198603162-8-26-2022-28-AS-RORN-CJFVGZ-20220920162623

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603162
Report Date: 08/25/2022
Date Signed: 08/26/2022 08:04:37 AM

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
08/17/2022 and conducted by Evaluator Jose Villalobos

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220817091233

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: 50	DATE:	08/25/2022
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Administrator Pamela Junge		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Resident’s bathroom is not wheelchair accessible.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced complaint visit for the allegation listed above. LPA met with Administrator 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, interviewed staff #1-#6 (S1-S6), interviewed resident #1-#6 (R1-R6), collected documents from R1's file. LPA also toured the physical plant and rooms #103 #110 #123 #202 and #227.

The investigation revealed the following: regarding the allegation "Resident’s bathroom is not wheelchair accessible.", it was alleged that R1 is not able to wash their hands because their wheelchair does not fit into the bathroom. (6) of (6) staff interviewed denied the allegation. (5) of (6) residents interviewed could not corroborate the allegation. LPA observed the rooms of the facility that had residents who use wheelchairs. LPA observed R2, R3, and R4 able to fit into the bathrooms attached to their rooms while using their wheelchairs.

Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981- 3981
LICENSING EVALUATOR NAME: Jose Villalobos	TELEPHONE: (323) 980-4939
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022

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-20220817091233

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: 08/25/2022

NARRATIVE

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R1 was unable to fit their wheelchair into their bathroom as the wheelchair is a larger size but did not have issues with entering their room or any other rooms of the facility. R1 is able to ambulate onto a walker to get inside the bathroom. Interviews show that staff accommodate R1 with their personal needs when R1 does not want to go into the bathroom. Interviews also show that R1 is able to access a sink to wash their hands in the med room as an accommodation when needed. 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: Fernando Fierros	TELEPHONE: (323) 981- 3981
LICENSING EVALUATOR NAME: Jose Villalobos	TELEPHONE: (323) 980-4939
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022

LIC9099 (FAS) - (06/04)

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