197603165-8-16-2023-29-AS-DPEA-D5KSAV-20240524134255

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197603165
Report Date: 08/16/2023
Date Signed: 08/16/2023 09:41:07 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
08/14/2023 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20230814151148

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: 45	DATE:	08/16/2023
		ANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Marhlyn Sapugay		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Residents are locked inside the facility
Facility is understaffed

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a complaint visit today regarding above allegations. Upon arrival LPA met with Administrator Marhlyn Sapugay and reason for visit was discussed.

LPA and Administrator conducted a physical plant tour approximately 10:45am. LPA checked the front and side doors to the building. Facility is approved for delayed egress. Front door observed to be unlocked during todays visit. Interviews conducted with staff and residents between 12pm-3:30pm revealed that the residents are able to exit and enter the facility anytime. Regarding allegation "facility is understaffed", staff schedule for the week was reviewed and it was observed that there are three (3) caregivers and two (2) medtechs on each shift, including two (2) housekeeping staff. Census of facility at this time is 45. Staff and residents interviewed revealed that the facility staffing at this time is sufficient.

Based on the evidence gathered, the allegation of Residents are locked inside the facility and facility is understaffed" is deemed unsubstantiated at this time. Exit interview conducted and a copy of report issued.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel Chochian	TELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

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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