198601778-3-20-2024-28-AS-FFIS-D7N2F8-20240729172107

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601778
Report Date: 03/20/2024
Date Signed: 03/20/2024 03:04:57 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 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
03/12/2024 and conducted by Evaluator Jose Villalobos

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240312152027

FACILITY NAME:	BROOKDALE UPTOWN WHITTIER		FACILITY NUMBER:	198601778
ADMINISTRATOR:	PRECIOSA (SUZIE) MAGPAYO		FACILITY TYPE:	740
ADDRESS:	13250 E PHILADELPHIA ST		TELEPHONE:	(562) 945-3904
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90601
CAPACITY:	280	CENSUS: 102	DATE:	03/20/2024
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Executive Director Suzie Magpayo		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not keep facility free of insects.
Staff disposed of resident's personal belongings without resident consent.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Jose Villalobos conducted an initial complaint investigation visit for the allegations listed above. LPA met with Executive Director Suzie Magpayo and the purpose of the visit was discussed.

During todays visit, LPA Villalobos toured the physicall plant which included the following: All (4) floors of the facility, Rooms #101, #102, #103, #112, #119, #121, #206, #217, #224, #303, #405, the common areas, patios, and dining area. LPA interviewd residents #2-#9 (R2-R9) and Staff #1-#7 (S1-S7). LPA reviewed and collected copies of documents from R1's file, the staff roster, the resident roster, and the pest cotrol receipt conducted for room #112. Resident #1 (R1) is no longer in the facility and was unavailable for interview. The Investigation revealed the following:

Conitnued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981- 3981
LICENSING EVALUATOR NAME: Jose Villalobos	TELEPHONE: (323) 980-4939
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024

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 28-AS-20240312152027

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: BROOKDALE UPTOWN WHITTIER	FACILITY NUMBER: 198601778
	VISIT DATE: 03/20/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

In regards to the allegation "Staff did not keep facility free of insects" It was alleged that R1's room and the facility has had a roach problem that was not being addressed by the facility. (7) of (7) Staff interviewed denied the allegation. (8) of (8) Residents interviewed could not corroborate the allegation. Interviews state that R1 left the facility on 10/31/23 but prior to moving out, did inform staff of there being roaches in their room. The room was treated on 10/10/23 by a pest control company that is contracted by the facility. LPA observed documentation of R1's room being serviced on this day by the pest control company and their notes state there were no findings noted during the visit. Staff interviewed stated that when R1 informed the staff of the issues, the staff addressed it and did not ignore it. LPA observed the room where R1 previously resided in and did not observe any roaches or other pests. During the tour of the facility, LPA did not observe any roaches or pests throughout the facility. Residents interviewed did not state that staff are not keeping the facility free of insects. Based on interviews, observations, and record review, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

In regards to the allegation "Staff disposed of resident's personal belongings without resident consent" it was alleged that staff disposed of R1's property such as a contact book, refrigerator, new clothes, new purses and other valuable items without their consent because it had roaches when they moved out. (7) of (7) Staff interviewed denied the allegation. (8) of (8) Residents interviewed could not corroborate the allegation. Interviews show that facility staff were not the ones who moved R1's personal belonging out of the facility when R1 moved out. R1 and their family had hired a moving company to move R1's personal belongings out from the facility on 10/31/23 and facility staff were not involved. Interviews did not show that staff of the facility were involved in throwing away any of R1's belongings. File review does not show a list of personal property and valuables designated for the facility to safeguard for R1. Based on interviews, observations, and record review, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit Interview conducted and copy of this report was provided.

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981- 3981
LICENSING EVALUATOR NAME: Jose Villalobos	TELEPHONE: (323) 980-4939
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2