198320184-8-29-2025-11-AS-EMAZ-DLYVMC-20250929163319

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320184
Report Date: 08/29/2025
Date Signed: 08/29/2025 02:27:18 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
08/19/2025 and conducted by Evaluator Alfonso Iniguez

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250819155726

FACILITY NAME:	AVENIR MEMORY CARE WESTSIDE		FACILITY NUMBER:	198320184
ADMINISTRATOR:	JODI KANOWITZ		FACILITY TYPE:	740
ADDRESS:	7501 OSAGE AVE		TELEPHONE:	(424) 282-0040
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90045
CAPACITY:	88	CENSUS: 52	DATE:	08/29/2025
		UNANNOUNCED	TIME BEGAN:	08:10 AM
MET WITH:	Judy Kamenwa/Director of Health Services		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff do not ensure resident rooms are clean and orderly
Staff are not providing adequate laundry services for residents
Staff are not meeting residents showering needs
Staff provided medication assistance to residents in care without proper training

INVESTIGATION FINDINGS:

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On 8/29/2025 at approximately 8:10 AM, LPA Alfonso Iniguez conducted an unannounced subsequent complaint visit. LPA Iniguez met Jodi Kanowitz/Executive Director then later with Judy Kamenwa/Director of Health Services. LPA Iniguez explained the purpose of this visit.

Investigation Consisted of: LPA conducted the following interviews: Executive Director’s Interview (A#1), Residents Interviews (R#1-R#5) and Staff Interview (S#1-S#4). LPA obtained and reviewed the following documents: Resident Roster dated: 8/27/25, Staff Roster dated: 8/27/25, copies of (R#1 and R#2) Resident Daily Activities of Daily Living (ADLs) Sheets dated: May-2025 through July 2025, Copies of (R#1 and R#2) weekly shower schedule, Copies of staff training on Relias regarding medication management and a health and safety check of (R#1 and R#2)’s room.

Evaluation Report continues LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025

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 5

Control Number 11-AS-20250819155726

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: 08/29/2025

NARRATIVE

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Investigation Revealed the Following:

Allegation: Staff do not ensure resident rooms are clean and orderly.

The details of the complaint alleged that facility staff are not cleaning (R#1 and R#2)’s rooms properly.

On August 29, 2025, at approximately 11:00 a.m., during a health and safety check of (R#1 and R#2)’s room, LPA Iniguez observed that their room was clean, orderly, and sanitary, including the bathroom.

On August 29, 2025, at approximately 10:00 a.m., during an Interview with the Executive Director (A#1), she stated that the people who clean (R#1 and R#2)’s room are the housekeepers; we have a total of 3, they clean their room once a week and as needed. Additionally, (A#1) stated that the maintenance director supervises the housekeepers and ensures the rooms are cleaned as planned.

On August 28, 2025, at approximately 11:00 AM, during an interview with residents (R#1-R#5), (5) out of (5) stated that their room is clean and it gets clean every week.

On August 28, 2025, at approximately 1:00 PM, during an interview with facility staff (S#1-S#4), (4) out of (4) stated that the housekeepers are the ones who clean (R#1 and R#2)’s room, and they do it every week or as needed.

Allegation: Staff are not providing adequate laundry services for residents.

The details of the complaint alleged that facility staff are not washing (R#1 and R#2) clothes on a regular basis.

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 11-AS-20250819155726

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: 08/29/2025

NARRATIVE

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On August 28, 2025, at approximately 11:00 a.m., during the interviews with Residents #1 and #2, LPA Iniguez observed that both residents were wearing clean clothes. Additionally, when LPA Iniguez interviewed Residents #3 to #5, all three of these residents were also found to be wearing clean clothes.

On August 28, 2025, at approximately 10:00 AM, during an Interview with the Executive Director (A#1), she stated that the housekeepers and the care staff clean the sheets and towels every day. Additionally, (A#1) stated that the care staff is in charge of the residents’ clothes, including (R#1 and R#2)’s.

On August 28, 2025, at approximately 11:00 AM, during an interview with residents (R#1-R#5), (5) out of (5) stated that the facility staff wash their clothes, and they do it mostly every day.

On August 28, 2025, at approximately 1:00 PM, during an interview with facility staff (S#1-S#4), (4) out of (4) stated that the caregivers on the night shift wash the residents' clothes every night or as needed.

Allegation: Staff are not meeting residents showering needs.

The details of the complaint alleged that facility staff are not showering (R#1 and R#2) on a regular basis.

On August 29, 2025, at approximately 11:00 a.m., during a records review, LPA Iniguez observed the facility’s weekly shower schedule for both the morning and afternoon. LPA noted that Residents #1 and #2 are scheduled to take showers every third day, as indicated on the schedule. Furthermore, during interviews with Residents #1 and #2, it was apparent that neither of them was missing their scheduled showers.

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 11-AS-20250819155726

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: 08/29/2025

NARRATIVE

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On August 28, 2025, at approximately 10:00 AM, during an Interview with the Executive Director (A#1), she stated that the care staff provides showers for (R#1 and R#2), unless they are in a hospice, where the residents receive showers through the hospice company. Additionally, (A#1) stated that, depending on the resident’s care plan, residents can get a shower 3 to 4 times a week or as needed.

On August 28, 2025, at approximately 11:00 AM, during an interview with residents (R#1-R#5), (5) out of (5) stated that the facility staff reminds them of their showers or assists them with them. In addition, (4) out of (5) residents stated that they can shower on their own, only (1) out of (5) requires assistance.

On August 28, 2025, at approximately 1:00 PM, during an interview with facility staff (S#1-S#4), (4) out of (4) stated that they assist (R#1 and R#2) with their showers; they are scheduled to take them every 3 days.

Allegation: Staff provided medication assistance to residents in care without proper training

The details of the complaint alleged that facility staff are passing on medications to residents in care without proper training.

On August 29, 2025, at approximately 11:00 a.m., during the records review, LPA Iniguez observed the copies of Relias training, LPA Iniguez observed that the Medtechs are trained in the following topics: Assisting with self-administration of Medications Guidelines, Medication Documentation for California, Managing Medications in Assisted Living Facilities: Knowing the side effects.

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 11-AS-20250819155726

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: 08/29/2025

NARRATIVE

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On August 29, 2025, at approximately 10:00 a.m., during an Interview with the Executive Director (A#1), she stated that the MedTechs administer the medications to the residents. Additionally, (A#1) stated that Medtechs receive initial training before administering medications, and then they shadow another MedTech to observe how the medication is dispensed to residents. Furthermore, (A#1) stated that no facility staff is allowed to administer medicines without training.

On August 28, 2025, at approximately 11:00 AM, during an interview with residents (R#1-R#5), (5) out of (5) stated that they feel the facility staff who assist them with medications are trained. Also, (5) out of (5) residents stated that they have never missed a medication dose.

On August 28, 2025, at approximately 1:00 PM, during an interview with facility staff (S#1-S#4), (3) out of (4) stated that as MedTech’s, they are the ones that passes medications to the residents, only (1) out of (4) stated that they do not pass medicines since they are not trained. In addition, (4) out of (4) facility staff stated that they have never dispensed medications without the proper training.

During this investigation, LPA did not find sufficient evident to support the above-mentioned allegation(s).

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.

An exit interview was conducted, and a copy of the Complaint Report was given to Judy Kamenwa/Director of Health Services.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025

LIC9099 (FAS) - (06/04)

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