306005350-8-3-2023-22-AS-AORZ-CUS2ZH-20230816175022

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005350
Report Date: 08/03/2023
Date Signed: 08/03/2023 12:49:58 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
05/13/2021 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20210513090503

FACILITY NAME:	REGENCY, THE		FACILITY NUMBER:	306005350
ADMINISTRATOR:	HEIDI CHARETTE		FACILITY TYPE:	740
ADDRESS:	24441 CALLE SONORA		TELEPHONE:	(949) 830-8057
CITY:	LAGUNA WOODS	STATE: CA	ZIP CODE:	92637
CAPACITY:	220	CENSUS: 138	DATE:	08/03/2023
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Elena Madsen		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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-Facility is not meeting residents hygiene needs.

-Facility is not providing food of the quality necessary to meet residents needs.

INVESTIGATION FINDINGS:

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This unannounced visit conducted by Ruth Martinez, Licensing Program Analyst (LPA), is being conducted to conclude this agency’s investigation into the complaint allegation mentioned above. LPA arrived at facility was greeted by receptionist and granted entry. LPA met with Elena Madsen, Executive Director and explained the nature of the visit.

During the course of this investigation LPA conducted interviews with staff, witnesses, a review of resident records was completed, obtained a copy of food menu, tour of the kitchen, reviewed food supply and copy of pertinent documents obtained.

It is alleged that facility is not meeting resident hygiene needs. LPA obtained AM and PM shower records for facility residents, indicating that there were about 40 residents on shower schedule on various days of

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023

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-20210513090503

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: REGENCY, THE	FACILITY NUMBER: 306005350
	VISIT DATE: 08/03/2023

NARRATIVE

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the week. Per interview with Executive Director/Administrator revealed that facility does not keep a log or notes when a resident refuses showers of misses a shower schedule. Interview with 11 out of 101 residents revealed that staff come to residents’ apartments to give showers. Residents indicated that there are times that residents may not be ready or are not in their room when it is time to shower staff will come back and check if resident is ready or will go into the facility to look for resident. Residents indicated that it’s rare if they miss a shower schedule, staff are good at re-scheduling residents and finding a slot where they can fit them in for showers. Based on interviews and records review, there wasn’t enough evidence to prove or refute that the allegation happened as reported.

It is alleged that facility is not providing food of the quality necessary to meet resident’s needs. LPA reviewed facility menu, observed the facilities food supply, and conducted interviews. It was observed that there were sufficient amount of quality and quantity of perishable and nonperishable food for residents. In addition, LPA obtained a copy of the facility weekly menu for review and observed the food service to be well balanced with a variety of choices. Menu reflects that facility offers a special, casual and freshzest option. The freshzest options is new and geared towards providing a vegetarian option for residents. Interview with Administrator revealed that, the facility has a freshzest menu as well to give residents a more vegan approach and if there are any vegetarian residents. LPA conducted interviews with residents and they expressed no concerns on the quality of the food provided. Interviews conducted with Executive Director indicated that generally, residents have no complaints about the quality but have different preferences of food served in which the facility makes an effort to accommodate. The facility has a comments/suggestion box at the facility and LPA obtained copies of resident comments about dinning food quality which revealed resident have a positive response to the quality of food served. Based on interviews and inspection of the food supply, there wasn't enough evidence to prove that food served is not of quality to meet resident's needs.

Based on the information mentioned above, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, these allegations are deemed Unsubstantiated.

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

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023

LIC9099 (FAS) - (06/04)

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