306005349-6-28-2022-22-AS-MVAO-CHTTTX-20220831150126

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005349
Report Date: 06/28/2022
Date Signed: 06/28/2022 02:02:06 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
08/09/2021 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20210809123934

FACILITY NAME:	LAS PALMAS		FACILITY NUMBER:	306005349
ADMINISTRATOR:	MONICA CASTILLO		FACILITY TYPE:	740
ADDRESS:	24962 CALLE ARAGON		TELEPHONE:	(949) 586-3393
CITY:	LAGUNA WOODS	STATE: CA	ZIP CODE:	92637
CAPACITY:	220	CENSUS: 137	DATE:	06/28/2022
		UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Monica Castillo		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Resident's barking dog is interfering with daily living of other residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Martinez visited the facility to deliver findings for the investigation into the above identified complaint allegation. LPA arrive at facility was greeted by the receptionist and granted entry. LPA spoke with Monica Castillo, Administrator and explained the purpose of the visit.

Findings are based upon this investigation which included interviews conducted, physical plant of facility observations and review of records.

It is alleged that resident’s barking dog is interfering with daily living of residents. LPA Martinez conducted visits to the facility on 08/18/2021 and 09/27/2021 and conducted a tour of the physical plant of the facility and did not observe a dog barking at the those given moments. Interview conducted with staff (S1) indicates that facility has only received one complaint for the barking dog noise. S1 indicates that they were proactive on resolving the

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2022

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-20210809123934

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: LAS PALMAS	FACILITY NUMBER: 306005349
	VISIT DATE: 06/28/2022

NARRATIVE

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issue. Facility formalized a written memo on the protocol in the case that residents have a noise complaint. S1 indicated that residents with concerns have also been address on a one to one meeting. S1 indicated that residents were also referred to review the pet policy in the resident’s handbook. Residents handbook page 21 states “Upon written approval of the Executive Director and payment of a non-refundable pet fee, small pets are allowed on designated floors. This policy was established to address the community concerns of cleanliness, health, and convenience. Pets are not permitted in any of the interior common areas, or surrounding areas. Pets are never to be left unattended outside the resident’s apartment. While under the owner’s supervision and on a leash, pets may use the community grounds.” Interviews conducted with residents revealed that there are no concerns with loud dog barking noise or if they have heard a dog bark it is very faint. Residents did not express having a noise complaint or have any issues with dogs barking in the facility or loud noise coming from other residents’ apartments. Based on the information received from interviews, the lack of information regarding facility noise in question, and the lack of corroborating witnesses, LPA is unable to determine if the alleged violation occurred as reported.

Based on the information mentioned above, the Department is unable to ascertain if the 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, these allegation is deemed Unsubstantiated.

An exit interview was conducted with Administrator and a copy of this LIC9099 report was left at facility.

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2022

LIC9099 (FAS) - (06/04)

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