306004415-9-7-2022-22-AS-AORZ-CMDUAR-20221223142511

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004415
Report Date: 09/07/2022
Date Signed: 09/07/2022 01:07:37 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/06/2022 and conducted by Evaluator Rosie Quiroz

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220906160601

FACILITY NAME:	SEASIDE TERRACE RETIREMENT COMMUNITY		FACILITY NUMBER:	306004415
ADMINISTRATOR:	KAROLINA FIL		FACILITY TYPE:	740
ADDRESS:	9925 LA ALAMEDA AVENUE		TELEPHONE:	(714) 962-5531
CITY:	FOUNTAIN VALLEY	STATE: CA	ZIP CODE:	92708
CAPACITY:	250	CENSUS: 141	DATE:	09/07/2022
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Denise Gilroy, Marketing Director, Ephantus Warui, Administrator		TIME COMPLETED:	01:21 PM

ALLEGATION(S):

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-Facility is not maintaining comfortable room temperature for residents.

INVESTIGATION FINDINGS:

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On today's date, Licensing Program Analyst (LPA) Rosie Quiroz was greeted, COVID-19 screened by Front Desk Receptionist and granted entry intro the facility. LPA Quiroz met with Marketing Director Denise Gilroy and Administrator Ephantus Warui, and discussed the purpose of today's visit to address the allegation listed above.
During today's visit, LPA Quiroz conducted interviews with interviewees and along wtih Administrator Ephantus Warui conducted facility inspection tour of interior and exterior of facility premises. During the course of the investigation the following was reviewed: Portable air conditioning purchase receipts and resident roster.
During today's vist, LPA Quiroz along with Marketing Director Denise Gilroy and Administrator Ephantus Warui toured the following: 1st floor including dining-room, TV room, Activity room, front lobby, and all main hallways, second floor TV Room, second floor Activity Room, All hallways on second floor,and the following room numbers: 115, 116, 124, 203, 205, 206, 225, 229, 245, 247 and 249.

CONTINUED NEXT PAGE...

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Rosie Quiroz	TELEPHONE: (559) 753-4610
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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 22-AS-20220906160601

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: SEASIDE TERRACE RETIREMENT COMMUNITY	FACILITY NUMBER: 306004415
	VISIT DATE: 09/07/2022

NARRATIVE

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On today's date, LPA Quiroz interviewed eleven interviewees. Eleven of eleven interviewees indicated "Facility has purchased portable air conditioners and began to install them yesterday and this morning." Administrator Ephantus Warui indicated "We have also purchased black out curtains and maintenance has been installing them also, and will continue to install them where sun hits directly." During today's inspection tour visit, LPA Quiroz observed maintenance Director installing new portable air conditioners throughout the facility.

During today's facility inspection tour, the first floor indoor facility temperature was recorded to be between 75 degrees to 81 degrees fahrenheit. The second floor inspected areas were recorded to be between 72 degrees to 82 degrees fahrenheit. The outdoor temperature on today's date in city of Fountain Valley, Ca is recorded to be 100 degrees Fahrenheit.

Based on the evidence gathered from interviews, purchase receipts for portable air conditioners and today's facility inspection observations, the allegation of "Facility is not maintaining comfortable room temperature for residents," is deemed Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis; Therefore complaint is dismissed.

An exit interview was conducted with Administrator Ephantus Warui, and a copy of this report along with LIC 811- Confidential Names list was provided to Administrator Warui at exit.

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Rosie Quiroz	TELEPHONE: (559) 753-4610
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

LIC9099 (FAS) - (06/04)

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