197608646-2-7-2023-31-AS-NMAN-CQVUFM-20230414153258

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608646
Report Date: 02/07/2023
Date Signed: 02/07/2023 11:41:06 AM

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
11/15/2022 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20221115100029

FACILITY NAME:	PARADISE ADULT DAY TREATMENT CENTER, INC.		FACILITY NUMBER:	197608646
ADMINISTRATOR:	SIMA HAKOBYAN		FACILITY TYPE:	775
ADDRESS:	7133-7135 OWENSMOUTH AVENUE		TELEPHONE:	(818) 312-1118
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91303
CAPACITY:	45	CENSUS: 23	DATE:	02/07/2023
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Tigran Nersesyan		TIME COMPLETED:	11:55 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Client sustained bruises by an unknown perpetrator while in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

At 9:45 a.m. on 02/07/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced subsequent complaint visit. LPA met with the Administrator and disclosed the reason for the visit. LPA and Administrator toured the facility inside and out. No immediate health and safety concerns were observed.

Regarding the allegation above, it was alleged Client #1 (C1) sustained multiple small bruises on their arm while in care at the day program. LPA interviewed staff and C1 from 11:25 a.m. to 12:00 p.m. and conducted a records review at 12:00 p.m. on 11/16/2023. LPA interviewed other care providers from 12:35 p.m. to 1:45 p.m., conducted a record review at approximately 1:30 p.m., and observed clients boarding the bus home at 2:20 p.m. on 02/01/2023. LPA conducted more interviews and observations with staff and a C1 on 02/07/2023 from 9:50 a.m. to 10:25 a.m. From record review, the three bruises on C1’s arm were yellow in color and approximately the size of dimes. From interviews, C1 has cerebral palsy and likely did not have the strength or flexibility to imprint the bruises on themselves.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

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 2

Control Number 31-AS-20221115100029

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: PARADISE ADULT DAY TREATMENT CENTER, INC.	FACILITY NUMBER: 197608646
	VISIT DATE: 02/07/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Day program staff typically screen clients before they leave. They did not observe any marks on C1. Staff did not observe C1 have any falls or injuries while in care. LPA was unable to obtain permission on 11/16/2022 to observe the bruises. Based on interviews, observations, and record review, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Appeal rights discussed. Copy of report provided.

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2