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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603162
Report Date: 08/04/2022
Date Signed: 08/04/2022 03:55:58 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
03/29/2022 and conducted by Evaluator Alberto Lopez
COMPLAINT CONTROL NUMBER: 28-AS-20220329125652
FACILITY NAME:WHITTIER GLEN ASSISTED LIVINGFACILITY NUMBER:
198603162
ADMINISTRATOR:ATEAIAN, KIMIAFACILITY TYPE:
740
ADDRESS:10615 JORDAN RDTELEPHONE:
(562) 943-3724
CITY:WHITTIERSTATE: CAZIP CODE:
90603
CAPACITY:93CENSUS: 52DATE:
08/04/2022
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Executive Director Pamela Junge TIME COMPLETED:
03:59 PM
ALLEGATION(S):
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Staff are over medicating residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alberto Lopez made unannounced subsequent visit. LPA met Pamela Junge, Executive director and explained the reason of the visit. Initial visit was on competed by LPA Wong on 04/05/2022

Allegation: "Staff are over medicating residents." The investigation consisted of the following: On today's date, LPA Lopez obtained resident and staff roster, reviewed Resident# 1-2 File and obtained copy of their face sheet, physician report and Medication Administration Record (MARs) for March 2022 and other documentation that assisted in the investigation. LPA reviewed 7 resident’s medications and they were all accurate and accounted for.

LPA interviewed four (4) (R1-R4) residents, and all reported that staff always give them correct medication and dosage and on the right time. All four residents stated that staff never messed up their medication. They also stated that they do not know of residents ever been over medicated in the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Stefanie CoronelTELEPHONE: (323) 981-3961
LICENSING EVALUATOR NAME: Alberto LopezTELEPHONE: 323-980-4926
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
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 2
Control Number 28-AS-20220329125652
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: 08/04/2022
NARRATIVE
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LPA interviewed four (4) Staff (S1-S4) (all MedTech) and all four staff reported they always follow doctor's order for resident medication, they would only give resident medication which doctor prescribed or approved and its never happened for a resident in the facility to get over medicated and all four denied the allegations. All four staff stated that medications are counted at the beginning of the shift and at the end of the shift to account for all medications. LPA also interviewed 2 relatives and Hospice Nurse (W1-W3) and none collaborated the allegations.

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 allegations are unsubstantiated.

An exit interview was conducted with Executive Director Pamela Junge. A hard copy of the report was provided

SUPERVISOR'S NAME: Stefanie CoronelTELEPHONE: (323) 981-3961
LICENSING EVALUATOR NAME: Alberto LopezTELEPHONE: 323-980-4926
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2