421701844-8-25-2022-29-AS-KBUY-CHUVKU-20220901163054

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 421701844
Report Date: 08/24/2022
Date Signed: 08/25/2022 07:50:34 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, 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
08/22/2022 and conducted by Evaluator Kristin Kontilis

COMPLAINT CONTROL NUMBER: 29-AS-20220822093258

FACILITY NAME:	CLIFF VIEW TERRACE		FACILITY NUMBER:	421701844
ADMINISTRATOR:	MURPHY, EVELINA L.		FACILITY TYPE:	740
ADDRESS:	1020 CLIFF DRIVE		TELEPHONE:	(805) 963-7556
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93109
CAPACITY:	72	CENSUS: 28	DATE:	08/24/2022
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Evelina Murphy, Administrator		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Facility does not maintain a comfortable room temperature.
Facility did not ensure that resident was adequately hydrated.
Facility does not have activities for residents.
Facility does not have adequately trained staff.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced initial 10-day investigation to the allegations stated above. LPA met with Ruby Rodriguez, Assistant Administrator and Evelina Murphy, Administrator and explained the purpose of the visit.
Entrance interview conducted:
At the time of arrival, there were four (4) caregivers, one (1) housekeeper/caregiver, two (2) kitchen staff, and one (1) assistant administrator on duty and 28 residents in care. Administrator Evelina Murphy arrived at approximately 12:01 pm.
Interviews were conducted with residents, staff, and Assistant Administrator from 11:20 am through 2:20 pm. At approximately 1:01 pm, an interview was conducted with Credible Witness One (W1).
On the allegation that the facility does not maintain a comfortable room temperature, interviews conducted revealed that nine out of nine residents stated their rooms are usually comfortable and if not, residents are Please continue to 9099-C, Pg 2.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Kristin Kontilis	TELEPHONE: (805) 689-2787
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022

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-20220822093258

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: CLIFF VIEW TERRACE	FACILITY NUMBER: 421701844
	VISIT DATE: 08/24/2022

NARRATIVE

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promptly provided fans upon request. Four out of four staff interviewed stated fans are provided to residents upon request and staff assist residents with turning the fan on/off and positioning the fan to the residents’ comfort. LPA observed four fans in residents’ rooms. LPA interviewed Credible Witness 1 (W1) who stated the rooms are adequately furnished with fans when needed and believes that the staff are mindful about providing the fans to the rooms if/when needed. Additionally, LPA observed that the facility is at a comfortable room temperature at the time of the visit. Based on observation and interviews conducted, the allegation that the facility did not maintain a comfortable room temperature for residents in care is Unsubstantiated at this time.
On the allegation that facility staff did not ensure a resident was adequately hydrated, LPA conducted interviews with residents, staff and CW1, LPA observed bottled water and water pitchers w/water and ice in the residents’ rooms. Interviews conducted revealed nine of the nine residents stated they are provided water by the caregivers. Interviews conducted with staff members revealed that caregivers frequently check on residents and make sure residents have plenty of water for hydration. Staff 2 (S2) stated bottles of water are put in the residents’ rooms as part of the caregivers’ daily responsibilities. The allegation that facility staff did not ensure a resident was adequately hydrated is Unsubstantiated at this time.
On the allegation that facility does not have activities for residents, at the time of the visit, LPA observed three (3) residents playing Bingo from 1:00 pm – 2:00 pm. S2 stated at the time of observation, two residents were temporarily away from the activity. From 2:00 pm – 3:30 pm, LPA observed a musician playing and singing various contemporary and popular songs with six residents present. Assistant Administrator Rodriguez stated the musician playing at the time of the visit usually plays five days/week, plays songs upon request, and will extend the music time upon residents’ request. Additionally, a pianist visits the facility two days/week and entertains the resident’s using the facility’s grand piano. The pianist plays songs upon request, and will extend the entertainment upon residents’ request. Interviews conducted revealed that seven (7) out of nine (9) residents stated they participate in activities. Two (2) residents stated they prefer not to participate in activities; one (1) of the two stated they prefer to stay in their room most of the time. Therefore the allegation that facility does not provide activities to residents in care is Unsubstantiated at this time.
On the allegation that the facility does not have adequately trained staff, Assistant Administrator stated training records are kept on file and Administrator and Assistant Administrator keep up-to-date on staff trainings and are kept in the employee’s personnel file. LPA reviewed training documents and found all trainings are current. Residents’ interviews revealed staff are attentive and provide care promptly upon
Please continue to 9099-C, Pg 3.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Kristin Kontilis	TELEPHONE: (805) 689-2787
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20220822093258

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: CLIFF VIEW TERRACE	FACILITY NUMBER: 421701844
	VISIT DATE: 08/24/2022

NARRATIVE

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request. Moreover, records reviewed and interviews conducted revealed care staff, housekeeping staff, and kitchen staff have been employed at the facility for many years. Example, two care staff members have been employed for 6-8 years, and six care staff have been employed for 25 – 41 years. The allegation that the facility does not have adequately trained staff is Unsubstantiated at this time.

Exit interview conducted. No deficiencies noted. Copy of report issued via email.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Kristin Kontilis	TELEPHONE: (805) 689-2787
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022

LIC9099 (FAS) - (06/04)

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