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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603504
Report Date: 04/08/2025
Date Signed: 04/08/2025 01:22:11 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
04/04/2025 and conducted by Evaluator Noemi Galarza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250404073117
FACILITY NAME:LA POSADAFACILITY NUMBER:
198603504
ADMINISTRATOR:BEATRIZ ROMEO-LUIFACILITY TYPE:
740
ADDRESS:8120 PAINTER AVETELEPHONE:
(562) 945-2651
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY:114CENSUS: 72DATE:
04/08/2025
UNANNOUNCEDTIME BEGAN:
08:54 AM
MET WITH:Beatriz Romeo-LuiTIME COMPLETED:
01:25 PM
ALLEGATION(S):
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Staff are prohibiting resident from having visitors.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Galarza conducted an initial 10-day complaint investigation visit regarding the above allegation. LPA discussed the purpose of the visit with Business Office Manager. Executive Director Beatriz Romeo-Lui arrived later.

The investigation consisted of: A physical plant tour of the interior common areas was conducted. Residents (R2-R8), and staff (S1-S4) were interviewed. Resident (R1) was not interviewed. The resident died on April 6, 2025. Former staff (S5) was interviewed and their file was reviewed. Copies of Employee Handbook, Residence and Care Agreement, Employee Termination Form, LIC 500 Personnel Report, and resident roster were reviewed/obtained.


Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025
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-20250404073117
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: 04/08/2025
NARRATIVE
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Allegation: Staff are prohibiting resident from having visitors. It is alleged that on April 3, 2025 facility staff did not allow a former staff (S5) to visit resident (R1). According to information obtained, the resident's family notified the former staff that resident was "transitioning" i.e., nearing the end of their life and invited the former staff to visit R1. The complaint alleges Executive Director and Administration staff prohibited former staff (S5) from visiting R1 by stating that per Admission Agreement and Human Resource policy no former staff are allowed to visit residents because it is a conflict of interest. Resident (R1) passed away on April 6, 2025; therefore was not interviewed. A total of seven (7) residents were interviewed, of which two (2) stated that former staff were previously allowed to visit residents, but are no longer being allowed. One resident (1) stated they now have to go outside the facility to talk to former staff. Another resident stated that a former staff came to visit the resident, but was not allowed. Four (4) out of seven (7) staff stated they believe former staff should be allowed to visit them. Employee Handbook [April 18, 2023] page 40, "Visitors in the Workplace" states 'To provide for the safety and security of our residents, employees, and the general facility, only authorized visitors are allowed in the workplace. The Residence and Care Agreement, page 14, states "All visitors must register at the front desk when entering La Posada. We reserve the right to remove or deny entry to La Posada to any visitor whom we determine is disruptive or dangerous." Based on record review, the Plan of Operation, Employee Handbook, Residence Care Agreement do not explicitly state that a former employee is not allowed to visit. Therefore, there is evidence to corroborate the allegation.

Based on interviews conducted and record review, 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 Executive Director Beatriz Lui. 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: 04/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20250404073117
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: 04/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/22/2025
Section Cited
CCR
87468.1(a)(11)
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Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon.
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Executive Director agreed to submit a written plan of correction that addresses policy regarding former employee visits after separation from employer and proof of staff training. If changes to the Employee Handbook and Residence and Care Agreement will be made, submit updated forms for approval.
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Based on record review, the findings indicate that resident (R1) was prohibited visits from former staff (S5). R1's family invited former staff to the facility when R1's was close to dying. This posed a potential health, safety, and personal rights risk to the resident 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: 04/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3