198601660-5-5-2023-28-AS-RORN-CRRVQ2-20230512163736

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601660
Report Date: 05/05/2023
Date Signed: 05/05/2023 02:35:01 PM

Substantiated

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
01/19/2021 and conducted by Evaluator Noemi Galarza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20210119115801

FACILITY NAME:	POSADA AT WHITTIER		FACILITY NUMBER:	198601660
ADMINISTRATOR:	JANETTE HILL		FACILITY TYPE:	740
ADDRESS:	8120 S PAINTER AVE		TELEPHONE:	(562) 945-2651
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90602
CAPACITY:	0	CENSUS: 85	DATE:	05/05/2023
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Diana Bautista, Administrator		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

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Facility does not have qualified cook.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Galarza conducted a subsequent complaint visit regarding the above allegations .The purpose of the visit was discussed with current licensee " La Posada" Administrator Diana Bautista.

The investigation consisted of the following: On 1/28/21, staff (S1)/Administrator was interviewed. A tele-inspection of facility common areas, public restrooms, hallways, and rooms 103, 107, 110, 201, 202, 219, 221, 310, 318, 319, 322 was conducted from 3:50 pm- 4:45 pm via Microsoft Teams. The following documents were requested: LIC 500 Personnel Report, resident roster, admission agreement, care plan, Dec 2020 caregiver assignment book bathing schedule, copies of staff food handling certificates, copy of Activities Director job responsibilities, and copy of Administrator certificate. During today's visit, staff (S2- S5) and residents (R1-R6) were interviewed. The majority of the residents identified on this complaint are deceased.
See LIC 9099C for report continuation.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Noemi Galarza	TELEPHONE: (323) 981-3974
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023

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 28-AS-20210119115801

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: 05/05/2023

NARRATIVE

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Allegation: Facility does not have qualified cook. It is alleged that the Activities Director was cooking food for the residents without a food handling certificate in December 2020 and January 2021 because the Dietary Director was out ill with the COVID-19 virus. Staff interviews confirmed that during that time the Activities Director helped with cooking in the kitchen and was putting food in containers for food delivery to the resident's rooms. Former Administrator confirmed that the Activities Director assumed cook responsibilities because the facility kitchen staff got the COVID-19 virus and were not able to work. The Activity Director did not have a food handling certificate. Resident interviews confirmed that former Activities Director assisted with food responsibilities because all residents were quarantined and eating all their meals in their room due to the COVID-19 facility outbreak.

Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiency is cited. See LIC 9099D.

Exit interview was conducted with current Administrator Diana Bautista. A copy of the report and appeal rights were provided.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Noemi Galarza	TELEPHONE: (323) 981-3974
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 28-AS-20210119115801

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/05/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/05/2023 Section Cited CCR 87555(b)(18)	1 2 3 4 5 6 7	General Food Service Requirements. (b) The following food service requirements shall apply: Sufficient food service personnel shall be employed, trained and their working hours scheduled to meet the needs of residents. This requirement was not met evidenced by:	1 2 3 4 5 6 7	Former Administrator submitted to CCL proof that former Activities Director obtained food handling certification. ***Cleared. A copy of the Activity Director's food handling certificate was emailed to LPA in February 2021.
	8 9 10 11 12 13 14	Based on record review and interviews conducted, former Activities Director assummed kitchen cook responsibilities during the extended absence of all kitchen staff. The Director did not have food handling training; which posed a potential health and safety risks to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Noemi Galarza	TELEPHONE: (323) 981-3974
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023

LIC9099 (FAS) - (06/04)

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