565801637-5-24-2024-29-AS-DPEA-D5KS8A-20240524133848

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565801637
Report Date: 05/13/2024
Date Signed: 05/24/2024 01:35:42 PM

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
02/06/2024 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20240206161748

FACILITY NAME:	VETERANS HOME OF CALIFORNIA-VENTURA		FACILITY NUMBER:	565801637
ADMINISTRATOR:	CYNTHIA GAMBILL		FACILITY TYPE:	740
ADDRESS:	10900 TELEPHONE ROAD		TELEPHONE:	(805) 659-7501
CITY:	VENTURA	STATE: CA	ZIP CODE:	93004
CAPACITY:	60	CENSUS: 56	DATE:	05/13/2024
		UNANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Cynthia Gambill		TIME COMPLETED:	05:45 PM

ALLEGATION(S):

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Facility is not maintained clean and sanitary
Residents' rooms are so cluttered that it is a safety hazard
Housekeeping staff do not receive training

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to the facility. The purpose of the visit is to complete and deliver investigation finding. Upon arrival LPA met with Administrators Cynthia Gambill and Ray Sena. Reason for the visit was explained.

On 02/06/2024, Community Care Licensing Division received the above complaint allegations. Investigation into the allegations consist of facility physical plant tour; staff, and resident interviews on 02/14/2024; and records review on 5/13/2024.

Following is a summary of the allegations and investigation finding:

Allegation) Facility is not maintained clean and sanitary. It was alleged that resident rooms have not been cleaned for months; some for probably years and facility kitchen is also dirty. (Continue to LIC9099c).

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel Chochian	TELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2024

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-20240206161748

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: VETERANS HOME OF CALIFORNIA-VENTURA	FACILITY NUMBER: 565801637
	VISIT DATE: 05/13/2024

NARRATIVE

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During the initial visit on 02/14/2024, facility physical plant tour was conducted. Facility kitchen, common areas, and six (6) resident rooms were randomly inspected. LPA observed the kitchen to be clean with staff working with gloves and hair nets on while in the kitchen. Interview with staff revealed that the kitchen, common areas are cleaned daily. Resident rooms (206, 303, 322, 323, 326,329) were toured and residents were interviewed on 02/14/2024. Staff and residents reported that the rooms are scheduled for cleaning once a week and daily trash pickup. Residents interviewed did not have any issues with facility housekeeping and expressed that the housekeeping staff do a good job. Some of the residents expressed that they don’t like their personal belongings touched however would allow housekeeping to clean if they are in the room. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Facility is not maintained clean and sanitary” is deemed unsubstantiated at this time.

Allegation) Residents' rooms are so cluttered that it is a safety hazard. It was alleged that there is so much clutter in some of the resident rooms that it is a safety hazard. It was also reported that some residents have belongings stacked so high it blocks the windows. During the initial visit on 02/14/2024, six (6) resident rooms were randomly inspected (rooms 206, 303, 322, 323, 326,329) and residents were interviewed. Residents reported that the rooms are cleaned once a week by staff. Residents interviewed expressed that they have a lot of personal belongings in their rooms and try their best to arrange everything to avoid any safety hazards. Some of the residents did have boxes in the middle of the room and reported to LPA that they are in the process of going through the boxes at the moment and will move things around once they are done. Residents expressed that they have sufficient space to get around in their room and did not feel that there is any safety issues. LPA did not observe any immediate safety hazard in resident rooms toured at the time. Administrator reported that they do their own random inspections of resident rooms and identify residents who my need assistance to avoid any safety hazards. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Residents' rooms are so cluttered that it is a safety hazard” is deemed unsubstantiated at this time.

Allegation) Housekeeping staff do not receive training. It was reported that the housekeepers that work here are not properly trained. Administrator and staff denied the allegation. Housekeeping staff training records were reviewed on 05/13/2024 and no discrepancies were observed at this time. Random residents interviewed on 02/14/2024 expressed that the housekeeping staff are well trained and do a good job.

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel Chochian	TELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2024

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20240206161748

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: VETERANS HOME OF CALIFORNIA-VENTURA	FACILITY NUMBER: 565801637
	VISIT DATE: 05/13/2024

NARRATIVE

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Residents interviewed did not report any issues with housekeeping staff. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Housekeeping staff do not receive training” is deemed unsubstantiated at this time.

Exit interview conducted. A copy of the report provided.

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel Chochian	TELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2024

LIC9099 (FAS) - (06/04)

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