197608505-2-26-2026-31-AS-NMAN-DSC5T9-20260319201358

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608505
Report Date: 02/26/2026
Date Signed: 02/26/2026 12:58:57 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
02/23/2026 and conducted by Evaluator Tuesday Cabiness

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260223090016

FACILITY NAME:	GLEN PARK AT GLENDALE - BOYNTON ST		FACILITY NUMBER:	197608505
ADMINISTRATOR:	SUSAN PARK		FACILITY TYPE:	740
ADDRESS:	1250 BOYNTON ST		TELEPHONE:	(818) 246-9000
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	98	CENSUS: 63	DATE:	02/26/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Susan Park		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff does not ensure infection control guidelines are being followed

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced complaint visit, to investigate the allegation mentioned above. LPA met with the front receptionist and Administrator Susan Park and informed them the reason of the visit. The following information was obtained:

To investigate the allegation, on the date of the visit, from 9:30 a.m. to 10:00 a.m., (LPA) conducted a physical plant inspection of the facility. Review of the complaint indicated that facility staff were placing PPE carts outside the rooms of infected residents. It was also reported that staff working at the facility had tested positive for COVID19 and that visitors were not notified. From 10:30 a.m. to 12:30 p.m., LPA conducted interviews with seven (7) staff and six (6) out of six (6) residents. During the physical plant inspection, upon entry into the facility, LPA observed no posted signage regarding COVID-19 or infectious diseases throughout the facility.

(Cont'd LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026

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-20260223090016

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: 02/26/2026

NARRATIVE

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However, such signage is not currently required based on guidance from the local health department, public health orders, or other government reporting entities, including Licensing. LPA observed infection control measures in place, including identification of COVID-19 positive residents through postings on resident doors, PPE supply storage drawers, and covered trash bins located outside the affected residents’ rooms.

The Administrator reported that staff follow the facility’s infection control plan and implement appropriate infection prevention procedures. LPA interviewed staff who were providing care to COVID-19 positive residents. Staff explained their procedures for donning and doffing PPE before entering and after exiting resident rooms. The procedures described by staff were consistent with the facility’s infection control plan.
Additionally, LPA was informed that only one (1) staff member had tested positive for COVID-19, and that staff member was not currently working at the facility. Residents reported that they were notified of positive COVID-19 cases within the facility. LPA observed multiple residents and staff wearing masks during the visit.
Based on observations, physical plant inspection, and interviews conducted, there is insufficient evidence to support the allegation that staff do not ensure infection control guidelines are being followed. Therefore, the allegation is determined to be Unsubstantiated.

Exit interview conducted and copy of report provided.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026

LIC9099 (FAS) - (06/04)

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