421700457-6-1-2023-29-AS-KBUY-CSQRXA-20230612132424

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 421700457
Report Date: 06/01/2023
Date Signed: 06/01/2023 12:25:43 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
06/28/2022 and conducted by Evaluator Brian Phillips

COMPLAINT CONTROL NUMBER: 29-AS-20220628153056

FACILITY NAME:	WOOD GLEN HALL, INC.		FACILITY NUMBER:	421700457
ADMINISTRATOR:	JOAN SCHUERMANN		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:	12:00 PM
MET WITH:	Lourdes Espinosa, Associate Executive Director		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff are not providing medication assistance
Staff are not meeting resident’s needs

INVESTIGATION FINDINGS:

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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 Jeff LaBelle, Administrator.

On the 2 allegations: Staff are not providing medication assistance and Staff are not meeting resident’s needs. It was alleged that facility staff allowed a private caregiving company to provide residents with medication, that residents in a specific area of the facility were dispensed medications exclusively by the private caregiving company employees, and that the facility staff did not provide any medication assistance to these residents. It was also alleged that the private caregiving company employees do not have a background clearance like facility staff.

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)

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Control Number 29-AS-20220628153056

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

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On 03/11/2021, to ensure the facility had adequate staffing, the facility entered into an agreement for services with a fully licensed senior care care giving company. The company would have responsibilities including Admissions, Staffing, and Care Services for a portion of residents located in a specific wing of the facility. The contract stated that the facility would not be responsible for monitoring the health of residents in that wing of the facility, but that the care giving company would report any resident health changes to the facility. The care giving company warranted that all employees were certified as Home Care Aides, registered with Home Care Services Bureau of the California Department of Social Services and were fully vetted prior to placement at the facility. The employees of the care giving company would include observation of residents’ health, assistance following physicians’ orders, and help with personal care needs. The contract noted that the facility recognized that the care giving company was not a licensed medical facility and was not licensed to provide services including pressure sores, serious infections, gastronomy care, and tracheostomies. The care giving company employees were also restricted from administering oxygen, catheter care, colostomy, diabetes, and enemas/suppositories.

On 08/30/2022, the facility provided a written notice with 90 days required advanced notice to terminate the contractual agreement with the senior care care giving company. In October 2022, the care giving company no longer had employees working in the facility.

There is no language in the written contract between the facility and senior care giving company that restricted or excluded employees from providing medication assistance to residents in the specified wing of the facility. The senior care giving company was fully licensed with employees who assisted residents with Activities of Daily Living, Assistance with personal care, and transportation. Evaluations of each resident’s need for care was made by a health professional of the senior care giving company and was provided in accordance with an agreed upon care plan for each resident. The caregivers from the company were contracted by the facility and were not private caregivers contracted by residents to provide additional services not already provided from the facility. The caregivers from the company were temporarily used to ensure sufficient staffing at the facility during the COVID-19 pandemic. Based on the information obtained, there was insufficient evidence to prove the allegations. Therefore, they are 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)

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