197608505-2-14-2024-28-AS-NMAN-D68VEG-20240614162220

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608505
Report Date: 02/14/2024
Date Signed: 02/14/2024 04:18:24 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.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
02/22/2023 and conducted by Evaluator Rosaura Valenzuela

COMPLAINT CONTROL NUMBER: 28-AS-20230222134544

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: 71	DATE:	02/14/2024
		UNANNOUNCED	TIME BEGAN:	12:21 PM
MET WITH:	Peter Bonilla, Administrator		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Facility staff is emotionally and mentally abusing residents.

Facility staff is physically abusing residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rosaura Valenzula conducted an unannounced subsequent visit for the above noted allegations. LPA met with Administrator Peter Bonilla and explained the reason for the visit.

It was reported that facility staff is emotionally and mentally abusing residents. To investigate this allegation, on 2/14/2024, between between 1:00pm and 2:00pm, staff interviews were initiated. Interviews revealed that facility employees are not emotionally and mentally abusing residents. Staff #1 (S1) told LPA that if they were to become aware or see any staff abusing residents in care, that they would be fired immediately. Moreover, the staff that are identified as the abusers are not present or employed at the facility. Between 2:00pm and 2:30pm, LPA reviewed facility records. Records confirmed what staff had told LPA. The alleged abusers are not employed as facility staff. Between 2:30pm and 3:30pm, resident interviews were initiated. Eight residents were interviewed. Interviews revealed that facililty staff is not emotionally and mentally abusing residents. Staff are nice, friendly, and helpful.
Continue on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Rosaura Valenzuela	TELEPHONE: 818-596-4334
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024

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 28-AS-20230222134544

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: GLEN PARK AT GLENDALE - BOYNTON ST	FACILITY NUMBER: 197608505
	VISIT DATE: 02/14/2024

NARRATIVE

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

It was alleged that facility staff is physically abusing residents. To investigate this allegation between 1:00pm and 2:00pm, staff interviews were initiated. Interviews revealed that staff is not physically abusing residents. According to S1 if staff were physically abusing staff, that would be grounds for immediate termination. Between 2:00pm and 2:30pm, facility records were reviewed. Records revealed that the staff identified as the abusers are not employed at the facility. Between 2:30pm and 3:30pm, resident interviews were initiated. Eight residents were interviewed. Interviews revealed that facility staff is not physically abusing residents. On the contrary, staff are friendly, polite, and helpful.

Based on interviews and records review, there is not sufficient information to support this allegation. Thus, the allegation is UNSUBSTANTIATED at this time.

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

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Rosaura Valenzuela	TELEPHONE: 818-596-4334
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024

LIC9099 (FAS) - (06/04)

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