198601778-11-17-2021-28-AS-FFIS-C933C3-20211123170716

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601778
Report Date: 11/17/2021
Date Signed: 11/17/2021 03:00:35 PM

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
05/26/2020 and conducted by Evaluator Jose Villalobos

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20200526153653

FACILITY NAME:	BROOKDALE UPTOWN WHITTIER		FACILITY NUMBER:	198601778
ADMINISTRATOR:	MAGPAY, PRECIOSA (SUZIE)		FACILITY TYPE:	740
ADDRESS:	13250 E PHILADELPHIA ST		TELEPHONE:	(562) 945-3904
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90601
CAPACITY:	280	CENSUS: 117	DATE:	11/17/2021
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Administrator Suzie Magpayo		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Resident is being charged for service not rendered.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced complaint visit to address the above allegation. LPA met with Administrator Suzie Magpayo. The purpose of the visit was discussed.

The investigation consisted of the following: On today's visit, LPA toured the physical plant, interviewed resident #1-#3 (R1-R3), and interviewed Staff #1-#6 (S1-S6). LPA also reviewed R1's file.

The investigation revealed of the following: In regards to the allegation, "Resident is being charged for service not rendered." it was alleged that R1 was being taken advantage of and charged monthly by the facility even though R1 does not live there and receive any services. (6) of (6) staff interviewed denied the allegation. (3) of (3) residents interviewed could not corrborate the allegation. Interviews show that R1 signed an admission agreement to move into the facility on 12/17/18. Since then, R1 has not moved into the facility but did move in their personal belongings to accommodate a room in the facility.

Continued 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: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

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-20200526153653

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: 11/17/2021

NARRATIVE

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R1 continues to pay monthly as R1 stated it is their choice because they want to someday move into the facility. Due to personal matters R1 has not been able to move in and has also not expressed that they want to move out their belongings at any time. Interviews show that R1 continues to state to the facility staff that they will continue to make the monthly payments for the room that is occupied. LPA observed R1's room to be accommodated with personal belongings and furniture. Review of R1's file shows that R1 is self responsible. Based on statements and interviews conducted as well as LPA observation, there was not enough supportive evidence to concur with the reported allegations. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Administrator Suzie Magpayo. A 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: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

LIC9099 (FAS) - (06/04)

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