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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565801979
Report Date: 10/29/2024
Date Signed: 10/29/2024 05:03:26 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
07/26/2023 and conducted by Evaluator Esther Cortez
COMPLAINT CONTROL NUMBER: 29-AS-20230726111532
FACILITY NAME:WELLNESS CARE SENIOR LIVINGFACILITY NUMBER:
565801979
ADMINISTRATOR:MARIA HERNANDEZFACILITY TYPE:
740
ADDRESS:158 ROCKAWAY ROADTELEPHONE:
(805) 649-5143
CITY:OAK VIEWSTATE: CAZIP CODE:
93022
CAPACITY:56CENSUS: 19DATE:
10/29/2024
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Maria HernandezTIME COMPLETED:
05:05 PM
ALLEGATION(S):
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Staff not assisting residents in a timely manner.
Staff not bathing/showering residents as needed.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced subsequent complaint visit for the above allegations. The LPA arrived at 2:15 p.m., met with Administrator Maria Hernandez and explained the reason for today's visit.

On 07/28/2023, the LPA along with the Administrator toured the facility at 1:00 PM, interviewed one resident, two residents family members, and one staff between 1:20 p.m and 2:30 p.m . The LPA also interviewed the Administrator throughout the visit, and reviewed records at 2:45 p.m. On 10/14/2024, the LPA along with the Administrator toured the facility, interviewed one (1) resident, and four (4) staff between 10:30 a.m and 4:00 p.m. On 10/16/2024, the LPA toured the facility with the administrator, took the temperature of the hot water in eight (8) shower rooms, interviewed (6) staff, one (1) witness, eight (8) residents and obtained copies of pertinent documents relevant to the investigation. During today's visit the LPA toured the facility starting at 2:45 p.m. interviewed the Administrator, and two (2) residents. Report will continue on LIC9099-C (2nd page).
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kasandra LopezTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Esther CortezTELEPHONE: (747) 230-2225
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
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-20230726111532
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: WELLNESS CARE SENIOR LIVING
FACILITY NUMBER: 565801979
VISIT DATE: 10/29/2024
NARRATIVE
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On the allegations "Staff not assisting residents in a timely manner and Staff not bathing/showering residents as needed."; it is the concern of the reporting party that due to not having enough staff members, there is only one staff member attending to all the residents and residents are waiting for a period of time to be assisted and for diapers to be changed. RP reported they assume it must be hours. RP also reported residents are not being showered on certain days residents are scheduled to shower. To investigate the allegation, interviews and observations were conducted.

Interviews with the Administrator revealed that the facility has an alarm in the dining room that will make a loud sound when a resident pulls their cord from their room and staff should respond right away to the resident’s call and residents are checked on every two (2) hours or as needed. There is currently two (2) caregivers and one (1) MedTech per AM and PM shift, two caregivers in the night shift, and that they also assist with resident care if needed. In addition, the Administrator revealed that they are not short staff but have a lot of part-time staff and need more full-time staff, and that whenever someone calls out, she will call her current staff to cover or ask staff if they can stay for longer shifts. During today's visit there was only one caregiver and one MedTech present, however the LPA observed the Administrator assisting residents, and the Administrator informed the LPA that the MT helps the caregiver as needed. Staff interviews conducted revealed that they assist residents right away when they hear the resident's call and the only reason a resident would have to wait would be if they are assisting another resident but are not left waiting hours. Staff also revealed that staff that are not caregivers or MTs will also check on the resident's, to ensure they are okay, if the caregivers are busy. The Administrator revealed that out of the nineteen (19) residents currently at the facility only six (6) residents get showered by staff, one (1) shower independently, and the remaining twelve (12) residents get showered by Hospice or a Home Health aide. Ten (10) residents interviewed did not voice any concerns regarding not being showered. However, most of the residents in the facility have a cognitive impairment. Interview with a resident’s family member revealed that they did not have any concerns regarding the resident’s shower. During today’s visit, at 2:46PM, 2:54PM, 2:57PM, 3:04pm, and 3:29PM the LPA observed staff respond to residents call in their rooms within one (1) to three (3) minutes after the residents cord was pulled. Based on information obtained, there is insufficient evidence to support the allegation of "Staff not assisting residents in a timely manner and Staff not bathing/showering residents as needed” Therefore, this allegation in deemed Unsubstantiated at this time.

Exit interview conducted. No citations issued. Report was reviewed and a copy was issued to the Administrator.
SUPERVISOR'S NAME: Kasandra LopezTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Esther CortezTELEPHONE: (747) 230-2225
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2