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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320197
Report Date: 01/18/2024
Date Signed: 01/18/2024 03:00:41 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
01/11/2024 and conducted by Evaluator Wendy Gibbs
COMPLAINT CONTROL NUMBER: 11-AS-20240111085000
FACILITY NAME:PLAZA AT WESTWOOD, THEFACILITY NUMBER:
198320197
ADMINISTRATOR:VIRGINIA ZENTENOFACILITY TYPE:
740
ADDRESS:2228 WESTWOOD BLVDTELEPHONE:
(323) 217-7877
CITY:LOS ANGELESSTATE: CAZIP CODE:
90064
CAPACITY:136CENSUS: 65DATE:
01/18/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Luz RoseTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Facility staff do not ensure resident's room is maintained clean.
INVESTIGATION FINDINGS:
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On 01/18/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced complaint visit to the facility listed above. LPA met with Administrator, Luz Rose, and the purpose of today's visit was explained.

During today's visit LPA toured the facility with administrator, interviewed staff (S1-S7), interviewed residents (R1-R7), and reviewed and received documents pertinent to the investigation. Documents reviewed and received include Staff Roster, Resident Roster, Deep Cleaning Schedule (Cleaner #1 and #2), Admission Agreement, Resident's Physician’s Report, and Needs and Service Plan.

The investigation revealed the following:

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Wendy GibbsTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
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 2
Control Number 11-AS-20240111085000
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: PLAZA AT WESTWOOD, THE
FACILITY NUMBER: 198320197
VISIT DATE: 01/18/2024
NARRATIVE
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Allegation: Facility staff do not ensure resident’s room is maintained clean.

The allegation alleges resident’s room is dirty, unsanitary, and cluttered to the point that is a safety issue for the resident.


During the facility tour, LPA observed the facility to be clean and sanitary. LPA inspected seven (7) resident rooms, including 213, 214,304,306,314, 315, and 316/317. LPA observed all rooms inspected to be clean and in good repair. All walkways and hallways in the facility and resident rooms were observed to be clean, clear, and free of obstructions, hazards, and debris. LPA reviewed the facility Admission Agreement that on page 3 states under Basic Housekeeping: Resident room will be cleaned once (1) per week. Residents are encouraged to keep their room I good order. Additionally, under General Facility Information and House Rules number 7 Housekeeping and Laundry service: states “Resident rooms are cleaned weekly and include dusting, furniture polish, and vacuuming and air freshener as needed. Personal laundry is provided a minimum of once a week or as needed. Bed linen and towels are changed weekly as part of the basic service.” LPA received and reviewed the Deep Cleaning Schedule for Cleaner #1 and #2 that shows what rooms require a deep cleaning and on which day it is to be done. During interviews with Staff (S1-S7), seven (7) out of seven (7) stated rooms are cleaned daily which include trash removal, bathroom wipe up, and linen change if needed and once a week each room is deep cleaned which include dusting, vacuuming, bathroom cleaning, mopping, and linen change. Staff (S1- S7) stated there are one (1) to three (3) residents who do not want staff to come in and clean their rooms, that they take care of it themselves. Additionally, Staff S4, S5, and S6 stated when we knock on their doors for housekeeping service, the resident’s will give them their trash to take out and they would provide them with new towels and anything else they need or want. During interviews with Residents (R1-R7) four (4) out of seven (7) stated housekeeping comes in and does a daily cleaning of making the bed, taking out the trash, put things away, wipe the toilet, and change linens if needed and that a deep cleaning is done once a week. Additionally, during interviews with Residents (R1, R4, and R5) three (3) out of three (3) stated there is housekeeping available but they prefer to clean their rooms and do their laundry themselves. During file review, LPA observed that Residents (R1, R4, and R5) are independent residents. Based on interviews conducted, observations, and record review, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated.

LPA did not observe or cite any deficiencies during today’s visit.


An exit interview was conducted with Administrator, Luz Rose, and a copy of this report was provided.
SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Wendy GibbsTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
LIC9099 (FAS) - (06/04)
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