198320197-4-10-2025-11-AS-SCIS-DGGVQC-20250508163808

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320197
Report Date: 03/17/2025
Date Signed: 04/10/2025 03:57:59 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/09/2024 and conducted by Evaluator Troy Watson

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20240509122945

FACILITY NAME:	PLAZA AT WESTWOOD, THE		FACILITY NUMBER:	198320197
ADMINISTRATOR:	LUZ EMMA ROSE		FACILITY TYPE:	740
ADDRESS:	2228 WESTWOOD BLVD		TELEPHONE:	(310) 475-8861
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90064
CAPACITY:	136	CENSUS: 64	DATE:	03/17/2025
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Luz Rose - Administrator		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff do not provide resident with laundry service.
Staff do not provide resident with housekeeping service.
Staff do not ensure that resident receives mail when delivered to facility.
Staff did not ensure that resident received medical care.
Staff do not ensure that facility is maintained in good repair.

INVESTIGATION FINDINGS:

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*This amendment serves to clarify the complaint allegations, it does not supersede the report delivered on 3/17/2025*
On 03/17/2025 at 10:30 AM the Department conducted a subsequent complaint visit to the facility to deliver findings for the allegations listed above.The Department was met by Luz Rose, the Administrator and the purpose of today’s visit was explained.The Department was granted access and allowed to enter the facility.

INVESTIGATION CONSISTED OF THE FOLLOWING:

On 05/22/2024 The department requested, received, and reviewed copies of the following documents: Staff and Resident Rosters, emergency and ID Sheet, Laundry list, Housekeeping-Room, and cleaning list. On 05/15/2024 and 05/22/2024 The department toured facility grounds and viewed rooms toured Room 212, Room 337, Room 335, Room 327 & 328, Room 304, Room 318, Room 316 & 317, and Room 315. The department interviewed staff 1-staff 6 (S1-S6) and resident 1-resident 8 (R1-R8)

CONTINUED ON LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

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 4

Control Number 11-AS-20240509122945

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: PLAZA AT WESTWOOD, THE	FACILITY NUMBER: 198320197
	VISIT DATE: 03/17/2025

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Staff do not provide resident with laundry service.

On 05/15/2024 the department and Maria Theresa Pascual Wellness Director toured the facility. The department observed laundry area, service schedules, staff members schedules and services provided. On 05/15/2024, during interviews with 6 staff the department asked if staff laundry services were provided at the facility. Of those interviewed, 6 out of 6 staff stated they provide laundry services to all residents at the facility. On 05/15/2024, the department interviewed 8 residents. Of those interviewed, 8 out of 8 residents stated that laundry services were provided daily, weekly, twice a week, and as often as needed. Of those interviewed, 8 out of 8 residents who stated that they were happy with the laundry service, and they are receiving daily housekeeping, and the caregivers are doing an excellent job.

Based on the information gathered, an inspection of the facility, observation, and interviews conducted, an analysis of records reviewed, the Department found no evidence to support the allegations mentioned above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations, did or did not occur, therefore the allegations are Unsubstantiated.

Allegation: Staff do not provide resident with housekeeping service.

On 05/15/2024 the department toured facility from 10:00 am-1:12 pm and observed Room 212, Room 337, Room 335, Room 327 & 328, Room 304, Room 318, Room 316 & 317, and Room 315. The department observed all rooms to have housekeeping schedules posted which included daily cleaning of bathrooms. On 05/15/2024, The department interviewed 6 staff, of those interviewed 6 out of 6 staff stated there are 4 housekeeping staff on alternate schedules to service all rooms daily. Of those interviewed, 6 out of 6 staff stated the facility provides housekeeping services to residents. On 05/15/2024, The department interviewed 8 residents of those 8 out of 8 reported they had no concerns as their rooms are serviced daily or as needed and did not feel neglected.

CONTINUED ON LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20240509122945

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: PLAZA AT WESTWOOD, THE	FACILITY NUMBER: 198320197
	VISIT DATE: 03/17/2025

NARRATIVE

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Based on the information gathered, an inspection of the facility, observation, and interviews conducted, an analysis of records reviewed, the Department found no evidence to support the allegations mentioned above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations, did or did not occur, therefore the allegations are Unsubstantiated.

Allegation: Staff do not ensure that resident receives mail when delivered to facility.

On 05/15/2024, The department interviewed Maria Theresa Pascual, Wellness Director who stated, that the facilities contact residents when they receive mail, as the concierge desk must notify the resident who must come down and receive their mail. If the resident is not able to come down, the staff will wait for family or resident. On 05/15/2024 The department interviewed 8 residents of those interviewed, 8 out of 8 residents stated that mail is received including packages and USPS Mail. On 05/15/2024, The department interviewed 8 out of 8 residents. Of those interviewed, 8 out of 8 stated deliveries arrive and staff notifies residents to pick up their packages which residents receive on a timely manner. On 05/15/2024 the department interviewed 6 staff members. Of those interviewed, 6 out of 6 staff members interviewed disagreed with the allegation.

Based on the information gathered, an inspection of the facility, observation, and interviews conducted, an analysis of records reviewed, the Department found no evidence to support the allegations mentioned above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations, did or did not occur, therefore the allegations are Unsubstantiated.

Allegation: Staff did not ensure that resident received medical care.

On 05/15/2024, The department interviewed Maria Theresa Pascual, Wellness Director who stated the facility ensures that residents receive medical care. On 05/15/2024, The department interviewed 6 staff of those interviewed, 6 out of 6 stated that residents’ medical care is not mismanaged. On 05/15/2024, The department interviewed with 6 out of 6 staff who stated that they ensure that resident received medical care.
On 05/15/2024, The department interviewed 8 residents of those interviewed, 8 out of 8 residents stated that they disagreed with the allegation. Of those interviewed, 8 out of 8 residents stated satisfaction with the medical care they received and felt that their health needs were consistently addressed.

CONTINUED ON LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20240509122945

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: PLAZA AT WESTWOOD, THE	FACILITY NUMBER: 198320197
	VISIT DATE: 03/17/2025

NARRATIVE

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SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

LIC9099 (FAS) - (06/04)

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