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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005257
Report Date: 04/19/2024
Date Signed: 04/19/2024 01:39:00 PM

Unsubstantiated


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
04/11/2024 and conducted by Evaluator Sean Haddad
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240411115001
FACILITY NAME:CRESCENDO SENIOR LIVINGFACILITY NUMBER:
306005257
ADMINISTRATOR:VIVIAN VILLEGASFACILITY TYPE:
740
ADDRESS:351 EAST PALM DRIVETELEPHONE:
(714) 528-4990
CITY:PLACENTIASTATE: CAZIP CODE:
92870
CAPACITY:138CENSUS: 80DATE:
04/19/2024
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Laurie GalalTIME COMPLETED:
01:50 PM
ALLEGATION(S):
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Facility staff are not providing adequate care and supervision to resident
INVESTIGATION FINDINGS:
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This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegation. LPA met with Administrator (AD) Laurie Galal, discussed the purpose of the inspection, and explained the allegation.

The investigation into the allegation that facility staff are not providing adequate care and supervision to resident revealed the following: During the course of the investigation, LPA inspected the facility, interviewed AD, witnesses, and residents, and obtained and reviewed copies of the resident roster, staff roster, Resident #1’s (R1) Admission Agreement dated March 8, 2024, R1’s Resident Assessment dated March 11, 2024, R1’s Physician’s Report dated March 8, 2024, and the facility’s Narrative Charting for R1.

CONTINUED
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Armando J LuceroTELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Sean HaddadTELEPHONE: (714) 335-7094
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
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 3
Control Number 22-AS-20240411115001
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: CRESCENDO SENIOR LIVING
FACILITY NUMBER: 306005257
VISIT DATE: 04/19/2024
NARRATIVE
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Regarding the allegation that facility staff are not providing adequate care and supervision to resident: it was alleged that, while in the community, R1 was admitted to the hospital complaining of abdominal pain, vomiting, and stating that demons were following them and that their family was stealing money from them. It was also alleged that it is unclear if R1 has been taking their medications and following up with their doctor, the facility is not managing R1’s medications, does not have a medication list for R1, and does not know what medications R1 is on. LPA inspected R1’s room, observed the room to be clean and organized and observed no health and safety issues. LPA interviewed R1 and did not obtain information corroborating the allegation. LPA interviewed AD who stated R1 moved to the facility on March 8, 2024 and had been previously living with family, R1 had an Adult Protective Services case prior to moving in, is responsible for themselves, is independent and only needs standby assistance for showers, resides in assisted living and not the memory care unit, does not have dementia, is able to leave the facility unassisted, and handles their own medications so the facility does not have access to R1’s medications or other medical information. LPA interviewed R1’s Adult Protective Services caseworker who explained that R1’s case involved issues with their family, that R1 is independent, and that there are no concerns with the care provided by the facility. LPA reviewed R1’s Admission Agreement dated March 8, 2024 which corroborates that R1 is responsible for themselves. LPA reviewed R1’s Resident Assessment dated March 11, 2024 which corroborates that R1 is independent and only needs standby assistance for showers. LPA reviewed R1’s Physician’s Report dated March 8, 2024 which corroborates that R1 does not have dementia, is able to leave the facility unassisted, and is able to handle their own medications. Regarding the hospitalization, AD reported that on April 9, 2024, the facility was notified by a local hospital that R1 had been admitted while out in the community, was having hallucinations, and had claimed that the facility and their family were stealing money from them. AD also stated that on April 16, 2024, the facility was notified by another local hospital that R1 had been transferred there, that R1 was delusional and paranoid and was being psychiatrically evaluated and treated, and that R1 would be returned to the facility soon as they had been psychiatrically cleared as able to make their own decisions. LPA reviewed the facility’s Narrative Charting for R1 which documents this information. However, the facility’s Narrative Charting for R1 also states that on March 15, 2024, R1 went to the hospital for a reported scalp abrasion and a hip fracture, but returned the same day with a prescription for pain medication. Per interviews with AD and staff, R1 had signed themselves out that day, had been out in the community, and returned late in the night and reported they had been at the hospital for these injuries and that they had returned with pain medication.

CONTINUED
SUPERVISOR'S NAME: Armando J LuceroTELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Sean HaddadTELEPHONE: (714) 335-7094
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20240411115001
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: CRESCENDO SENIOR LIVING
FACILITY NUMBER: 306005257
VISIT DATE: 04/19/2024
NARRATIVE
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However, no information was obtained that R1 actually had a hip fracture. Interviews with AD and staff revealed that R1 was still able to walk normally after the alleged hip fracture, they regularly walked down to dinner and went out on the community, and never requested any additional help from staff. Further, the facility’s Narrative Charting for R1 does not document that the two hospitals that called the facility reported that R1 had a hip fracture. LPA did not obtain information corroborating that the facility was providing a lower level of care than that required by R1’s Resident Assessment dated March 11, 2024 and R1’s Physician’s Report dated March 8, 2024. Per AD, the facility will reassess R1 and encourage R1 to see their doctor again for a new Physician’s Report to ensure R1’s needs continue to be met at the facility.

Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.
SUPERVISOR'S NAME: Armando J LuceroTELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Sean HaddadTELEPHONE: (714) 335-7094
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3