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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004456
Report Date: 11/21/2024
Date Signed: 11/21/2024 11:59:18 AM

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
11/14/2024 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20241114162831
FACILITY NAME:VILLA LURENFACILITY NUMBER:
306004456
ADMINISTRATOR:BRIAN BUENVIAJEFACILITY TYPE:
735
ADDRESS:13749 E. CREWE STREETTELEPHONE:
(562) 941-3813
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY:62CENSUS: 53DATE:
11/21/2024
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Gloria Gibson and Brian BuenviajeTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff do not provide adequate food service.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted an initial visit to investigate the above allegation. LPA met with Gloria Gibson/S-1 and Brian Buenviaje/S-2 and discussed the purpose of today's visit.

During this visit, LPAs obtained the staff and client rosters and copies of the menu (week 1 to week 4). LPAs also interviewed Staff #1 (S-1) through Staff #4 (S-4), interviewed Client #1 (C-1) through Client #5 (C-5) and conducted a tour of the kitchen.

Refer to LIC 9099C for the continuation of this report.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
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 2
Control Number 28-AS-20241114162831
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: VILLA LUREN
FACILITY NUMBER: 306004456
VISIT DATE: 11/21/2024
NARRATIVE
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Allegation: Staff do not provide adequate food service. It has been alleged that this facility provides repeated food services. Staff interviews revealed that kitchen staff follow a menu (week 1 to week 4) which reflects on array of meals. Interviewed staff indicated that the meals are not repeated consecutively. Per staff interviews, all meals are announced to clients throughout the facility via a speaker announcement system. Interviewed staff indicated that the meal for the day is posted in front of the kitchen for clients. Staff interviews revealed that food substitutions are also provided for clients that wish to each something different from the menu. Interviewed staff indicated that kitchen staff prepare fresh soups and do not use left over food to make the soup for the next day. Interviewed staff indicated they have not received any concerns/complaints of clients losing weight due to meals provided at this facility. Staff interviews revealed that a plate of food is put aside for clients that are out in the community during mealtimes. Interviewed staff indicated that clients are not denied of food. Interviewed staff indicated that all staff (including kitchen staff) are respectful and have not received any complaints in regards to the food nor clients having stomachaches due to the facility food. Client interviews revealed that the meals are not repeated consecutively. Client interviews revealed that all meals are announced to clients throughout the facility via a speaker announcement system. Interviewed clients indicated that the meal for the day is posted in front of the kitchen. Interviewed clients also indicated that the kitchen staff provide them with food substitutions upon request. Client interviews revealed that soups are prepared fresh and not prepared with left over food. Interviewed clients have not heard anyone complaining about clients losing weight due to meals provided at this facility. Client interviews revealed that a plate of food is put aside for them when they are out in the community during mealtimes. Interviewed clients indicated that they are not denied of food. Interviewed clients indicated that all staff (including kitchen staff) are respectful. Interviewed clients indicated they have not heard any complaints in regards to the food nor clients having stomachaches due to the facility food. Interviews, documentation, and tour do not corroborate this allegation.

Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.



Exit interview conducted, a copy of the Appeal Rights and this report was provided to Gloria Gibson.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2