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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609568
Report Date: 09/08/2022
Date Signed: 09/08/2022 01:59:11 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., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/07/2022 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20220907093630
FACILITY NAME:BEWISE HOMEFACILITY NUMBER:
197609568
ADMINISTRATOR:OKONKWO, CHINWEIKEFACILITY TYPE:
740
ADDRESS:22214 VANOWEN STREETTELEPHONE:
(818) 300-4994
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91303
CAPACITY:6CENSUS: 5DATE:
09/08/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Rachel AkampaTIME COMPLETED:
02:10 PM
ALLEGATION(S):
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Staff are not providing adequate food service to resident
Staff inappropriately put crushed medication in residents food
Staff did not treat resident with respect
Staff did not meet residents laundry needs
Facility patio is dirty
INVESTIGATION FINDINGS:
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At 10:00 a.m. on 09/08/2022 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit. LPA and staff toured the facility and no immediate health and safety concerns were observed. The case was referred to the Investigations Branch (IB) on 08/18/2022 and was returned to the Woodland Hills-South Regional Office for a full investigation. At 10:20 a.m. LPA interviewed Staff #1 (S1). At 10:45 a.m. LPA conducted a record review. From 11:15 a.m. to 12:45 p.m. LPA interviewed 5 out of 5 residents.

Staff are not providing adequate food service to resident
Regarding the allegation above, it was alleged Resident #1 (R1) did not receive adequate portions of food. From interviews, S1 stated that when a new resident arrives, S1 asks how much food they like. S1 stated extra portions are always available, but R1 often threw away their food after eating a small amount. Resident #2 (R2) joked that they were getting “too much food” and portion size was not an issue. Other residents had no issue with portion sizes.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022
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 3
Control Number 31-AS-20220907093630
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., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: BEWISE HOME
FACILITY NUMBER: 197609568
VISIT DATE: 09/08/2022
NARRATIVE
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Based on interviews although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANIATED at this time. Staff inappropriately put crushed medication in residents food
Regarding the allegation above, it was alleged S1 crushed medication in R1’s food. From interviews, S1 stated that all of R1’s medications were capsules, so there was no way the medication could have been crushed. Residents reported they have never seen or tasted medication in their food. Based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANIATED at this time.
Staff did not treat resident with respect Regarding the allegation above, it was alleged S1 was rude to R1 and blamed R1 for smearing feces in the bathroom and smoking after hours. From interviews, S1 asked R1 and Resident #3 (R3) who smeared feces in the bathroom. R1 began yelling and shouting obscenities at S1. S1 referenced similar events in which R1 called S1 names, threw laundry on the floor, told S1 to pick up the clothes, and filmed R1 without their permission. R2 and R4 reported they are glad R1 left as R1 was rude to S1 and to them. Based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANIATED at this time.
Staff did not meet residents’ laundry needs Regarding the allegation above, it was alleged S1 only washed R1’s clothes twice during their 3 weeks stay. From record review, R1 was independent and did not need assistance with daily activities such as grooming and washing clothes. From interview, S1 instructed residents to put laundry in the washing machine and S1 cleans the clothes. S1 stated R1 would throw their clothes on the ground and demand S1 pick them up and wash them. Residents reported no issues with laundry services. Based on interviews and record review, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANIATED at this time.
Facility patio is dirty Regarding the allegation above, it was alleged the outdoor patio was dirty. LPA observed the patio during the physical plant tour and observed a clean table and seating arrangements. From interviews, S1 stated they clean the patio often as residents smoke outside every day. R2 reported staff cleaned the patio area when family came to visit. Other residents reported the patio area and furniture were clean to their liking. Based on interview and observations, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANIATED at this time. Exit interview conducted. Copy of report and appeal rights provided.
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022
LIC9099 (FAS) - (06/04)
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