Complaint Investigation Report

197607020-2-2-2024-31-AS-NGID-D2HVPZ-20240216153735

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

WOODLAND HILLS S.RO , 21731 VENTURA BLVD., STE. 250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

01/31/2024 and conducted by Evaluator Lorena Casillas

COMPLAINT CONTROL NUMBER: 31-AS-20240131150759

JOE-SEPHINE RESIDENTIAL CARE FAC. FOR THE ELDERLY

Staff did not ensure non-skid mats were used in all bathtubs and showers.

Licensing Program Analyst (LPA) Lorena Casillas conducted an unannounced initial 10day complaint visit at 9:45 am. LPA met with Administrator Josephine Sanoy and explained the purpose of the visit. LPA conducted a physical plant tour at 10:00 am.

It is alleged that residents do not have non-slip mats in their shower. LPA requested and obtained copies of facility files and documents including but not limited to staff and resident rosters.

LPA interviewed Administrator and staff at approximately 10:30 am. During the investigation the administrator and staff confirmed they do not provide non-slip mats to residents. LPA observed two (2) out of two (2) bathrooms to not have non-slip mats in the shower. Not having non-skid mat or strips is a potential slip and fall hazard.

Based on inspection, observations, and interviews there is enough evidence to prove the alleged violation did occur, therefore the allegation is SUBSTANTIATED at this time.

Deficiency cited. Exit interview conducted. Copy of report given to Administrator and appeal rights discussed.