197607718-8-10-2021-11-AS-AJKK-C9Z2XX-20211223164748

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197607718
Report Date: 08/06/2021
Date Signed: 08/10/2021 09:48:53 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTERY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/12/2021 and conducted by Evaluator Lourdes Montoya

COMPLAINT CONTROL NUMBER: 11-AS-20210712084711

FACILITY NAME:	CENTINELA ASSISTED LIVING CENTRE		FACILITY NUMBER:	197607718
ADMINISTRATOR:	GWENDOLYN CRAIG		FACILITY TYPE:	740
ADDRESS:	1000 S FLOWER ST		TELEPHONE:	(310) 674-3216
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90301
CAPACITY:	96	CENSUS: 49	DATE:	08/06/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	GWENDOLYN CRAIG		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Food is cold

INVESTIGATION FINDINGS:

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On 8/4/2021, Licensing Program Analyst (LPA) Lourdes Montoya conducted a subsequent unannounced complaint visit to deliver the complaint findings. LPA Montoya called the facility and spoke with Director of Social Services Elizabeth Hernandez to conduct a risk assessment. Based on the assessment, the facility is clear of Covid-19 infection. At around 2:30 pm, LPA Montoya met with Administrator Gwendolyn Craig and explained the purpose of the visit.

The investigation consisted of the following: A tour of the facility and interviews with the administrator, staff, and residents on 7/21/2021 and 7/27/21; review of Resident #1’s admission agreement, physician’s report, Appraisal/Needs and Services Plan, and other facility records pertinent to the allegation above.

REPORT CONTINUED IN LIC 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Angela J Kendrick
LICENSING EVALUATOR NAME: Lourdes Montoya
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021

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 11-AS-20210712084711

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTERY PARK, CA 91754

FACILITY NAME: CENTINELA ASSISTED LIVING CENTRE	FACILITY NUMBER: 197607718
	VISIT DATE: 08/06/2021

NARRATIVE

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The investigation revealed the following:

Allegation: Facility food is cold.

It is alleged the facility food is cold. Based on record review, the Admission Agreement shows the victim was admitted to the facility on August 14, 2020.

The department attempted to interview eleven residents (#1-#11); nine (9) residents were available but two (2) residents were not able to provide feedback. Resident (#9) refused to respond, while Resident (#11) was unavailable during the interview.

During LPA’s interview, Resident #1, who is the alleged victim, stated that the facility food being cold is not his major concern. Resident #1 denied the food is cold and stated the food and the service have been better. Based on LPA’s interviews, five (5) Residents (#3, #4, #5, #8, and #10) denied the facility food is served cold while it is supposed to be hot. Two residents (#2 and #7) stated the food is sometimes served cold while it is supposed to be hot, but they don’t have any complaints. Resident #6 stated the food is always cold.

Staff #1-#3 stated the food that is supposed to be hot is served hot/warm. They stated that the food is plated while it’s hot and kept in a thermal warmer to keep the food warm/hot. Staff #1 and #2 disclosed only Resident #11 continuously complains that food is cold. Staff #1 and #2 mentioned that the facility provided a microwave to Resident #11 in his bedroom, yet he still complains. They declared that Resident #11 frequently buys food and does not often eat the facility food. Based on LPA’s observations, interviews, and records review, LPA did not find sufficient evidence to support the allegation mentioned above.

Based on information gathered, LPA did not find sufficient evidence to support the allegations, “Facility food is cold.” Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

No deficiencies were cited.

An exit interview was conducted. A hard copy of the report was provided to Administrator Gwendolyn Craig.

SUPERVISORS NAME: Angela J Kendrick
LICENSING EVALUATOR NAME: Lourdes Montoya
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021

LIC9099 (FAS) - (06/04)

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