197608081-11-30-2023-31-AS-NMAN-D72VDQ-20240710162106

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608081
Report Date: 11/30/2023
Date Signed: 11/30/2023 04:33:03 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 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
11/22/2023 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20231122143713

FACILITY NAME:	AVANTGARDE SENIOR LIVING OF TARZANA		FACILITY NUMBER:	197608081
ADMINISTRATOR:	CAROLINA GARCIA-TREJO		FACILITY TYPE:	740
ADDRESS:	5645 LINDLEY AVENUE		TELEPHONE:	(818) 881-0055
CITY:	TARZANA	STATE: CA	ZIP CODE:	91356
CAPACITY:	138	CENSUS: 134	DATE:	11/30/2023
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Joyce Martinez		TIME COMPLETED:	04:35 PM

ALLEGATION(S):

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Residents in care sustained unexplained injuries
Staff handled residents in care in a rough manner
Residents in care are not provider proper medication assistance
Residents sustained rashes due to staff not meeting resident's incontinence needs
Staff yelled at residents in care

INVESTIGATION FINDINGS:

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At 11:00 a.m. on 11/30/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with Staff #1 (S1) and disclosed the reason for the visit. LPA toured the facility inside and out.

To investigate the allegations listed above, LPA interviewed six (06) staff members and 10% of residents, or fourteen (14) of one hundred and thirty-four (134) residents between 11:00 a.m. and 4:00 p.m., conducted a record review of documents including but not limited to the resident list, staff list, medication records, and supervision logs at 1:00 p.m., conducted a medication review at 2:30 p.m., and toured the facility at 12:00 p.m. today.

Regarding the allegation “Residents in care sustained unexplained injuries” it was alleged residents have unexplained scratches and bruises. Staff interviews revealed bruises occur frequently due to poor skin integrity.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

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-20231122143713

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: AVANTGARDE SENIOR LIVING OF TARZANA	FACILITY NUMBER: 197608081
	VISIT DATE: 11/30/2023

NARRATIVE

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Staff report all injuries to the proper parties. Residents are observed and assessed every 2 hours by staff. Resident interviews confirmed they are observed often and checked for injuries. No residents reported any unexplained injuries. Record review of the supervision log revealed staff observe residents every 2 hours. LPA did not observe any unexplained injuries on residents during this visit. Based on interviews, record review, and observations, residents have not sustained unexplained injuries. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation “Staff handled residents in care in a rough manner” it was alleged staff have aggressively grabbed and pulled residents. Fourteen (14) out of fourteen (14) residents interviewed stated they have never experienced or witnessed staff handling residents in a rough manner. Six (06) out of six (06) staff interviewed stated they have not handled residents roughly nor have they seen staff handling residents in a rough manner. S1 also noted at 11:00 a.m. today that no reports have been documented of staff handling residents in a rough manner. Based on interviews, residents were not handled roughly manner by staff. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation “Residents in care are not provider proper medication assistance” it was alleged residents are overmedicated or not receiving medication at all. Residents interviewed stated they receive medication assistance at the correct dosages. Staff interviewed stated they follow physician’s orders to ensure medications are the correct dosages. Interview with S1 at 11:00 a.m. today revealed the facility consults with resident physicians prior to any medication changes. The medication review conducted at 2:30 p.m. today revealed three (03) out of three (03) residents’ medications checked were assisted with the proper prescribed dosages. Based on interview and medication review, residents are provided proper medication assistance. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation “Residents sustained rashes due to staff not meeting resident's incontinence needs” it was alleged staff do not change resident diapers in a timely manner. Resident interviews revealed their incontinence needs were met by the facility, and none experienced rashes. Six (06) out of six (06) staff interviewed confirmed that residents are checked every two hours and changed as needed. No staff reported observing any rashes on residents. Record review of resident supervision logs at 1:00 p.m. today confirmed residents were observed every 2 hours and changed as needed. Based on interviews and record review, staff are meeting residents’ incontinence needs. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 31-AS-20231122143713

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: AVANTGARDE SENIOR LIVING OF TARZANA	FACILITY NUMBER: 197608081
	VISIT DATE: 11/30/2023

NARRATIVE

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Regarding the allegation “Staff yelled at residents in care” it was alleged staff have yelled at residents. Residents interviewed confirmed they are not yelled at by staff, nor have they heard staff yelling at residents. Staff interviews revealed they do not yell at residents. Interview with S1 at 11:00 a.m. today revealed staff raise their voices if a resident is hard of hearing. LPA did not observe staff yelling at residents today while in the facility. Based on interviews and observations, staff do not yell at residents in care. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health or safety hazards observed during this visit.

Exit interview conducted. Copy of report provided.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

LIC9099 (FAS) - (06/04)

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