198603162-7-27-2022-28-AS-WSHO-CGWVG7-20220802162503

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603162
Report Date: 07/27/2022
Date Signed: 07/27/2022 03:12:59 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
07/18/2022 and conducted by Evaluator Luis Mora

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220718081108

FACILITY NAME:	WHITTIER GLEN ASSISTED LIVING		FACILITY NUMBER:	198603162
ADMINISTRATOR:	ATEAIAN, KIMIA		FACILITY TYPE:	740
ADDRESS:	10615 JORDAN RD		TELEPHONE:	(562) 943-3724
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90603
CAPACITY:	93	CENSUS: 52	DATE:	07/27/2022
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Pamela Junge - Executive Director		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility staff is interfering with residents ability to shower

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Luis Mora conducted an unannounced complaint visit to determine the validity of the above-mentioned allegation. LPA met with Executive Director Pamela Junge and explained the reason for the visit.

The investigation consisted of the following: LPA obtained a copy of the residents and staff rosters, copy of R1’s admission agreement, conducted a tour of room 106, 127 and 202, and interviewed the Administrator and Resident 1 – Resident 2 (R1 – R2).

The investigation revealed the following: regarding the allegation "facility staff is interfering with resident’s ability to shower.", it is alleged that R1’s shower grab bar in room 106 is too high. R1 has been using the shower in room 127 because the grab bar is lower than the grab bar in room 106. R1 has requested to move from room 106 to room 127, but has been denied due to the room not being ready for residents to move in.
(CONTINUED TO LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stefanie Coronel	TELEPHONE: (323) 981-3961
LICENSING EVALUATOR NAME: Luis Mora	TELEPHONE: 323-981-3964
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022

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-20220718081108

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: WHITTIER GLEN ASSISTED LIVING	FACILITY NUMBER: 198603162
	VISIT DATE: 07/27/2022

NARRATIVE

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Interviews conducted with staff revealed that as of last week they offered the resident to move to room 202 because that room is ready, and the shower has the grab bar similar to the shower in room 127. Staff also stated that they have not interfere with R1’s ability to shower because they have allowed R1 to use the shower in room 127 while they found a more permanent solution. R1 has not taken action in moving to room 202 as of today. Interview conducted with R1 revealed that R1 is still being allowed to use the shower in room 127 and has not moved to room 202 due to a fee of $500 and grab bar in the shower of room 202 appears to be loose. The $500 fee to move to another room is mentioned in R1’s admission agreement which was signed on 03/23/2022. However, the Executive Director stated that R1 has moved rooms twice before and that fee was waived and they told R1 that the fee was going to be waived again, but they asked R1 to find people to assist in moving to room 202. Interview conducted with R2 who is R1s roommate, revealed that the grab bar on the side of the shower is a bit high, but there is another grab bar in front of the shower that is lower and also there is a shower seat with grab bars in their shower that they can both use for more support. Both R1 and R2 are in a wheel chair.

LPA toured room 106, 127, and 202 and observed the following: the shower in room 106 has the side gab bar install a bit high in a horizontal way due to the design of the shower, but there is another grab bar in lower vertical position install in the front of the shower. There is also a shower seat with grab bars inside the shower for more support. LPA confirm that room 127 is not ready for residents to move in. The carpet needs to be replaced. Room 202 is ready and the shower grab bar is similar to the grab bar in room 127 shower. LPA confirmed that the grab bar in room 202 is a bit loose, but not significantly. However, during the visit staff started working on tightening the grab bar.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation are unsubstantiated.

Exit interview held and a copy of the report was provided.

SUPERVISOR'S NAME: Stefanie Coronel	TELEPHONE: (323) 981-3961
LICENSING EVALUATOR NAME: Luis Mora	TELEPHONE: 323-981-3964
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022

LIC9099 (FAS) - (06/04)

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