421700457-6-1-2023-29-AS-KBUY-CSQRZW-20230612132836

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 421700457
Report Date: 06/01/2023
Date Signed: 06/01/2023 12:31:42 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 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
05/05/2023 and conducted by Evaluator Brian Phillips

COMPLAINT CONTROL NUMBER: 29-AS-20230505161833

FACILITY NAME:	WOOD GLEN HALL, INC.		FACILITY NUMBER:	421700457
ADMINISTRATOR:	JEFF LABELLE		FACILITY TYPE:	740
ADDRESS:	3010 FOOTHILL ROAD		TELEPHONE:	(805) 687-7771
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93105
CAPACITY:	72	CENSUS: 40	DATE:	06/01/2023
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Lourdes Espinosa, Associate Executive Director		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Administrator is not communicating resident's condition with representative
Administrator inappropriately spoke to residents in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced subsequent complaint visit to issue final findings for the allegation above. LPA arrived at the facility and announced the purpose of the visit. LPA met with Lourdes Espinosa, Associate Executive Director.

On the allegation: Administrator is not communicating resident's condition with representative. It was alleged that the administrator did not communicate with a responsible party/representative about what specific illness caused resident’s isolation due to exhibiting symptoms of a serious outbreak.

Residents exhibiting symptoms of a flu like symptomatic outbreak were isolated from Friday 05/05/2023 to Sunday 05/07/2023. The residents exhibiting symptoms had rooms that were located within a proximity of each other, and were continuously tested for COVID-19, but all tests came back negative.

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Brian Phillips	TELEPHONE: (805) 956-1636
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

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 29-AS-20230505161833

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: WOOD GLEN HALL, INC.	FACILITY NUMBER: 421700457
	VISIT DATE: 06/01/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The flu-like outbreak was limited to 3 residents and the administrator did inform responsible parties/representatives that residents exhibiting symptoms were being isolated as a precautionary measure to prevent the spread of the flu like outbreak. It was alleged that the administrator did not communicate the condition, however the administrator did communicate the flu like outbreak symptoms with responsible parties/representatives. The administrator did not specify the illness causing the outbreak, which was based on observed symptoms, and which was continuously negatively tested for COVID-19. As a precaution, all residents exhibiting the symptoms were isolated, even if they routinely have similar symptoms.

Based on the information obtained, there was insufficient evidence to prove the allegation. Therefore, it is deemed Unsubstantiated at this time.

On the allegation: Administrator inappropriately spoke to residents in care. It was alleged that the administrator verbally forced a resident into their room as an isolation measure due to a serious infection and told that resident they were not allowed to leave the facility unless it was with a responsible party. It was also alleged that the administrator threatened the residents that when they are late paying their bill, they can be evicted from the facility.

Through interview, the LPA learned the administrator told a resident that they were under quarantine due to symptoms of diarrhea, and the resident felt embarrassed that other people in the hallway could have overheard. Resident stated they felt “singled out” due to having symptoms consistent with the outbreak. Although the allegation alleges that the administrator spoke in appropriately to the resident, there was no evidence found that the administrator was inappropriate when they stated facts about symptoms being experienced, that were consistent with a potential outbreak.

Additionally, in January of 2023, the administrator held a meeting to notify residents that late payments could be cause for eviction. This is a factual statement and served as an informative measure so that residents would know to pay their bills on time as to not be evicted.

Based on the information obtained, there was insufficient evidence to prove the allegation. Therefore, it is deemed Unsubstantiated at this time.

Exit interview conducted. Copy of report sent via email and printed.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Brian Phillips	TELEPHONE: (805) 956-1636
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2