197603165-6-13-2023-29-AS-JAPL-CSUUJG-20230616153732

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197603165
Report Date: 06/13/2023
Date Signed: 06/13/2023 12:32:57 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. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/06/2023 and conducted by Evaluator Angel Ascencio

COMPLAINT CONTROL NUMBER: 29-AS-20230606130110

FACILITY NAME:	GLEN PARK AT VALLEY VILLAGE		FACILITY NUMBER:	197603165
ADMINISTRATOR:	TILLMAN PINK		FACILITY TYPE:	740
ADDRESS:	5527 LAUREL CANYON BLVD		TELEPHONE:	(818) 769-6626
CITY:	VALLEY VILLAGE	STATE: CA	ZIP CODE:	91607
CAPACITY:	100	CENSUS: 52	DATE:	06/13/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Jessyca		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Facility failed to maintain a comfortable temperature.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angel Ascencio conducted an initial complaint visit to the above facility. LPA Ascencio met with Staff at 10:00 a.m. Entrance interview conducted. Interim Executive Director (ED) Rafael Silva was unable to meet with LPA.

On 06/06/2023, the Department received a complaint alleging that the facility failed to maintain a comfortable temperature. On 06/13/2023, LPA Ascencio spoke with Resident #1 (R1) at 11:02 a.m. Interview with R1 revealed that the air vent in their room was taped off to prevent any cold or hot air from entering the room. More specifically, the vent is underneath R1's roommate who indicated to R1 that hot air or cold air comes into the room daily. R1 added that a maintenance person came to the facility the week of 06/06/2023 and added an air blocker to the vent to prevent any air from coming in. R1 stated the air stopper has helped. Lastly, R1 stated that facility staff and the interim ED knew about the problem but did not do anything to help, until they heard a complaint was filled.
Continued on LIC 9099 - C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Angel Ascencio	TELEPHONE: 747-230-3888
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

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 29-AS-20230606130110

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. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: GLEN PARK AT VALLEY VILLAGE	FACILITY NUMBER: 197603165
	VISIT DATE: 06/13/2023

NARRATIVE

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Later that same day, interviews with residents beginning at 10:15 a.m. revealed that they have not had a problem with the air vents. Interviews with residents added there are times it get a bit hot or a little cold that another blanket or removal of blanket makes up for it. Lastly, interviews with residents also revealed that they can request at the front desk to have the air colder or heated as the facility only has central air for all rooms.

Starting at 10:15 a.m., LPA Ascencio took room temperature measurements of Rooms #1, #2, #3, #4, and #5 revealing that resident rooms were at a range from 73.4 - 77.7 degree F. The California Code of Regulations Title 22 Section 87303 Maintenance and Operations (b)(1) indicates that: "The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C)" while section (b)(2) indicates that; "The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature."

Although interview with R1 indicated that there was a heating and cooling problem in their room, observations and further interview with R1 indicated that the facility placed an air blocker to prevent air from coming into the room. Additionally, interviews with various resident revealed residents rooms are at a comfortable temperature range to their liking, while temperature room measurements confirmed comfortable ranges that are within regulations. Thus, based on the evidence gathered, the allegation of Facility failed to maintain a comfortable temperature is deemed unsubstantiated at this time.

Exit interview conducted and a copy of the report was provided to staff, who was authorized to sign the documents.

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Angel Ascencio	TELEPHONE: 747-230-3888
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

LIC9099 (FAS) - (06/04)

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