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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320315
Report Date: 09/11/2024
Date Signed: 09/11/2024 07:51:13 PM

Unfounded


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
09/11/2024 and conducted by Evaluator Ernand Dabuet
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20240911121530
FACILITY NAME:BAY TOWERS AT BIXBY KNOLLSFACILITY NUMBER:
198320315
ADMINISTRATOR:MCDONALD, DONFACILITY TYPE:
740
ADDRESS:3747 ATLANTIC AVENUETELEPHONE:
(562) 426-6123
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY:65CENSUS: 36DATE:
09/11/2024
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Marylou Escobedo TIME COMPLETED:
04:59 PM
ALLEGATION(S):
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Facility air conditioner is in disrepair.
INVESTIGATION FINDINGS:
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On 09/11/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an initial unannounced complaint visit at this facility. LPA was greeted by Resident Service Director Marylou Escobedo. LPA explained the purpose of this visit was to gather information in reference allegation mentioned above.

The investigation consisted of the following: An initial investigation visit on 09/11/24. A review of Register of Resident Roster, Personnel Report LIC 500, An interview with Resident Service Director and Director Don McDonald. Additional interviews with Residents #1-#9 (R1-R9). A tour of the facility was conducted for the Assisted Living commercial kitchen and floors 4th, 5th, and 6th.

INVESTIGATION REVEALED THE FOLLOWING:
The details of the complaint alleged the facility air conditioner is in disrepair. The information provided the senior living facility has been without air conditioning for over five weeks, throughout the heatwave. There is a concern the facility does not plan on fixing the issue. (Evaluation Report continues LIC 9099-c)

Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Janae HammondTELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Ernand DabuetTELEPHONE: (323) 629-5526
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2024
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-20240911121530
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: BAY TOWERS AT BIXBY KNOLLS
FACILITY NUMBER: 198320315
VISIT DATE: 09/11/2024
NARRATIVE
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On 09/11/24, between 01:55 pm – 02:45 pm, the Department interviewed the Resident Service Director (RSD #1) and the Director (D#1) claimed the Assisted Living license by Community Care Licensing (CCL) has not had issues with their air conditioning units. (RSD#1) and (D#1) communicated Assisted Living floors 4th, 5th, and 6th consist of 20 rooms all having individual air conditioning units that are controlled by the residents. The Assisted Living is in Building B and is serviced by Infinite Circulation Inc. a heating, ventilation, and air conditioning company. (D#1) clarified that it is Building A the Independent Living floors 4th and 14th had issues with air conditioning not being operable. Building A is not licensed by (CCL).

On 09/19/24, between 03:30 pm - 04:10 pm, the Department inspected the common areas, commercial kitchen, and rooms: #407, #409, #415, #504, #507, #511, #613, #615, and #616 all had operable air conditioning units, and all maintained a comfortable temperature of 68 degrees F to 80 degrees F.

On 09/19/24, between 03:30 pm - 04:10 pm, the Department interviewed (9) out of (9) residents #1- #9 (R1-R9) all verified having no issues with their air conditioning systems.

As a result of the Department reviewing (CCL) facility records revealed the facility is a six-story commercial building. In total, there are two buildings on the lot separated by a parking lot. Building A is for Independent Living, and Building B is the Assisted Living unit composed of (57) resident bedrooms, and (57) resident bathrooms and occupies the 4th, 5th, and 6th floors. (CCL) only has jurisdiction over licensed floors for Assisted Living and the commercial kitchen, common areas, and offices on the 4th, 5th, and 6th floors.

This Department has investigated the complaint "Facility air conditioner is in disrepair". The Department found that the complaint is unfounded, meaning that the allegation was false, could not have happened, and/or is without reasonable basis. The Department therefore dismissed the complaint.

No deficiencies were cited.

An exit interview is conducted with Marylou Escobedo, and a copy of the report is provided.
SUPERVISOR'S NAME: Janae HammondTELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Ernand DabuetTELEPHONE: (323) 629-5526
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2