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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603504
Report Date: 08/03/2023
Date Signed: 08/03/2023 03:30:37 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
07/27/2023 and conducted by Evaluator Alma Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20230727152607
FACILITY NAME:LA POSADAFACILITY NUMBER:
198603504
ADMINISTRATOR:DIANA BAUTISTAFACILITY TYPE:
740
ADDRESS:8120 PAINTER AVETELEPHONE:
(562) 945-2651
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY:114CENSUS: 89DATE:
08/03/2023
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Diana BautistaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Licensee does not ensure the facility is free from pests.
Staff do not ensure resident rooms are cleaned adequately.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced complaint visit to gather information pertaining to the above-mentioned allegations. LPA met with Administrator Diana Bautista and explained the reason for the visit.

The investigation consisted of: LPA conducted interviews with Administrator Diana Bautista, Staff 1-3 (S1-3) and Resident 1-9 (R1-9). LPA collected copies of Staff and Resident Rosters and Pacific Shore Pest Control service receipts for May - July 2023. LPA also conducted a tour of facility which included observations of all 3 floors on the assisted living side and 1 floor on the memory care unit. LPA toured the facility with Administrator Diana Bautista. A total of 10 resident bedrooms were inspected.


(See LIC9099C for continuation)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Wei Siew HoTELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Alma GonzalezTELEPHONE: (323) 981-3973
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
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-20230727152607
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: LA POSADA
FACILITY NUMBER: 198603504
VISIT DATE: 08/03/2023
NARRATIVE
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Investigation revealed the following: Regarding allegation, Licensee does not ensure the facility is free from pests, it is alleged that the memory care unit has had an outbreak of bed bugs in the last weeks of July 2023. Staff moved some mattresses outside but residents are allegedly still being bitten by bed bugs. It is alleged that room #114 was infested with roaches so the residents were moved to room #201 and now room #201 also has roaches. Roaches are also present in other areas of the building. Interview with Administrator Bautista and facility staff revealed that the facility ensures that the facility is free from pests. They stated that pest control treats the facility monthly to ensure that the facility is free from pests. Staff deny that there was an outbreak of bed bugs or that any facility resident was bitten by bed bugs. Staff indicated there are no issues with roaches or bed bugs at this time. Facility has a contract with Pacific Shore Pest Control which treats the facility once a month. LPA reviewed pest control company invoices for the May - July 2023 and observed that the facility is treated for different pests including roaches, bed bugs, mice spiders and other pests. 7 out of 9 residents interviewed indicated they have not seen any roaches or bed bugs in the facility. LPA did not observe any roaches or bugs in the facility. Based on interviews conducted with facility staff, facility residents, and LPA observations there was not enough supportive evidence to concur with the reported allegation.

For allegation, Staff do not ensure resident rooms are cleaned adequately, it is alleged that rooms #114, #216, #326, and #320 are all in hoarder conditions and the rooms rooms are full of trash, old food, boxes, and items that clutter the rooms, making it difficult for the residents in those rooms to move around. Staff stated housekeepers deep clean the residents rooms once a week, and caregivers additionally clean the rooms if needed. The trash is taken out everyday by caregivers or housekeepers. Staff stated that there several independent residents that do not want staff to clean their room, but staff clean the room when the residents are not inside. Staff stated that there is one resident that they have to constantly work with as they do like keeping a lot of items such as boxes and old food. Staff stated that they go into that resident's room when they are not their and clean the room to ensure that the resident is safe and can move around. 9 out of 9 residents interviewed indicated staff clean often and do a good job of cleaning their rooms and staff clean their rooms as required. LPA inspected 10 resident bedrooms which included rooms #114, #216, #326, and #320 and observed all rooms to be clean at the time of the visit. Resident which resides in room #216 stated to LPA that they did not want LPA to inspect the room but LPA was able to observe that the resident does have a lot of belongings. Administrator stated that they are working closely with this resident to ensure that the room is kept clean and that the resident discards of items such as boxes from deliveries once the resident opens them to keep the room tidy and not cluttered with empty boxes. Based on interviews conducted with facility staff, facility residents, and LPA observations there was not enough supportive evidence to concur with the reported 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. A copy of the report was provided to Administrator Diana Baustista.
SUPERVISOR'S NAME: Wei Siew HoTELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Alma GonzalezTELEPHONE: (323) 981-3973
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
LIC9099 (FAS) - (06/04)
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