306006195-4-22-2024-22-AS-APAO-DRW7U6-20260305205751

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006195
Report Date: 04/22/2024
Date Signed: 04/22/2024 05:16:55 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
04/12/2024 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240412143259

FACILITY NAME:	WESTMINSTER TERRACE		FACILITY NUMBER:	306006195
ADMINISTRATOR:	CRISTINA MILLER		FACILITY TYPE:	740
ADDRESS:	7571 WESTMINSTER BLVD		TELEPHONE:	(714) 891-6608
CITY:	WESTMINSTER	STATE: CA	ZIP CODE:	92683
CAPACITY:	152	CENSUS: 101	DATE:	04/22/2024
		UNANNOUNCED	TIME BEGAN:	02:32 PM
MET WITH:	Carmen Galicia		TIME COMPLETED:	05:32 PM

ALLEGATION(S):

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Staff do not provide resident with laundry service
Staff do not provide the resident with clean bed linen

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day inspection to begin the investigation into the allegations listed above. LPA met with Administrator Carmen Galicia and explained the reason for the visit. The investigation into the allegation, staff did not provide resident with laundry service revealed the following. It was alleged that Resident 1 (R1) wore blood stained clothing when family visited and the facility does not wash R1's clothing regularly. A review of records shows that R1's laundry service was stopped on January 1, 2024. The Administrator reported that only R1's responsible party can stop the laundry service. The Administrator reported that starting on March 8, 2024 they started doing R1's laundry once a week to assist R1. The Administrator reported that R1 had skin redness and the cause was reported to be Anthropod bites according to R1's doctor. The Administrator provided a copy of the letter from the doctor to verify this report. The Administrator reported that the facility has been doing the laundry for R1 and cleaning their room twice a week since the report of issues concerning R1's skin. R1 verified that the facility has been helping them with Laundry recently but does not remember the exact date they started. Staff interviewed reported that R1's laundry is currently being done

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024

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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Control Number 22-AS-20240412143259

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: WESTMINSTER TERRACE	FACILITY NUMBER: 306006195
	VISIT DATE: 04/22/2024

NARRATIVE

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once a week. Staff interviewed that laundry service did stop January 1, 2024 but resumed sometime around March 8, 2024. R1's family reported that they had been doing R1's laundry and washing R1's linens the majority of the time since January 2024. Based on the information gathered through record review and interviews the allegation is deemed unsubstantiated, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur.

The investigation into the allegation, staff do not provide the resident with clean bed linen, revealed the following. It was alleged that the facility staff do not regularly change R1's bed linens. Staff interviewed reported that the bed linens are washed and changed once a week. R1's responsible party stated that they have washed R1's bed linens and changed the sheets but do not know how often the facility changes them. R1 reported that their bed linens are changed around once a week by family or facility staff but can't provide exact dates. LPA inspected R1's room and observed clean linens on R1's bed. Based on the evidence provided the allegation is deemed unsubstantiated, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted and a copy of the report provided.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024

LIC9099 (FAS) - (06/04)

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