198601778-11-4-2022-28-AS-MVAO-CPBTGH-20230223134311

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601778
Report Date: 11/04/2022
Date Signed: 11/04/2022 03:30:33 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
03/29/2022 and conducted by Evaluator Alberto Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220329155554

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: 116	DATE:	11/04/2022
		UNANNOUNCED	TIME BEGAN:	10:16 AM
MET WITH:	Magpayo, Preciosa (Suzie) Executive Director		TIME COMPLETED:	03:39 PM

ALLEGATION(S):

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Resident's needs are not being met
Facility is not storing an adequate amount of food.
Facility is not providing activities
Facility did not provide resident with a copy of the contract

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced subsequnt complaint visit to investigate the above allegations. Initial visit was conducted by LPA wong on 04/05/2022. LPA met with administrator Magpayo, Preciosa (SUZIE) and explained the reason of the visit.

The investigation consisted of the following: On today's date, LPA Lopez obtained resident and staff roster, weekly activity schedule, monthly program schedule for November 2022, facility menu for the week of October 30th to November 4, 2022, Engagement room service door tag and toured the activity rooms, library, dining room, kitchen and food storage areas. LPA interviewed Administrator, 6 staff S1-S6 and 12 residents R1-12.

Regarding Allegation: Resident's needs are not being met. Administrator and 6/6 staff denied the allegations. 12/12 residents stated that their needs are being met and unable to collaborate the allegations.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Alberto Lopez	TELEPHONE: 323-980-4926
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2022

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 28-AS-20220329155554

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: BROOKDALE UPTOWN WHITTIER	FACILITY NUMBER: 198601778
	VISIT DATE: 11/04/2022

NARRATIVE

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Regarding Allegations: Facility is not storing an adequate amount of food. It is alleged that food runs out. Administrator and 6/6 staff denied the allegations. Dining manager stated that the facility always has food, they may run out of a particular “popular” item on any given day, but they will be provide alternative to residents. 9/12 residents denied the allegations. 3 residents stated that a particular item may run out but residents are offered an alternative. LPA was provided with menu and all items on the lunch menu were available at the time of visit.

Regarding the Allegation: Facility is not providing activities. It is alleged that facility did not provide activities to residents. Administrator and 6/6 staff denied the allegations and 12/12 residents could not collaborate the allegations. LPA observed residents preparing to leave for outside activity as LPA arrived. LPA observed residents participate in bowling and religious group studies and LPA was provided with calendar of monthly activities.

Regarding the Allegation: Facility did not provide resident with a copy of the contract. It is alleged that resident did not get copy of contract when resident moved in. Administrator and 6/6 staff denied the allegations. Administrator stated that physical and electronic copy is provided to all residents before they move in and 12/12 residents could not collaborate the allegations.

Based on LPA's interviews conducted, record review and observations the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED.

Exit interview was conducted with Administrator Preciosa Magpayo and a copy of the report was provided.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Alberto Lopez	TELEPHONE: 323-980-4926
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2022

LIC9099 (FAS) - (06/04)

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