198602099-5-22-2024-11-AS-UCOL-D66PDH-20240612111333

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602099
Report Date: 05/22/2024
Date Signed: 05/22/2024 04:20:39 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/16/2024 and conducted by Evaluator Mario Leon

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20240516085649

FACILITY NAME:	CORAL OAKS CARE LIVING		FACILITY NUMBER:	198602099
ADMINISTRATOR:	ELEANOR BARRIENTOS		FACILITY TYPE:	740
ADDRESS:	4271 CARLIN AVE		TELEPHONE:	(310) 763-4881
CITY:	LYNWOOD	STATE: CA	ZIP CODE:	90262
CAPACITY:	84	CENSUS: 70	DATE:	05/22/2024
		UNANNOUNCED	TIME BEGAN:	08:59 AM
MET WITH:	Ellen Barrientos, Administrator		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Residents are being neglected
Staff member did not treat residents with dignity and respect
Staff member yells at residents
Staff did not ensure to sanitize facility
Facility is malodorous
Night shift staff sleep while on duty
Staff do not respond to residents’ call assistance button

INVESTIGATION FINDINGS:

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On 05/22/24 Licensing Program Analyst (LPA) Mario Leon conducted an initial, unannounced, complaint visit at the above-mentioned facility. LPA was met by Ellen Barrientos, administrator (S1), and the purpose of the visit was explained. S1 and LPA toured the facility.
The investigation consisted of the following:
On 05/22/24 LPA requested and reviewed facility documents and toured the facility. LPA interviewed eight (8) out of seventy (70) residents and four (4) out of twenty-eight (28) staff.
The investigation revealed the following:
Regarding the allegation “Residents are being neglected” It has been alleged that the staff don’t check on the residents, and they are being neglected.
Between 9:00AM and 4:00PM, on 05/22/24, LPA observed numerous caregivers and housekeeping staff constantly browsing the facility grounds and making sure to provide care response to the residents at the above-mentioned facility.
Report continues, see LIC9099C

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Mario Leon	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024

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 4

Control Number 11-AS-20240516085649

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: CORAL OAKS CARE LIVING	FACILITY NUMBER: 198602099
	VISIT DATE: 05/22/2024

NARRATIVE

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Interviews revealed that 4 out of 4 staff and 6 out of 8 residents have denied the allegation, while two residents denied the interview. Record reviews revealed that two out of two caregiver records showed required documentation that included adequate documentation required to conduct the direct care of residents at the above-mentioned facility.
Based on LPA observations, record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
Regarding the allegation “Staff member did not treat residents with dignity and respect” It has been alleged that a staff member mistreats the residents and is rude to them. Between 9:00AM and 4:00PM, on 05/22/24, LPA observed numerous caregivers and housekeeping staff constantly browsing the facility grounds to conduct polite treatment of the residents at the above-mentioned facility.
Interviews revealed that 4 out of 4 staff and 6 out of 8 residents have denied the allegation, while two residents denied the interview. Record reviews revealed that in-service training on "resident rights" was conducted on 01/15/24 and 01/16/24, which included twenty-three (23) staff who had attended the training at the above-mentioned facility.
Based on LPA observations, record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
Regarding the allegation “Staff member yells at residents” It has been alleged that a staff member yells at the residents and rushes them to eat.
Interviews revealed that 4 out of 4 staff and 6 out of 8 residents have denied the allegation, while two residents denied the interview. Record reviews revealed that in-service training on "Recreation, socialization, community resources, social services and activities in the community" was conducted on 04/25/24, which included twenty-one (21) staff who had attended the training at the above-mentioned facility.
Based on LPA's record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

Report Continues, see LIC9099C

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Mario Leon	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20240516085649

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: CORAL OAKS CARE LIVING	FACILITY NUMBER: 198602099
	VISIT DATE: 05/22/2024

NARRATIVE

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Regarding the allegation “Staff did not ensure to sanitize facility” It has been alleged that staff did not ensure to sanitize the above-mentioned facility.
Between 09:15AM and 09:45AM, on 05/22/24, LPA observed one (1) resident attempting to fill their water bottle, which resulted in a spill. Housekeeping staff immediately responded to clean up as the spill was observed as one (1) housekeeper passed by. Between 10:00AM and 12:00PM, on 05/22/24, LPA observed housekeeping conducting a "deep clean" on room #4. Interviews revealed that 4 out of 4 staff and 6 out of 8 residents have denied the allegation, while two (2) residents denied the interview. Record reviews revealed that during the past 2 months "deep cleaning" has been conducted daily, at various sites, throughout the above-mentioned facility.
Based on LPA observations, record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
Regarding the allegation “Facility is malodorous” It has been alleged that the facility smells like urine.
Between 09:00AM and 4:00PM, on 05/22/24, LPA did not detect any malodor upon entering into the facility. LPA did not detect any malodor as LPA and S1 toured the facility. Interviews revealed that 4 out of 4 staff and 5 out of 8 residents have denied the allegation has taken place, while one (1) resident agreed the allegation takes place. Two (2) residents denied the interview. Between 09:15AM and 09:45AM, on 05/22/24, LPA observed one (1) resident attempting to fill their water bottle, which resulted in a spill. Housekeeping immediately responded to clean up, as the spill was observed as one housekeeper passed by. Between 10:00AM and 12:00PM, on 05/22/24, LPA observed housekeeping conducting a "deep clean" on room #4. Record reviews revealed that during the past 2 months "deep cleaning" has been conducted daily, at various sites throughout the above-mentioned facility.
Based on LPA observations, record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
Regarding the allegation “Night shift staff sleep while on duty” It has been alleged that night shift staff members sleep while on duty.

Report continues, see LIC9099C

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Mario Leon	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20240516085649

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: CORAL OAKS CARE LIVING	FACILITY NUMBER: 198602099
	VISIT DATE: 05/22/2024

NARRATIVE

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Interviews revealed that 4 out of 4 staff and 6 out of 8 residents have denied the allegation, while two (2) residents denied the interview. Record reviews revealed that three out of three NOC caregivers records showed required documentation that shows adequate documentation required to conduct the direct care of residents at the above-mentioned facility during NOC shift.
Based on LPA's record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
Regarding the allegation “Staff do not respond to residents’ call assistance button” It has been alleged that that night shift staff members do not assist the residents and that residents call for staff assistance via the call button, but no one responds to them.
Between 3:30PM and 3:45PM, on 05/22/24, LPA tested call lights in three (3) rooms and observed all responses within one (1) minute response time. Interviews revealed that 4 out of 4 staff and 6 out of 8 residents have denied the allegation, which justifies LPA's previous observation. Two (2) residents denied the interview.
Based on LPA observations and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

There have been no deficiencies cited today.

An exit interview and a copy of this report has been provided to Ellen Barrientos, Administrator (S1).

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Mario Leon	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024

LIC9099 (FAS) - (06/04)

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