198601838-6-5-2025-28-AS-DSIS-DHJPS9-20250611113358

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601838
Report Date: 06/05/2025
Date Signed: 06/05/2025 02:33:57 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
05/28/2025 and conducted by Evaluator Tena Herrera

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250528095701

FACILITY NAME:	DOWNEY RETIREMENT CENTER		FACILITY NUMBER:	198601838
ADMINISTRATOR:	BRANDIE MENDIBLES		FACILITY TYPE:	740
ADDRESS:	11500 DOLAN AVENUE		TELEPHONE:	(562) 869-2416
CITY:	DOWNEY	STATE: CA	ZIP CODE:	90241
CAPACITY:	252	CENSUS: 133	DATE:	06/05/2025
		UNANNOUNCED	TIME BEGAN:	09:21 AM
MET WITH:	Brandie Mendibles - Administrator		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Unqualified staff are providing care to residents
Staff are not responding to residents call pendants in a timely manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced complaint visit to investigate the above allegations. LPA met with Administrator Brandie Mendibles and explained the purpose of today's visit, shortly affter Assistant Administrator Jason Perez arrived to assit with todays visit.

The investigation consisted of the following:
LPA obtained copies of Staff and Resident Rosters, a tour of the facility was conducted where LPA tested call buttons in 5 Resident Rooms, reviewed 6 Staff Files and iinterviewed 5 Staff (S1-S5) and 13 Residents (R1-R13).

(continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: David Sicairos	TELEPHONE: (323) 981-3982
LICENSING EVALUATOR NAME: Tena Herrera	TELEPHONE: 323-980-4633
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025

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-20250528095701

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: DOWNEY RETIREMENT CENTER	FACILITY NUMBER: 198601838
	VISIT DATE: 06/05/2025

NARRATIVE

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The investigation revealed the following:
Allegation: Unqualified staff are providing care to residents
It is alleged that staff working at facility are not properly trained to provide care to residents and none of the staff are not CPR trained. LPA reviewed 6 staff files and each staff had the required training documented within their personnel file. LPA interviewed 5 staff and 5 out of 5 staff denied the above allegation and stated that upon hire they were provided with sufficient training and undergo multiple in-service training's throughout the months, each staff stated they maintain valid CPR certificates and are reminded to renew when it gets close to their expiration. LPA interviewed 13 residents and 11 out of 13 residents denied the above allegation and stated they feel the staff here are well trained to assist in care and supervision. (unsubstantiated)

Allegation: Staff are not responding to residents call pendants in a timely manner
It is alleged that when residents push their call buttons for assistance it takes staff 15-30 minutes to respond, either because they are short staffed or staff don’t want to respond. LPA toured facility along side of Administrator Brandie a total of 5 Resident rooms were entered (2 on first floor, 2 on second floor, 1 in memory care) and call buttons were tested, response time on each test averaged 1-2 minutes. LPA observed the call button station at front desk and it was explained by S3 that there is a sound that station makes when a button is pulled, they will then call a caregiver to respond on the walkie talkie and response time is usually within 3 minutes or less. LPA interviewed 5 staff and 5 out of 5 staff denied the above allegation and stated that they try their best to assist quickly, if they are busy assisting another resident they communicate with other caregivers via walkie talkies to find someone to assist within a timely manner. LPA interviewed 13 residents and 11 out of 13 residents denied the above allegation and stated that they have used the call button or their phone to ask for assistance and a caregiver or staff arrives within a timely manner to assist. (unsubstantiated)

Based on statements and interviews conducted with staff and residents, review of staff files and LPA observations, there was not enough supportive evidence to concur with the reported allegations. 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. Exit interview held, and a copy of this report was provided.

SUPERVISOR'S NAME: David Sicairos	TELEPHONE: (323) 981-3982
LICENSING EVALUATOR NAME: Tena Herrera	TELEPHONE: 323-980-4633
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025

LIC9099 (FAS) - (06/04)

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