306004795-6-6-2024-22-AS-AORZ-D67VFY-20240613162445

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004795
Report Date: 06/06/2024
Date Signed: 06/06/2024 03:19:11 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
02/20/2024 and conducted by Evaluator Rosie Quiroz

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240220090108

FACILITY NAME:	WESTMINSTER VILLA		FACILITY NUMBER:	306004795
ADMINISTRATOR:	PATTY OSUNA		FACILITY TYPE:	740
ADDRESS:	13881 DAWSON STREET		TELEPHONE:	(714) 534-7880
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92843
CAPACITY:	200	CENSUS: 116	DATE:	06/06/2024
		UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Patty Osuna, Administrator and Alexis Jones, Administrative Assistant		TIME COMPLETED:	03:18 PM

ALLEGATION(S):

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-Staff did not safeguard resident's personal belongings

INVESTIGATION FINDINGS:

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On today's date, Licensing Program Analyst (LPA) Rosie Quiroz, was greeted and met with Administrator (AD) Patty Osuna and Administrator Assistant (ADA) Alexis Jones for the purpose to deliver findings for a complaint investigation.
The initial 10-day visit was completed on 2/28/2024 by LPA Quiroz.
During the course of this investigation, LPA Quiroz conducted interviews consisting of staff and residents, reviewed documents including but not limited to Resident Personal Property and Valuables Lists, Physician Reports, identification forms for residents interviewed.
It was alleged that "Staff did not safeguard resident's personal belongings." During the course of this investigation,nine of nine interviewees denied allegation of "Facility failed to safeguard resident's property." AD Osuna indicated there was a deep cleaning of facility rooms which occurred approximately around the second week of February 2024, indicating that three residents brough up concerns of missing items, and were immediately replaced by facility on 3/1/2024.
CONTINUED ON 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: 06/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024

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-20240220090108

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: WESTMINSTER VILLA	FACILITY NUMBER: 306004795
	VISIT DATE: 06/06/2024

NARRATIVE

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CONTINUED...While conducting interviews, staff and residents were reminded of importance of timely and accurate personal inventory.
During 10 day inspection visit conducted on February 28,2024, as LPA Quiroz was walking out of the facility, R1 approached LPA Quiroz stating "I found my watch." LPA Quiroz observed resident to be wearing a watch white in color. LPA Quiroz inquired where R1 had located the watch, R1 replied "My closet." During the course of the investigation, R1 denied missing money, clothes, jewelry, ring and or necklace.

Therefore based on the preponderance of evidence gathered through interviews and observations conducted by LPA Quiroz, the allegation that the "Facility failed to safeguard resident's property" is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. This agency has investigated this complaint.

No deficiencies cited during today's visit.

An exit interview was conducted with (AD) Patty Osuna and (ADA) Alexis Jones and a copy of this report and LIC 811-Confidential names were provided at exit.

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Rosie Quiroz	TELEPHONE: (559) 753-4610
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024

LIC9099 (FAS) - (06/04)

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