198603162-3-27-2025-28-AS-RORN-DFTLR8-20250417085841

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603162
Report Date: 03/27/2025
Date Signed: 03/27/2025 01:27:48 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
03/21/2025 and conducted by Evaluator Erik Zaragoza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250321105924

FACILITY NAME:	WHITTIER GLEN ASSISTED LIVING		FACILITY NUMBER:	198603162
ADMINISTRATOR:	BARBA AGUIRRE, ITZAYANA		FACILITY TYPE:	740
ADDRESS:	10615 JORDAN RD		TELEPHONE:	(562) 943-3724
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90603
CAPACITY:	93	CENSUS: 73	DATE:	03/27/2025
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Kathleen McDonald - Wellness Director		TIME COMPLETED:	01:42 PM

ALLEGATION(S):

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Staff did not meet resident's needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced complaint visit to investigate the allegation listed above. LPA met with Kathleen McDonald and Itzayana Barba, Wellness Director and Executive Director for the facility, and explained the purpose of the visit.

The investigation consisted of the following: During today's visit, LPA interviewed Residents #1 - 7 (R1 - R7), Staff #1 - 4 (S1 - S4), toured six (6) resident bedrooms, obtained a copy of the Staff and Resident Rosters, a copy of the facility sketch, along with copies of the Physician's Report, Pre-Placement Appraisal, and Move In Record for R1.

The investigation revealed the following: In regards to the allegation that "Staff did not meet resident's needs," it is alleged that residents needs are not being met becauuse they have significant diffculty entering the restroom in their bedroom because the door is too narrow and does not accomodate their wheelchair, and that staff are not available to assist them when they do need help using the restroom.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Erik Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

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-20250321105924

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: WHITTIER GLEN ASSISTED LIVING	FACILITY NUMBER: 198603162
	VISIT DATE: 03/27/2025

NARRATIVE

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During interviews with the residents, five (5) out of seven (7) interviewed did not corroborate the allegation. One of the residents stated that they had no issues passing in and out of their restrooms with their wheelchair. Another resident stated that the doorway to their restroom is an appropriate size and is not too narrow. During interviews with staff, none of them corroborated the allegation. One staff interviewed stated that the doorframe of the resident restrooms can be a tight fit when using a wheelchair, however all residents are able to pass into the restroom using a wheelchair. Another staff member interviewed that all residents can pass through their doorframe to enter their restrooms when using a wheelchair, and that all residents are able to request assistance entering their bathroom from caregivers by using their call pendant if they do require assistance, and that caregivers do not refuse assistance. During tours of the resident rooms, LPA observed that although some wheelchairs narrowly fit through the restroom doors in the resident bedrooms, the wheelchairs were ultimately able to pass into the restroom so that residents are able to use them.

Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegations. 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.

Exit interview held, and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Erik Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

LIC9099 (FAS) - (06/04)

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