197608505-2-29-2024-31-AS-NMAN-D3HTRU-20240319145804

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608505
Report Date: 02/29/2024
Date Signed: 02/29/2024 02:38:20 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., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/21/2023 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20230921104845

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: 72	DATE:	02/29/2024
		UNANNOUNCED	TIME BEGAN:	10:26 AM
MET WITH:	Chanel Sanchez, Executive Director		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff allow residents with prohibited health conditions.
Staff financially abuse residents in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility to investigate the above allegation. LPA met with the, Executive Director, Chanel Sanchez and explained the reason for the visit.

--- Staff allow residents with prohibited health conditions.

It was alleged that the facility allows residents to have bed sores. To investigate the allegation, on 09/25/2023, LPA conducted physical plant tour at around 10:30 AM, requested documents at 11:30 AM, LPA interviewed 04 (four) staff at 11:45 AM. During the physical plant tour, LPA selected fifteen (15) residents’ room at random and did not observe any residents with bed sores or pressure injuries. LPA also randomly selected six (06) residents’ physician’s reports which also did not indicate that any of the residents had bed sores or pressure injuries.
(CONT. on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 02/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024

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-20230921104845

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., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: GLEN PARK AT GLENDALE - BOYNTON ST	FACILITY NUMBER: 197608505
	VISIT DATE: 02/29/2024

NARRATIVE

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***This LIC9099-C page is an amendment to the report completed 02/29/2024 to include that residents are not being financially abused***

During interviews with staff, all staff stated they do not have any bedridden residents or residents with bed sores or pressure injuries.

Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Staff financially abuse residents in care.

It was alleged that Staff #1 and Staff #2 are physically abusing residents and taking medications and resources from residents. To investigate the allegation, on 09/25/2023, LPA interviewed 04 (four) staff at 11:45 AM and interviewed six (06) residents at 01:00 PM. On 03/14/2024 LPA requested pertinent documents at 9:30 AM, interviewed seven (07) residents from 10:30 PM to 12:30 PM and interviewed three (03) staff from 12:30 PM to 02:00 PM. During interviews with staff, all staff stated they have never physically or verbally abused anyone. Staff added that they have never taken anything from residents or heard anything about Staff #1 or Staff #2 taking anything from resident. All staff stated they do not steal residents’ money and the P&I is issued in full monthly to those that are able to manage it. During interviews with residents, all resident stated they have never been abused by staff and are not missing any medications or belongings. All residents stated that they are getting their P&I money and do not feel that the facility is stealing any of their funds. A review of resident’s P&I documents revealed that facility issues funds to residents that are able to manage it accordingly. All other residents receiving P&I from the regional center are able to request anything they need and the funds are deducted from the trust account.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards were noted during the visit.

Exit interview conducted and a copy of the report was issued.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024

LIC9099 (FAS) - (06/04)

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