336426239-1-20-2023-18-AS-DMUN-CNFUZF-20230126150128

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426239
Report Date: 01/20/2023
Date Signed: 01/20/2023 10:00:53 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/06/2023 and conducted by Evaluator Jesse Gardner

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20230106131409

FACILITY NAME:	BROOKDALE SUNWEST		FACILITY NUMBER:	336426239
ADMINISTRATOR:	THERESA M. WARD		FACILITY TYPE:	740
ADDRESS:	1085 SUNWEST DR		TELEPHONE:	(951) 925-0822
CITY:	HEMET	STATE: CA	ZIP CODE:	92545
CAPACITY:	60	CENSUS: 45	DATE:	01/20/2023
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Logan Harrison, Associate Executive Director		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Resident was physically abused while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced visit to deliver the findings of the above allegation. LPA toured the facility and met with Associate Executive Director Logan Harrison.

The investigation included interviews with facility staff, residents, and a confidential source. It was alleged that an unidentified abuser was hitting a resident. Regarding the allegation, “Resident was physically abused while in care,” LPA found that, through interviews conducted, Resident One (R1) was yelling wanting out of the facility, and at the same time, being hit by Resident Two (R2). Two caregivers were in the direct vicinity of the incident and were able to engage both R1 and R2 and were able to redirect them from the area. Both residents did not complain of injury and did not go to the hospital for any treatment as a result of the incident. Due to caregivers being able to diffuse the situation and no injury reported, LPA found that this allegation was UNSUBSTANTIATED.

A finding of UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted, where a copy of this report was discussed and given along with a copy of the LIC811 (confidential names list).

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Jesse Gardner	TELEPHONE: (951) 205-2683
LICENSING EVALUATOR SIGNATURE:	DATE: 01/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023

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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