405850034-10-28-2021-29-AS-KBUY-C88NAS-20211028101800

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 405850034
Report Date: 07/08/2021
Date Signed: 10/28/2021 09:35:40 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/17/2021 and conducted by Evaluator Darlene Chavez

COMPLAINT CONTROL NUMBER: 29-AS-20210317095107

FACILITY NAME:	AVILA SENIOR LIVING AT DOWNTOWN SLO		FACILITY NUMBER:	405850034
ADMINISTRATOR:	MARSH, CHERYL		FACILITY TYPE:	740
ADDRESS:	475 MARSH ST		TELEPHONE:	(805) 706-0736
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93401
CAPACITY:	100	CENSUS: 47	DATE:	07/08/2021
		UNANNOUNCED	TIME BEGAN:	11:57 AM
MET WITH:	Cassondra Bradford, Administrator, and Cathyann Paape, Business Office Manager		TIME COMPLETED:	12:07 PM

ALLEGATION(S):

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Facility is not kept at a comfortable temperature.

INVESTIGATION FINDINGS:

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On 7/08/21 at 11:57 am, Licensing Program Analyst (LPA) Chavez conducted a subsequent complaint visit to issue final findings for the allegation listed above. LPA met with Casssondra Bradford, Administrator and Cathyann Paape, Business Office Manager, and informed of the reason for the visit. On the allegation “Facility is not kept at a comfortable temperature”, the complainant’s concern was that the dining room heater had broken and the room did not have adequate heat. The complainant expressed concern that although space heaters were placed in the dining room, they were not providing a comfortable temperature for residents who use the room three (3) times a day. The complainant stated the temperature was 64 F degrees.

To investigate the allegation, LPA interviewed the complainant, the former administrator, residents, and the heating repair company, and toured the facility, obtained thermostat readings, and reviewed facility records.

Continued on 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jill Nakata	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Kelly Burley	TELEPHONE: (805) 450-0283
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

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 29-AS-20210317095107

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: AVILA SENIOR LIVING AT DOWNTOWN SLO	FACILITY NUMBER: 405850034
	VISIT DATE: 07/08/2021

NARRATIVE

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On 3/17/21 at 4:57 pm, LPA interviewed the former administrator who explained that the dining room heater had been broken since January 2021 and in the interim, three (3) space heaters were placed in the dining room and operating from early morning to late evening.

On 3/17/21 at 5:08 pm and on 4/02/21 at 12:00 pm, LPA toured the facility and observed the dining room thermostat at temperatures of 72 F degrees and 74 F degrees. On both occasions, space heaters were operating in the dining room. On 3/18/2021 at 9:20 am, a credible witness (W1) recorded the temperature in the dining room and noted the recordings at 68-70 F degrees.

LPA interviewed residents on 6/04/21 at 12:38 pm, 1:00 pm, and 1:32 pm and on 6/14/21 at 10:03 am. Three (3) of the four (4) residents interviewed stated they did notice a drop in the temperature in the dining room, however, they did not feel the room was uncomfortable. One (1) resident commented in relation to the room’s temperature “you are okay, if you’re sitting close to the space heaters.”

On 7/06/21 at 3:06 pm, LPA interviewed a representative from the heating repair company who confirmed that the heater supporting the dining room was replaced on 4/05/21.

Regulation states that “The facility shall heat rooms that residents occupy to a minimum of 68 degrees F, (20 degrees C).” Based on the information obtained, the allegation that, “Facility is not kept at a comfortable temperature”, is Unsubstantiated.

No deficiencies were noted. An exit interview was conducted with the Administrator and Business Office Manager and a copy of the report was given.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Darlene Chavez	TELEPHONE: (805) 450-0283
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

LIC9099 (FAS) - (06/04)

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