197608646-10-8-2024-31-AS-NGID-DABM8D-20241023092255

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608646
Report Date: 10/08/2024
Date Signed: 10/08/2024 08:37:53 PM

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
10/04/2024 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20241004115151

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: 35	DATE:	10/08/2024
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Sima Hakobyan, Administrator		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility staff kick client(s)
Faclity staff slap client(s)
Facility staff threaten client(s)
Facility staff grab client(s) agressively

INVESTIGATION FINDINGS:

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At 12:45pm, Licensing Program Analysts (LPAs) Angela Panushkina and Huma Rahimi conducted an unannounced initial complaint visit at this facility to investigate the above allegations. LPAs met with the Administrator and explained the reason for the visit.

During course of the investigation, interviews and record review were made. At 12:50pm, LPAs requested client and staff roster. At 12:55pm, LPAs requested copies of pertinent information which include, but not limited to Physician's Report, Staff training, Staff weeekly/monthly Schedule, relevant to the investigation. At approximately 01:00pm, LPAs conducted a physical plant tour, to ensure health and safety of the residents are protected and physical plant is in compliance with Title 22 Regulations. Between 01:10pm – 2:30pm, LPAs conducted interviewes with the Administrator, Program Manager, four (4) staff and four (4) out of six (6) clients who were able to communicate.

Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024

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 31-AS-20241004115151

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: 10/08/2024

NARRATIVE

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Allegation: Facility staff kick client(s)

It was alleged that S1 kicked C1 in the knee on two different occasions due to C1's behavior episodes. To investigate this allegation LPAs conducted interviews with the Administrator, Program Manager and four (4) staff. Interview with the Administrator and Program Manager revealed that all staff are trained not to touch clients even when they have behavior episodes. Interviews with four (4) staff members confirmed that the facility has "No physical contact" Policy. Moreover, all staff interviewed denied the above allegation and informed LPAs that they always follow the facility Policy. Furthermore, LPAs conducted interviews with four (4) out of six (6) clients who were able to communicate and all clients interviewed expressed no concerns regarding this allegation. Based on the information obtained this allegation is deemed Unsubstantiated at this time.

Allegation: Facility staff slap client(s)

It was alleged that S1 slapped C2. To investigate this allegation, LPAs conducted interviews with the Administrator, Program Manager, and four (4) staff members. All parties interviewed denied the above allegation and informed LPAs that they are all aware of being mandated reporters, and will immediately report to the proper chain of command. In addition, four (4) out of six (6) clients interviewed express no concerns regarding this allegation. Therefore, based on interviews, the allegation is Unsubstantiated at this time.

Allegation: Facility staff threaten client(s)

It was alleged that all facility staff members threaten all clients by calling other clients names. To investigate this allegation, LPAs conducted interviews with the Administrator, Program Manager, and four (4) staff members. All parties interviewed denied the above allegation and informed LPAs that the no such approach was ever provided nor witnessed at this facility. Furthermore, LPAs conducted interviews with four (4) out of six (6) clients who confirmed that they never saw nor heard any staff member threatening clients. All clients interviewed also informed LPAs that the facility staff is always very professional and respectful. Based on the information gathered during todays visit, this allegation is deemed Unsubstantiated at this time.
Continue on LIC9099-C

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 31-AS-20241004115151

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: 10/08/2024

NARRATIVE

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Allegation: Facility staff grab client(s) aggressively

It was alleged that C3 had a behavior episode and accidentally broke S2's bracelet and S2 became upset and grabbed C3 in a rough/aggressive manner. To investigate this allegation, LPAs conducted interviews with the Administrator, Program Manager and four (4) staff members. All parties interviewed denied the above allegation and informed LPAs that a training is provided to staff members prior to employment and quarterly regarding the basic services. LPAs were also informed that all clients at this facility are being treated in a professional level. Moreover, interviews with four (4) out of six (6) clients expressed no concerns regarding this allegation. All clients interviewed also informed LPAs that all staff members are really nice and provide great care. Based on interviews conducted during todays visit, this allegation is deemed Unsubstantiated at this time.

No deficiency issued.

Exit interview conducted and copy of this report is signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024

LIC9099 (FAS) - (06/04)

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