197608505-11-6-2024-31-AS-NMAN-DHPSZW-20250616141949

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608505
Report Date: 11/06/2024
Date Signed: 11/06/2024 03:17:50 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
10/23/2024 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20241023131909

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: 61	DATE:	11/06/2024
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Susan Park		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff handle residents roughly
Staff steal residents medications
Staff steal residents money
Staff sexually abused residents in care
Staff retain residents with prohibited health conditions

INVESTIGATION FINDINGS:

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At 1:15 p.m. on 11/06/24 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and later the administrator and disclosed the reason for the visit.

To investigate the allegations above, LPA conducted an initial visit on 10/29/24 and interviewed staff and residents between 10:30 a.m. and 12:00 p.m., toured the facility inside and out at 10:45 a.m., and conducted a record review of pertinent records, including but not limited to staff and client rosters at 2:15 p.m. Today, LPA toured the facility at 1:30 p.m., conducted a medication review at 1:35 p.m., interviewed a former staff member, Staff #1 (S1) at 1:45 p.m., and conducted a record review of pertinent records, including but not limited to wound care notes and cash ledgers at 2:00 p.m.

Regarding the allegation "Staff handle residents roughly" it was alleged staff “slam” and abuse residents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024

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-20241023131909

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: GLEN PARK AT GLENDALE - BOYNTON ST	FACILITY NUMBER: 197608505
	VISIT DATE: 11/06/2024

NARRATIVE

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Interviews with seven (07) out of seven (07) residents revealed no occurrences of physical abuse or rough handling by staff. Interviews with staff and the administrator revealed no staff handle residents roughly or abuse residents. During a facility tour today, LPA observed staff handling residents gently and with respect. Based on interviews and observations, there was no evidence corroborating the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff steal residents’ medications" it was alleged staff steal bottles of resident medication. Interviews with seven (07) out of seven (07) residents revealed no occurrences of missing or stolen medications. Residents confirmed they receive all medications in the right doses. Interviews with staff and the administrator revealed no staff steal medications and no residents are missing any medications. Medication review revealed three (03) out of three (03) residents’ medications were accounted for. None were missing or stolen. Based on medication review and interviews, staff do not steal residents’ medications. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff steal residents money" it was alleged staff members steal residents’ monthly income. Interviews with seven (07) out of seven (07) residents revealed no occurrences of stolen or missing money. Residents interviewed who receive P&I money had no problems with accessing their money. Interviews with staff revealed no reports of staff stealing resident money. Interview with the administrator revealed all resident money is recorded on the internal P&I ledger. Review of P&I ledgers today at 2:00 p.m. revealed resident money was accounted for and none was missing or stolen. Based on record review and interviews, staff do not steal residents’ money. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff sexually abused residents in care" it was alleged that S1 sexually abused Resident #1 (R1) and Resident #2 (R2). Record review of the resident list revealed R1 and R2 were not currently residents. Interview with S1 revealed they have never abused R1 or R2 and had good relationships with both. R1 and R2 were all unavailable for interviews. Interviews with seven (07) out of seven (07) residents revealed no occurrences of sexual abuse by staff. Residents interviewed stated staff were fine. Interviews with staff and the administrator revealed no evidence of sexual abuse. Based on interviews, no residents were sexually abused by staff. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20241023131909

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: GLEN PARK AT GLENDALE - BOYNTON ST	FACILITY NUMBER: 197608505
	VISIT DATE: 11/06/2024

NARRATIVE

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Regarding the allegation "Staff retain residents with prohibited health conditions" it was alleged the facility retained residents with severe pressure injuries. Interview with the administrator revealed no residents have prohibited health conditions. There is currently one (01) resident, Resident #3 (R3) with a Stage 1 pressure injury, which is a restricted but allowable condition in this facility. Record review confirmed a wound care specialist was seeing the R3 on a weekly basis and providing proper and adequate care for the wound. Interviews with seven (07) other residents revealed no issues with pressure injuries. Based on record review and interviews, the facility does not retain residents with prohibited conditions. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health or safety hazards were observed during today's visit. Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024

LIC9099 (FAS) - (06/04)

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