198601566-7-28-2023-11-AS-JHAD-CUBQL6-20230802121525

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601566
Report Date: 07/27/2023
Date Signed: 07/28/2023 05:19:54 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 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
07/26/2023 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20230726113120

FACILITY NAME:	STUDIO ROYALE		FACILITY NUMBER:	198601566
ADMINISTRATOR:	TERRI WEITZMAN		FACILITY TYPE:	740
ADDRESS:	3975 OVERLAND AVENUE		TELEPHONE:	(310) 836-5854
CITY:	CULVER CITY	STATE: CA	ZIP CODE:	90232
CAPACITY:	175	CENSUS: 89	DATE:	07/27/2023
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	EJ Lewis & Kelly Metz		TIME COMPLETED:	01:59 PM

ALLEGATION(S):

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Facility staff failed to maintain a comfortable temperature at facility.

INVESTIGATION FINDINGS:

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On 07/27/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced complaint visit at this facility, LPA was greeted by Vice President of Operation Kelly Metz and Executive Director EJ Lewis. LPA explained the purpose of the visit is to investigate the allegation mentioned above.

The investigation consisted of the following: Interviews with the Vice President and Executive Director, staff #1-#2 (S1-S2), residents #1-#8 (R1-R8), an inspection of apartments #135, #157, #214, #227, #237, #239, #241, Lounge, Screening, Dining, and Physical Therapy rooms. A review of staff and resident rosters was conducted.

(Evaluation Report continues on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ernand Dabuet	TELEPHONE: (323) 629-5526
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

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-20230726113120

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: STUDIO ROYALE	FACILITY NUMBER: 198601566
	VISIT DATE: 07/27/2023

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Facility staff failed to maintain a comfortable temperature at facility.

The details of the complaint alleged the facility staff failed to maintained a comfortable temperature at the facility. The complainant reported the AC in the facility is no longer working. The complaint expressed that the AC has not been working for 13 days. Numerous attempts to fix the AC system but the system is still not working and leaks water with a bucket is placed underneath to catch the leak.

The Department conducted a visit to (R1’s) apartment and performed a room temperature assessment at 9:33 am with a wireless digital thermometer. The test revealed the room temperature at 76-78 degrees F. with no air. Currently, the room is being serviced with free-standing portable AC and an Oscillating Fan. The AC was observed to be in disrepair.

An interview with (R1) claims that the maintenance and administrative staff have been made aware of the ongoing problem. but also claims that staff has been responsive to address this issue. (R1) persists there is a problem even though it has been previously repaired it is still broken and not working properly. An interview with the VP of Operations and Executive Director staff #1-#2 (S1-S2) both reported have addressed the issue and provided (R1) with the portable AC unit and fan while the AC system unit is out of commission.

Interviews with residents #3 - #8 (R3-R8) all stated that had no concerns with room temperatures in their apartments. (R3-R8) all reported that management is responsive when it comes to repairs or maintenance services. (S1) stated the facility does not have central air/heating and that each apartment has an individual air and heating system. The Department conducted assessments of apartments #135, #157, #214, #227, #237, #239, #241, Lounge, Screening, Dining, and Physical Therapy rooms and found all AC systems are in working condition and temperature ranged from 75 – 79 degrees F.

A certified ac/heating specialist was contacted by The Department that performed service in (R1's) apartment and reported a brand-new replacement AC system will be installed in (R1’s) apartment on 07/28/23. The obtained service invoice for the new AC system.

(Evaluation Report continues LIC 9099-C)

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ernand Dabuet	TELEPHONE: (323) 629-5526
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20230726113120

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: STUDIO ROYALE	FACILITY NUMBER: 198601566
	VISIT DATE: 07/27/2023

NARRATIVE

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Based on the information gathered, an inspection of the facility, observation, analysis records, interviews, and temperature test conducted, the Department found no evidence to support the allegation "Facility staff failed to maintain a comfortable temperature at the facility."

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 with EJ Lewis and a copy of the report was provided

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ernand Dabuet	TELEPHONE: (323) 629-5526
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

LIC9099 (FAS) - (06/04)

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