197605175-8-8-2025-31-AS-NGID-DL6P69-20250903110159

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197605175
Report Date: 08/08/2025
Date Signed: 08/08/2025 11:09:13 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
05/15/2025 and conducted by Evaluator Perchui Khurshudyan

COMPLAINT CONTROL NUMBER: 31-AS-20250515150952

FACILITY NAME:	GOCHIN CARE FACILITY		FACILITY NUMBER:	197605175
ADMINISTRATOR:	RHODA GOCHIN		FACILITY TYPE:	735
ADDRESS:	8112 LOMA VERDE AVENUE		TELEPHONE:	(818) 349-1767
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91304
CAPACITY:	4	CENSUS: 5	DATE:	08/08/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Rhoda Gochin - Administrator		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff did not treat client in care with respect.

INVESTIGATION FINDINGS:

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On 8/7/2025, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted a subsequent complaint visit at this facility to conclude the investigation regarding the above allegation and to deliver the final report. Upon arrival LPA met with the facility Administrator Rhoda Gochin and explained the reason for the visit. Entrance interview conducted.

During the initial visit on 5/22/2025, LPA Khurshudyan conducted interviews and records review. At 9:25am, LPA requested client and staff rosters. LPA also requested copies of pertinent information which include, but not limited to Admission Agreement, Appraisal Needs and Services, Physician Report, Unusual Incident Reports, copy of Medication Administration Record (MAR), copy of staff training, and additional documents relevant to the investigation. At approximately 10:45am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 10:00am – 11:30am, LPA conducted interviews with the Administrator, one (1) staff/caregiver, and two (2) out of six (6) clients residing at the facility.
Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025

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 31-AS-20250515150952

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: GOCHIN CARE FACILITY	FACILITY NUMBER: 197605175
	VISIT DATE: 08/08/2025

NARRATIVE

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During today’s visit, LPA requested copies of resident and staff rosters. At approximately 10:20am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. LPA observed C1's room and got informed by the Administrator that C1's case manager from Bridges Community Treatment Services Inc found a new placement and on 6/11/2025 C1 got transferred to another facility. LPA collected Copy of the facility exit form. No clients were present during the visit, five (5) out of five (5) clients were at day program.

Allegation: Staff did not treat client in care with respect.

It was alleged that the "Staff did not treat client in care with respect" by yelling at the client. To investigate this allegation, during the initial 10-day visit made on 5/22/2025, LPA Khurshudyan conducted interviews with the Administrator, one (1) staff member, two (2) clients, and one (1) witness. LPA also reviewed facility records and obtained copies of pertinent documents relevant to the investigation. The Administrator and one (1) staff member interviewed both denied the allegation. The administrator reported that the facility staff consistently remind clients to follow house rules, treat others with respect and respect the rights of others. LPA also noted that although C1 presents significant behavioral challenges, staff continued to use de-escalation techniques, including one-on-one (1:1) meetings. The Administrator also confirmed communication with Bridges Community Treatment Services Inc. to address C1's needs for intensive behavioral intervention. Interviews with two (2) out of (6) clients who were present at the facility and were able to communicate, stated they are happy and satisfied with both the care and the staff at the facility, and denied ever being yelled at or being disrespected. Interview with one (1) witness, who also treats C1 and visits the facility regularly, denied ever witnessing staff treating clients in care with disrespect. No witnesses or individuals confirmed the allegation, nor was there a date or time provided for the alleged incident.

Based on interviews and the information obtained, there was insufficient evidence to corroborate the allegation of staff treating client (C1) with disrespect. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No Deficiencies cited during today's visit.

Exit interview conducted and signed report delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025

LIC9099 (FAS) - (06/04)

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