Complaint Investigation Report

565850067-2-28-2023-29-AS-DPEA-CPH3FF-20230228171241

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD. #250

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

02/07/2023 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20230207101044

Dan Zaharoni, Licensee & Brimen Vivar, Administrator

Staff do not respond to resident's call button in a timely manner

Facility is not maintained at a comfortable temperature for resident

**This report is amended to correct a technical error. Licensing Program Analyst (LPA) Zabel Chochian conducted a complaint visit to the facility. LPA met with licensee Dan Zaharoni and explained the reason for the visit. Discussion held with Mr. Zaharoni regarding allegations above from approximately 9:45am-10:15am. During today's visit LPA conducted a physical plant tour and conducted random resident interviews from approximately 10:30am-12:00pm and 2:30pm-3pm; Staff interviews conducted from 12:15pm-1:45pm; Review of the pager response time record for 7 days conducted from 1:45pm-2:30p. Based on interviews conducted and a review of the pager response times, it was confirmed that, in several instances, staff response times are taking over ten (10) minutes to one (1) hour. Regarding the facility maintaining a comfortable temerature for residents, it was confirmed through resident interviews that the facility common areas and resident rooms have been cold. Licensee confirmed that the facility is expirence issues with the heating/cooling system. LPA observed room tempetures to range from 58-69 degrees. Based on the above information gathered allegations are substantiated at this time.

Following deficiencies observed cited. Exit interview held. Copy of report and appeal rights provided.