198603162-9-1-2022-28-AS-MVAO-CJGR8F-20220921124753

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603162
Report Date: 09/01/2022
Date Signed: 09/01/2022 04:06:55 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
08/23/2022 and conducted by Evaluator Angelica Rea

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220823150735

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:	09/01/2022
		UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Pamela Junge, Executive Director		TIME COMPLETED:	04:25 PM

ALLEGATION(S):

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Facility is unkept
Resident not receiving beverages
Staff neglect resulting in resident assaulting other residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angelica Rea conducted a visit in response to the above allegations. On today's visit, LPA met with Executive Director, Pamela Junge who assisted with today's visit.

Regarding the allegation that the facility is unkept. The investigation consisted of: tour of facility, including several resident rooms, interviews with Executive Director, Staff #1, Staff #2, and Resident #1- Resident #5. LPA did not observe that the facility was unkept during today's visit. Staff interviewed stated that the facility is cleaned on a daily basis, and resident room(s) are cleaned once per week and as needed. Residents interviewed were unable to corroborate the allegation. 4 out of 5 residents stated that the facility is not unkept. Regarding the allegation that Resident #1 is not receiving beverages, the investigation consisted of interviews with Executive Director, Staff #1, Staff #2, and Resident #1- Resident #5. Staff interviewed stated that residents are served beverages as they come into the dining room. Staff interviewed stated that they serve all the residents beverages, and they do not intentionally leave any residents out. Residents interviewed were unable to corroborate the allegation. 4 out of 5 residents stated that they receive beverages and they have not observed any resident(s) not receive beverages.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

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-20220823150735

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: 09/01/2022

NARRATIVE

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Regarding the allegation that staff neglect is resulting in resident assaulting other residents, the investigation consisted of interviews with Executive Director, Staff #1, Staff #2, and Resident #1- Resident #5. Staff interviewed stated that they have not observed any resident(s) assaulting other residents. Staff stated there was a report of a resident altercation in July 2022, and the required parties were notified. However, there were no witnesses to the incident. Residents interviewed were unable to corroborate the allegation. They stated that they have not witnessed any resident(s) assaulting other resident(s). Residents stated that they have observed that some residents do not get along with each other, and they have observed verbal altercations between residents. However, they have not witnessed physical altercations between residents. 4 out of 5 residents stated that they have not observed resident(s) assaulting other resident(s).

Based on LPA's observations and interviews, investigation revealed: 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.

No Deficiencies cited under California Code of Regulations Title 22. Exit interview conducted, and a copy of report was provided to Executive Director, Pamela Junge.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

LIC9099 (FAS) - (06/04)

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