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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603504
Report Date: 07/25/2024
Date Signed: 07/25/2024 02:32:13 PM

Substantiated


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
06/26/2024 and conducted by Evaluator Noemi Galarza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240626134937
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: 83DATE:
07/25/2024
UNANNOUNCEDTIME BEGAN:
09:56 AM
MET WITH:Diana Bautista, AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff does not ensure care needs of resident are being met.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Galarza conducted a subsequent complaint visit to investigate and deliver findings on the above allegation. The purpose of the visit was discussed with Administrator Diana Bautista.

The investigation consisted of: On 7/2/24, LPA toured the facility, collected resident (R1's) file documents and interviewed staff (S1- S3) were interviewed. Resident (R1) was not at the facility at the time of the visit. On 7/16/2024, medical providers were interviewed, and on 7/22/2024, resident (R1) was interviewed telephonically. During today's visit, record review was completed and staff (S4- S5) were interviewed.

***Narrative continues next page.
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 28-AS-20240626134937
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: LA POSADA
FACILITY NUMBER: 198603504
VISIT DATE: 07/25/2024
NARRATIVE
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Allegation: Staff does not ensure care needs of resident are being met. It is alleged that resident (R1) has missed multiple dialysis clinic appointments as a result of transportation issues. According to information obtained, on dates June 6, 2024, June 18, 2024, June 20, 2024, June 22, 2024, and July 4, 2024 the resident was not dialyzed at Davita Dialysis clinic. Resident (R1) was interviewed and they stated that they require dialysis treatment three times a week, and is transported to the appointments via Access transportation services. The resident stated that in the recent month three (3) appointments have been missed. A total of five (5) staff were interviewed, of which all confirmed the resident has missed several dialysis appointments due to transportation issues with Access transport services.

On Thursday, June 6, 2024, the resident was waiting outside in the patio area for Access van, and the van drove off without picking up the resident. Staff noticed the resident had not been picked up. Staff (S3) notified Access transportation and R1's family. Staff were on hold for 1 hour with Access, and they were told that pick-up appointments require 24 hour advance scheduling. Therefore, would not be able to transport the resident that day. Family was not able to make alternate arrangements for transport. Medical providers were interviewed, it was confirmed that resident (R1) missed dialysis appointments on June 6, 2024 and July 4, 2024. The facility has a transportation van parked in the parking lot, but does not provide transportation services to residents because they do not have an assigned driver. Per admission agreement, the facility is to "make available to residents, or otherwise assure the provision of, scheduled transportation to the nearest facilities for medical and dental appointments...." Therefore, there is sufficient evidence to corroborate the allegation.

Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiency is being cited according to Title 22. See LIC 9099D.

Exit interview was conducted with Administrator Diana Bautista. A copy of the report and appeal rights were provided.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20240626134937
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: LA POSADA
FACILITY NUMBER: 198603504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/01/2024
Section Cited
CCR
87464(f)(6)
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Basic Services. Basic services shall at a minimum include: Arrangements to meet health needs, including arranging transportation, as specified in Section 87465, Incidental Medical and Dental Care Services. This requirement was not met evidenced by:
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Licensee shall ensure the admission agreement is adhered to, makes available transportation to medical appointments, and a contigency plan is in place when 3rd party transportation services do not pick-up residents.
Submit written POC and staff training.
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Based on interviews conducted and record review, the findings indicate that resident (R1) missed dialysis appointments on June 6, 2024 & July 4, 2024, because the facility did not ensure the resident was transported to appointments via Access transport, and/or facility van, or other alternate arrangement. This poses an immediate health and safety risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3