565800366-10-15-2024-29-AS-KLOZ-DAHNMK-20241029103516

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565800366
Report Date: 10/15/2024
Date Signed: 10/15/2024 03:39:45 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
10/06/2023 and conducted by Evaluator Kelly Dulek

PUBLIC

COMPLAINT CONTROL NUMBER: 29-AS-20231006100424

FACILITY NAME:	ATRIA HILLCREST		FACILITY NUMBER:	565800366
ADMINISTRATOR:	ADAM SYNCHEFF		FACILITY TYPE:	740
ADDRESS:	405 HODENCAMP RD		TELEPHONE:	(805) 373-0606
CITY:	THOUSAND OAKS	STATE: CA	ZIP CODE:	91360
CAPACITY:	207	CENSUS: 125	DATE:	10/15/2024
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Remon Pagels		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Facility staff not meeting the incontinence needs of the resident(s) in care.
Facility staff have inadequate training.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct subsequent complaint visit to address the allegations listed above. LPA met with Executive Director/Administrator (ED) Remon Pagels upon arrival. Entrance interview conducted.

During today's visit, LPA reviewed training records for various staff who were employed at the time the complaint was received, toured the facility with ED at 11:31AM, interviewed staff and residents from 12:02PM to 02:34PM. During an initial complaint visit, conducted by LPA Elsie Campos on 10/12/2023, LPA Campos conducted interviews and reviewed pertinent documents relevant to the investigation. Throughout the course of the investigation, LPA Dulek reviewed pertinent documents. The following was then determined:

Report Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Kelly Dulek	TELEPHONE: (951) 836-3170
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

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-20231006100424

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: ATRIA HILLCREST	FACILITY NUMBER: 565800366
	VISIT DATE: 10/15/2024

NARRATIVE

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Allegation: "Facility staff not meeting the incontinence needs of the resident(s) in care:"
LPAs interviewed both residents and staff in regards to this allegation. Staff interviewed indicated that the facility uses ipods to track the care needs of residents. All residents' care needs are entered into the computer system, then each care staff does carry an ipod that indicates what tasks are assigned for the day. Staff then check off the tasks for each resident as they are completed. Staff interview revealed that they check residents approximately every 2 (two) hours and change residents as needed. If a resident is observed to be wet or soiled, they are changed additional times as needed. During the facility tour in both initial complaint visit and the subsequent visit, no incontinence odors were noted. Care staff interviewed indicated that sometimes residents refuse incontinence care, which is also documented on the ipod as well as reported to management. Residents interviewed felt their incontinence needs are being met and did not note any concerns with the care they receive at the facility. Based on interview and observation, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation "facility staff not meeting the incontinence needs of the resident(s) in care is deemed UNSUBSTANTIATED at this time.

Allegation "Facility staff have inadequate training:"
LPA Dulek reviewed facility staff records and conducted interviews related to this allegation. Record review revealed that prior to 2023, all training records were documented and recorded on paper copy. Beginning in 2023, staff began completing some initial and ongoing training on the facility's computer system. LPA reviewed both paper documents and printouts from the electronic training system. All staff files reviewed did contain adequate initial and ongoing documented training. Interviews revealed that upon staff hire, staff complete 2 days of computer training, including orientation and training in line with Title 22 regulation. After the 2-days, the staff are then directed to the Department head to schedule additional training, shadowing, and hands on training with seasoned staff prior to beginning work with residents. Based on interview and record review, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation "facility staff have inadequate training" 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: Kelly Dulek	TELEPHONE: (951) 836-3170
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

LIC9099 (FAS) - (06/04)

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