306004456-8-2-2022-28-AS-MVAO-CH6T7Y-20220810142930

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004456
Report Date: 08/02/2022
Date Signed: 08/02/2022 11:43:31 AM

Unsubstantiated

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
05/18/2020 and conducted by Evaluator Elizabeth Ceniceros

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20200518112916

FACILITY NAME:	VILLA LUREN		FACILITY NUMBER:	306004456
ADMINISTRATOR:	BRIAN BUENVIAJE		FACILITY TYPE:	735
ADDRESS:	13749 E. CREWE STREET		TELEPHONE:	(562) 941-3813
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90605
CAPACITY:	62	CENSUS:	DATE:	08/02/2022
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Administrator Brian Buenviaje		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee is not arranging for medical care appropriate to a resident's condition.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA)/Retired Annuitant (LPA/RA Elizabeth Ceniceros] made an unannounced visit to the facility and was greeted by Administrator (A1: Brian Buenviaje). LPA/RA confirmed with A1 - prior to entering the facility - a risk assessment. A1 informed LPA/RA that the facility has no COVID cases at this time nor do any of the clients or staff have symptoms. The purpose of this visit is to deliver the findings pertaining to the above-mentioned allegations. An initial 10-Day virtual visit was conducted by LPA Renee Arterberry on 05/26/20 (via telephone) with Administrator Buenviaje due to the situation surrounding the Coronavirus Disease 2019 (COVID-19); and, to implement mitigation measures. During the virtual conference call with Administrator Buenviaje, LPA Arterberry conducted an interview; and, A1 was to provide supporting documents (physician's report, appraisals, needs and services plan, and hospital discharge paperwork) to serve as proof that Resident #1's medical conditions were being addressed by health care professionals.

(Cont on LIC 812C)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Araceli Ramirez
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Ceniceros
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022

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-20200518112916

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: VILLA LUREN	FACILITY NUMBER: 306004456
	VISIT DATE: 08/02/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Regarding Allegation #1: this investigation revealed that a friend of Client #2 (C2) had been coming to the facility to visit C2 and befriend Client #1 (C1) and began advocating for the client by attempting to inquire with facility staff on Resident #1's medical condition. Due to HIPPA law, Administrator advised C2's friend that if there were any issues or concerns to address them directly to the Administrator or Asst. Administrator (A2: Joel Alonzo). The facility has two (2) "on-call physicians" that visit the facility frequently to address clients' medical needs. C1 has been a participant of a full-service partnership clinic (effective 12/13/16) that's linked to Client #1's medical care; whereby, C1's medical condition is addressed on an as needed basis. LPA/RA reviewed R1's resident file and observed that the resident had been receiving medical care appropriate to the resident's medical condition from Whittier Hospital Medical Center (dated 01/03/20), So Cal Hospital at Hollywood (dated 01/05/20), St. Francis Hospital discharge paperwork (dated 01/24/20), So Cal Hospital at Hollywood (dated 01/27/20), Norwalk Community Hospital (dated 01/31/20), Los Angeles Community Hospital at Bellflower (dated 02/21/20), Norwalk Community Hospital (dated 02/25/20), Exodus Urgent Care Center (dated 03/23/20), Los Angeles Community Hospital at Bellflower (dated 03/31/20), Los Angeles Downtown Medical Center (dated 04/17/20).

Based on the evidence gathered and interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of NEGLECT/LACK OF CARE: Licensee is not arranging for medical care appropriate to a resident's condition is found to be UNSUBSTANTIATED.

An exit interview was conducted and a copy of the Complaint Report has been provided to Administrator (Brian Buenviaje).

NAME OF LICENSING PROGRAM MANAGER: Araceli Ramirez
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Ceniceros
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 2