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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601660
Report Date: 05/05/2021
Date Signed: 05/06/2021 10:42:10 AM



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 CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/14/2020 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20201214131538
FACILITY NAME:POSADA AT WHITTIERFACILITY NUMBER:
198601660
ADMINISTRATOR:JANETTE HILLFACILITY TYPE:
740
ADDRESS:8120 S PAINTER AVETELEPHONE:
(562) 945-2651
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY:114CENSUS: 63DATE:
05/05/2021
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Janette Hill, AdministratorTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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1. Staff did not keep the facility free from odor.
2. Staff failed to clean residents' rooms.
3. Facility failed to have proper amount of supplies for resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent complaint investigation for the allegations listed above. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted telephonically with Janette Hill, the facility Administrator.

On 12/17/2020, LPA Chan conducted a telephone interview with the Administrator and a video call which consisted of a tour of the facility. The LPA also requested copies of the staff and resident rosters including phone numbers. LPA interviewed additional 5 Staff and 6 Residents telephonically on different days.

Regarding allegation – Staff did not keep the facility free from odor. According to staff interviews, the facility is kept clean and free from odor as well as in residents’ rooms. Staff stated that if there is any odor in a resident’s room, it is addressed right away. Interviews with 6 residents all indicated that their rooms are odor free.
(Continue on LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lisa HicksTELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Cynthia D ChanTELEPHONE: (323) 981-3370
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2021
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 28-AS-20201214131538
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 CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: POSADA AT WHITTIER
FACILITY NUMBER: 198601660
VISIT DATE: 05/05/2021
NARRATIVE
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Regarding allegation – Staff failed to clean residents’ rooms. Based on interviews conducted with staff and residents, the residents’ rooms are thoroughly cleaned once a week. Residents stated that their rooms are nice and clean. All residents and staff interviewed have not observed any laundry piled up, trash left on the floor, or dirty bathrooms. Staff interviewed stated that they would also help clean and tidy up the rooms as needed.

Regarding allegation - Facility failed to have proper amount of supplies for resident. It is alleged that diapers and/or wipes are not available during changing time. According to staff interviews, there are extra incontinence supplies stored in the facility. If residents run out, the facility is able to provide some while waiting for more supplies to come in. During a video tour of the facility, LPA Chan observed a storage closet with different sizes of diapers. 4 of the 6 residents interviewed stated that either the resident or their family would purchase the incontinence supplies, and the facility has extra if they need it. The other 2 residents do not wear diapers.


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.

A telephonic exit interview was conducted with the Facility Administrator. A hard copy was provided via email for a signature along with the Appeal Rights.
SUPERVISOR'S NAME: Lisa HicksTELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Cynthia D ChanTELEPHONE: (323) 981-3370
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2021
LIC9099 (FAS) - (06/04)
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