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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005709
Report Date: 07/05/2023
Date Signed: 07/05/2023 05:28:15 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE & INLAND A/SC, 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
05/17/2023 and conducted by Evaluator Kevin Saborit-Guasch
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230517161013
FACILITY NAME:GENERATIONS OF ANAHEIM ASSISTED LIVING, INCFACILITY NUMBER:
306005709
ADMINISTRATOR:MANALAD, JOSELITOFACILITY TYPE:
735
ADDRESS:1941 E. CENTER STREETTELEPHONE:
(714) 533-3640
CITY:ANAHEIMSTATE: CAZIP CODE:
92805
CAPACITY:42CENSUS: 40DATE:
07/05/2023
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Kyle Watanabe, AdministratorTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Staff does not keep the facility free of pests

Clients in care are not provided proper food service

Facility does not have heaters
INVESTIGATION FINDINGS:
1
2
3
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5
6
7
8
9
10
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12
13
On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted a follow-up investigation visit into the three allegations listed above and delivered findings to the facility. LPA was greeted and granted by facility staff. Interim administrator Kyle Watanabe was present and reminded of the allegations being investigated at this time.

An initial complaint investigation visit was held on May 22, 2023. LPA accompanied with administrator toured the physical plant of the facility, along with facility maintenance and housekeeping supervisor Theresa Pacleb. The tour included all of the 26 units comprising the facility, as well as the dining hall, courtyard and medication administration area. LPA conducted client interviews along with staff interviews during the visit. Documentation requested includes the facility's current census along with documentation of the current pest control contract.
CONTINUED ON FORM LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2023
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 22-AS-20230517161013
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE & INLAND A/SC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: GENERATIONS OF ANAHEIM ASSISTED LIVING, INC
FACILITY NUMBER: 306005709
VISIT DATE: 07/05/2023
NARRATIVE
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CONTINUED FROM FORM LIC9099 - LPA accompanied with administrator toured unit 1 along with the adjoining shared bathroom. The current census was requested and obtained, along with a copy of the in-service training and procedure for the prevention and treatment of bed bugs infestations.

Regarding the allegation that Staff does not keep the facility free of pests, the following has been concluded: Based on observations made during two facility visits, along with interviews with staff and clients as well as records reviewed, it was established that bed bugs had occasionally been found to be present in some of the units in the past. However, no evidence or interviews indicated an ongoing or a recently occurring infestation. In addition, facility staff provided LPA with a current contract with a pest control provider valid at the time of the initial visit, along with evidence of staff training directed at preventing and treating potential infestations, with an increased vigilance during the hotter months. The allegation is therefore found to be Unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to demonstrate that the alleged violation occurred.

Regarding the allegation that Clients in care are not provided proper food service, the following has been concluded: Based on observations made during two facility visits, along with interviews with staff and clients as well as records reviewed, it was confirmed that facility kitchen staff are following the posted menus for the planning of meals served. Menus reviewed included the components of a balanced diet of a nature to meet the dietary needs of individuals in care. Outside of posted meal times, additional servings can be provided to clients absent during the main meal service along with snacks being provided on demand and/or during the bedtime medication rounds. As a result, the allegation is found to be Unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to demonstrate that the alleged violation occurred.

Regarding the allegation that Facility does not have heaters, the following has been concluded: A majority of units are observed to be equipped with built-in wall heating units, however other units are not. An ample supply of screened heating units was demonstrated to be present and available upon demand or when the need is present. Therefore, the allegation is found to be Unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to demonstrate that the alleged violation occurred.

An exit interview was conducted and a copy of this report was provided to a facility representative.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2