306005709-1-30-2024-22-AS-LMOA-D2WU7E-20240229141944

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005709
Report Date: 01/30/2024
Date Signed: 01/30/2024 02:58:34 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
01/26/2024 and conducted by Evaluator Jerome Haley

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240126113226

FACILITY NAME:	GENERATIONS OF ANAHEIM ASSISTED LIVING, INC		FACILITY NUMBER:	306005709
ADMINISTRATOR:	MANALAD, JOSELITO		FACILITY TYPE:	735
ADDRESS:	1941 E. CENTER STREET		TELEPHONE:	(714) 533-3640
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92805
CAPACITY:	42	CENSUS: 39	DATE:	01/30/2024
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Melina Alonzo - Wellness Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff did not provide resident with privacy

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jerome Haley made unannounced visit to begin the investigation into the complaint that was received January 26, 2024. LPA Haley was greeted by staff and explained the reason for the visit. At the beginning of the visit, LPA Haley was lead on a brief tour of the facility.

Regarding the allegation: Staff did not provide resident with privacy.
4 of 5 individuals interviewed denied the allegation. During an interview with the Administrator and Wellness Director, they both claim staff always knock on the doors before entering a residents room. Two of the residents interviewed also claim they are given privacy and staff always knock before entering their room.

Based on the information gathered during the investigation through interviews and observation 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, the allegation is deemed Unsubstantiated.
An exit interview was conducted and a copy of this report was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024

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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