197608505-5-16-2023-31-AS-NMAN-CV5NWN-20230828104948

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608505
Report Date: 05/16/2023
Date Signed: 05/16/2023 12:58:23 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
05/08/2023 and conducted by Evaluator Antonia Alvizar

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20230508161732

FACILITY NAME:	GLEN PARK AT GLENDALE - BOYNTON ST		FACILITY NUMBER:	197608505
ADMINISTRATOR:	PINK, JR, TILLMAN		FACILITY TYPE:	740
ADDRESS:	1250 BOYNTON ST		TELEPHONE:	(818) 246-9000
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	98	CENSUS: 68	DATE:	05/16/2023
		UNANNOUNCED	TIME BEGAN:	09:49 AM
MET WITH:	Executive Director, Narine Mertkhanyan		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff sexually abused residents in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Antonia Alvizar made an unannounced complaint visit. LPA met the Narine and explained the visit was to conduct an investigation and deliever finding of the above allegation.

It was alleged that facility staff had sexual contact with residents. LPA conducted a physical plant tour at 10:40am. At 10:17am LPA requested and reviewed facility internal incident reports, staff and resident roster. At 10:50am LPA spoke with five (5) staff, and they denied any knowledge of sexual assault by the facility staff toward resident. Out of sixty-eight (68) residents LPA attempt to interview seven (07) however two (02) where not available at 11:51am. Five (05) out of seven (07) residents revealed that they had no knowledge of resident being sexually harassed by facility staff.

Based on observation, interviews and documents review there is an insufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Exit interview conducted with Narine and a copy of this record provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Antonia Alvizar	TELEPHONE: (818) 383-6108
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023

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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