197608505-7-13-2026-31-AS-NMAN-DY6MB2-20260922092713

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608505
Report Date: 07/13/2026
Date Signed: 07/13/2026 02:30:42 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
11/24/2025 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20251124093258

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: 62	DATE:	07/13/2026
		UNANNOUNCED	TIME BEGAN:	01:13 PM
MET WITH:	Susan Parks, Administrator		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Staff do not ensure resident is provided medication due to lack of qualified staff.

INVESTIGATION FINDINGS:

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On 07/13/26, at 1:15pm, Licensing Program Analyst LPA Gina Saucedo conducted subsequent complaint visit to the facility to deliver findings for the above noted allegation.

The investigation was initiated on 11/26/25, at which time LPA Sausedo asked for the census, staff and resident rosters. In addition, at 8:25am, LPA spoke with 2 (two) staff-medical technician and Licensed Vocational Nurse (LVN). At the time of this visit, LPA Saucedo requested and reviewed one (1) resident's file out of three (3) residents currently receiving insulin. Resident #1 (R1's) physician report, Individual Program Plan, Appraisal/Needs and Service Plan and Medication Administration were obtained.

Prior to this subsequent visit, LPA Ray Comer conducted telephonic interviews with facility staff assisting residents with their incidental medical needs. During investigation the residents receiving insulin injections were not available for interviews. LPA Saucedo obtained the names of these residents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026

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-20251124093258

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: 07/13/2026

NARRATIVE

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It was alleged that residents’ insulin injections were provided by the staff that were not medical professionals.

Interviews revealed that facility retains residents requiring insulin injections. The Administrator denied allowing medical technicians and/or caregivers to do injections and stated that insulin injections were performed by facility LVNs. There are 2 LVNs working for Glen Park at Glendale -- Boynton and Glen Park at Glendale – Mariposa. Both facilities are in proximity and the two (2) LVNs are relieving each other as needed. Medical technicians and other staff interviewed during investigation denied providing insulin injections. LVNs verified the information revealed by the Administrator.

A review of available documents did not reveal any information to verify the allegation. Based on interviews and record review, it was concluded that although the allegation(s) may have happened, there is not enough information to verify the validity of the allegation(s). Therefore, the allegation(s) is unsubstantiated at this time.

No immediate health and safety issues noted during this visit.

Exit interview was conducted, and a copy of report was issued to the administrator

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026

LIC9099 (FAS) - (06/04)

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