198603242-3-29-2024-28-AS-RORN-D3ZPGX-20240404111904

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603242
Report Date: 03/29/2024
Date Signed: 03/29/2024 02:55:53 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
03/22/2024 and conducted by Evaluator Luis Mora

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240322173338

FACILITY NAME:	EUROPEAN CHRISTIAN HOME		FACILITY NUMBER:	198603242
ADMINISTRATOR:	TRICE, THOMAS		FACILITY TYPE:	740
ADDRESS:	9249 DALBERG STREET		TELEPHONE:	(562) 397-2591
CITY:	BELLFLOWER	STATE: CA	ZIP CODE:	90706
CAPACITY:	6	CENSUS: 6	DATE:	03/29/2024
		UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Lisa Trice - Secondary Administrator		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

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Staff do not give resident medication as prescribed.
Staff do not rotate resident as needed.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Luis Mora conducted an unannounced initial complaint visit to determine the validity of the above-mentioned allegations. LPA met with Lisa Trice (Secondary Administrator) and explained the reason for the visit.

The investigation consisted of the following: LPA Mora obtained copies of the resident and staff rosters, interviewed Administrator, Staff 1 - Staff 3 (S1 - S3) and Resident 2 - Resident 7 (R2 - R7), and reviewed medication and rotation log for all residents. R1 moved out on December 9th, 2023.

The investigation revealed the following: regarding the allegations "staff do not give resident medication as prescribed", it is alleged that facility did not administer R1's medication as needed. Administrator and staff denied the allegation and stated that medication is given as prescribed for all residents. Residents interviewed could not corroborate the allegation. LPA reviewed medication for R2 - R7 for the month of March 2024 and observed that medication is given as prescribed. (Continued to LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Luis Mora	TELEPHONE: 323-981-3964
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2024

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-20240322173338

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: EUROPEAN CHRISTIAN HOME	FACILITY NUMBER: 198603242
	VISIT DATE: 03/29/2024

NARRATIVE

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Regarding the allegations "staff do not rotate resident as needed", it is alleged that R1 is bed bound and not being rotated every 2 hours. Administrator and staff denied the allegation and stated that R1 was not bed bound and spent most the time on a wheelchair in the living room and when R1 was on the bed they provided rotation every 2 hours. Review of R1's physician report dated 04/21/2023 shows that R1 was not bedridden instead R1 was non-ambulatory. LPA observed 4 out of the 6 residents in wheelchairs in the living room. The other 2 residents were in bed and stated that staff do come and rotate them. All residents interviewed could not corroborate the allegation.

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 the report was provided

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Luis Mora	TELEPHONE: 323-981-3964
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2024

LIC9099 (FAS) - (06/04)

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