198601591-4-28-2022-11-AS-JHAD-CEHUQX-20220517154751

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601591
Report Date: 04/28/2022
Date Signed: 04/28/2022 02:44:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/01/2022 and conducted by Evaluator Ana Soto

COMPLAINT CONTROL NUMBER: 11-AS-20220401151923

FACILITY NAME:	BENTLEY HOUSE		FACILITY NUMBER:	198601591
ADMINISTRATOR:	BIOSEH OGBECHIE		FACILITY TYPE:	740
ADDRESS:	3449 ROSEWOOD AVE		TELEPHONE:	(213) 478-0800
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90066
CAPACITY:	6	CENSUS: 5	DATE:	04/28/2022
		UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Lilibeth Calzado, Lead Care Giver		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff not providing transportation to appointments.
Residents not able to have visitors.
Facility not providing adequate food service.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ana Soto conducted a subsequent complaint investigation to deliver findings and decisions for the allegations listed above. Today’s complaint investigation was conducted with Lilibelle Calzado, the lead Care Giver.

The investigation consisted of following: Interviews and Record reviews. On 04/04/22, LPA Soto interviewed Administrator via telephone, S#1, S#2, S#3, & R#1 – R#4. LPA received the following documents on 04/04/22: Resident Roster, Staff Schedule, Face sheet, menu, ID/Emergency contact, Resident Appraisal, Physician’s Report, Admission Agreement/Disclosure rate increase, Serenity Care Health Forms.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ana Soto	TELEPHONE: (323) 383-8284
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022

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-20220401151923

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: BENTLEY HOUSE	FACILITY NUMBER: 198601591
	VISIT DATE: 04/28/2022

NARRATIVE

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Based on the LPA's investigation, the investigation revealed the following. For Allegation –Staff not providing transportation to appointments. Interviews with Administrator and S#1, stated that R1 has not paid rent for several months and transportation costs $50 to and from location. If R1 pays for the transportation, they can arrange to take R1 wherever R1 needs to go. R1 refuses to pay for transportation. The facility can’t pay for that additional services without R1 paying rent every month. Interview with residents R#2 – R4, were not possible since R2 & R3 were asleep and R4 could not mentally comprehend. LPA reviewed the admissions agreement and it showed that transportation for R1 is not provided by facility, they only assist resident with planning for transportation. The facility also charges additional money for transportation with their own facility vehicle and if resident needs a care giver to accompany them. The interviews and record reviewed do not concur with the above allegation.

Allegation 2 - Residents not able to have visitors. Interviews with Administrator and staff stated that they are allowed visitors. If visitors wear a mask and can provide proof of vaccinations, they can visit in the living room, back patio, or resident’s rooms. Interview with residents R#2 – R4, were not possible since R2 & R3 were asleep and R4 could not mentally comprehend. The facility had a sign on the door requiring wearing a mask and proof of vaccinations for all visitors. The interviews and record reviewed do not concur with the above allegation.

Allegation 3 - Facility not providing adequate food service. The interviews with Administrator and Staff, stated that they cook fresh meals every day for the resident. Some residents do not eat solid food, but they mash or blend the food for them, but it’s made fresh every day. R1 does not like their cooking and refuses to eat what the facility provides, so R1 always orders outside food and get it delivered. Interviews with residents R#2 – R4, were not possible since R2 & R3 were asleep and R4 could not mentally comprehend. LPA reviewed the menu and it has all the required food groups. The menu has a variety of food selections. LPA interviewed R1 and they stated that the staff doesn’t like how the facility staff cooks they don’t know how to cook. The interviews and record reviewed do not concur with the above allegation.

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, therefore the allegations are unsubstantiated.

An interview was conducted with Lilibelle Calzado, Lead Care Giver, and a copy of record was provided.

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ana Soto	TELEPHONE: (323) 383-8284
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022

LIC9099 (FAS) - (06/04)

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