565801876-10-16-2024-29-AS-KHEN-DAD2G2-20241024172224

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565801876
Report Date: 10/16/2024
Date Signed: 10/16/2024 01:41:04 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
10/11/2024 and conducted by Evaluator Angela Barutyan

COMPLAINT CONTROL NUMBER: 29-AS-20241011153018

FACILITY NAME:	ATRIA GRAND OAKS		FACILITY NUMBER:	565801876
ADMINISTRATOR:	BRIAN LARIOS		FACILITY TYPE:	740
ADDRESS:	2177 E THOUSAND OAKS BLVD		TELEPHONE:	(805) 370-5400
CITY:	THOUSAND OAKS	STATE: CA	ZIP CODE:	91362
CAPACITY:	140	CENSUS: 101	DATE:	10/16/2024
		UNANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Eden Tolentino		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Residents are not being provided with transportation

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct an initial complaint investigation for the allegation listed above at 10:35AM. LPA met with staff and Interim Executive Director (ED) Eden Tolentino and explained the reason for the visit.

During today's visit, LPA reviewed and obtained copies of pertinent documents, conducted a brief physical plant tour at 11:35AM, and conducted interviews with three (3) residents, two (2) staff, and ED between 10:40AM – 11:50AM.

Report Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Angela Barutyan	TELEPHONE: 747-922-1234
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024

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-20241011153018

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: ATRIA GRAND OAKS	FACILITY NUMBER: 565801876
	VISIT DATE: 10/16/2024

NARRATIVE

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It was alleged that residents are not being provided with transportation. The reporting party (RP) stated that the facility does not have a current regular driver to provide transportation. Interviews with staff and ED explained that the previous full-time driver was terminated in the beginning of August 2024. The activity directors and management have been providing transportation in the meantime. Staff #1 (S1) manages AM transportation while Staff #2 (S2) manages PM transportation, both with the four-passenger facility vehicle. Staff #3 (S3) works part-time and has a Class B driver’s license and is therefore able to drive the sixteen-passenger facility bus on Saturdays and Sundays. ED stated that they are receiving applications for the driver position opening and have a few interviews this week to fill the position. Furthermore, LPA reviewed and obtained transportation sign-up sheets which document names of resident’s transportation appointment, destination of address, and pick-up time. Time slots are in thirty-minute intervals. Staff stated that a 24–48-hour notice is requested of residents when they would like to schedule transportation. LPA observed the welcome brochure and transportation schedule stating that “transportation is limited to a 10-mile radius, rides must be booked 24-hours in advance or earlier, and priority will be allotted to appointments, shopping trips may be rescheduled if needed.” The transportation schedule also states that the facility will help residents obtain public transportation such as Uber/Lyft or Dial-A-Ride at the resident’s expense if transportation needs cannot be met within the policy. LPA also observed scheduled events such as church rides offered every Sunday at 08:15AM, scenic drives, food outings, and sign-up sheets for these group outings. File review of the facility’s plan of operation states that the facility will provide “assistance in arranging transportation for all residents to medical and dental care appointments, shopping and recreational facilities, and religious activities.” Assistance in arranging also includes helping residents book public transportation services not provided by the facility. Interviews with residents explained that there is no issue when it comes to booking the facility car and that management are providing transportation, but the bus has a shortage due to the license class required to drive the vehicle. Residents also stated that there are group social outings offered such as Christmas light viewing and possible road trips in the future. Based on interviews and record review, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation “Residents are not being provided with transportation” is deemed UNSUBSTANTIATED at this time.

No citations issued. Exit interview conducted. A copy of today's report was provided.

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Angela Barutyan	TELEPHONE: 747-922-1234
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024

LIC9099 (FAS) - (06/04)

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