CARE WESTSIDE
FACILITY NUMBER: 198320184
VISIT DATE: 01/31/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on the gathered information, there is no evidence to support the allegation mentioned above. Based on observation, interviews conducted, and records reviewed, the department found no evidence to support the allegation mentioned in the complaint. 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.

An exit interview was conducted with Executive Director, Terri Weitzman, and a copy of the report was provided. and a copy of the report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 11-AS-20240809141713
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: AVENIR MEMORY CARE WESTSIDE
FACILITY NUMBER: 198320184
VISIT DATE: 01/31/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on the gathered information, there is no evidence to support the allegation mentioned above. Based on observation, interviews conducted, and records reviewed, the department found no evidence to support the allegation mentioned in the complaint. 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.

Allegation: Staff did not allow resident to receive telephone calls. It is alleged that staff refused an outside caller from contacting resident via telephone. Based on interviews conducted, five (5) out of five (5) staff interviewed denied the allegation. five (5) out of five (5) staff interviewed revealed that residents are allowed to receive phone calls at any time.

Based on interviews conducted, four (4) out of five (5) residents interviewed revealed they don’t know if a phone call was ever denied for a resident. Four (4) out of five (5) residents interviewed revealed that they are allowed to receive phone calls at any time.

Based on the gathered information, there is no evidence to support the allegation mentioned above. Based on observation, interviews conducted, and records reviewed, the department found no evidence to support the allegation mentioned in the complaint. 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.

Allegation: Licensee does not ensure a telephone is readily accessible to residents. It is alleged that the facility only has one cellphone for residents to use, and their phone time is limited. Based on interviews conducted, five (5) out of five (5) staff interviewed denied the allegation. S1 stated that the residents do use a cell phone, but they also have station phones, upstairs and downstairs, and that there is never an issue as far as phone use.

Based on interviews conducted, three (3) out of five (5) residents interviewed revealed they don’t know if the facility has only one cell phone for residents to use.

Continued on LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20240809141713
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: AVENIR MEMORY CARE WESTSIDE
FACILITY NUMBER: 198320184
VISIT DATE: 01/31/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The investigation revealed the following:

Allegation: Staff imposed restrictions on resident’s visits. It is alleged that a resident’s visitor was asked to leave by staff and was told they could not return. On 12/18/24, the department interviewed S1-S5, and R1-R5. Based on interviews conducted, five (5) out of five (5) staff interviewed denied the allegation. Five (5) out of five (5) staff interviewed revealed that the residents are allowed to have visitors at any time, with no restrictions.

Based on interviews conducted, four (4) out of five (5) residents interviewed revealed that they are allowed to have visits with no restrictions. An interview conducted with R1 revealed that they have been a resident at this facility since 06/19/24 and have received visits from family and business representatives with no issues or restrictions. Four (4) out of five (5) residents interviewed said they are satisfied with the services being provided to them at this facility.

A review of records of the Facility Visitor Log (dated: 08/01/24 -10/13/24), revealed that (R1) did have visits from guests and business representatives.

Based on the gathered information, there is no evidence to support the allegation mentioned above. Based on observation, interviews conducted, and records reviewed, the department found no evidence to support the allegation mentioned in the complaint. 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.

Allegation: Staff did not accord resident privacy during visits. It is alleged that a staff member was standing two feet from the resident and their visitor during a visit. Based on interviews conducted, five (5) out of five (5) staff interviewed denied the allegation. Five (5) out of five (5) staff interviewed said that the residents are given privacy when they have visitors.

Based on interviews conducted, three (3) out of (5) residents interviewed revealed they are not aware of an incident involving a staff member standing two feet from a resident and their visitor. An interview conducted with R1 revealed that they do not recall an incident involving a staff member standing two feet away from them and their visitor.


Continued on LIC9099-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4