197608745-2-22-2022-31-AS-NGID-CMCVMT-20221222153401

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608745
Report Date: 02/22/2022
Date Signed: 02/22/2022 03:11:21 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
02/14/2022 and conducted by Evaluator Joscelyn Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20220214092330

FACILITY NAME:	PARADISE SENIOR LIVING -1		FACILITY NUMBER:	197608745
ADMINISTRATOR:	ANGELA ANGLE APOYAN		FACILITY TYPE:	740
ADDRESS:	8435 AURA AVENUE		TELEPHONE:	(818) 626-3338
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91324
CAPACITY:	6	CENSUS: 5	DATE:	02/22/2022
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Angela Apoyan		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff yell at resident.
Facility is unsanitary.

INVESTIGATION FINDINGS:

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At 10:00 AM Licensing Program Analyst (LPA) Joscelyn Martinez conducted an unannounced complaint visit to this facility to investigate the allegations mentioned above. LPA was greeted by Administrator Angela Apoyan. The purpose of this visit was explained. At 10:20 a.m. Joscelyn Martinez toured the facility and then interviewed resident, staff, and Administrator.

Allegation #1- Staff yell at resident. To investigate this allegation LPA Martinez interviewed five (4) out of the five (5) residents present at 10:40 a.m. All the residents stated the staff does not yell at any of them nor have they witness any staff yelling at other residents. Two (2) out of four (4) residents did state that at times it can sound like the staff is yelling but that is only because they talk loudly, but it is never with a malicious intent. Based on the interviews conducted this allegation is Unsubstantiated at this time.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Joscelyn Martinez	TELEPHONE: (818) 383-6108
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022

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-20220214092330

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 SENIOR LIVING -1	FACILITY NUMBER: 197608745
	VISIT DATE: 02/22/2022

NARRATIVE

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Allegation# 2- Facility is unsanitary. To investigate this allegation LPA Martinez conducted a walk through of the facility. Facility is cleaned and in good repair. LPA Martinez interviewed four (4) out of five (5) residents present and all stated the facility is always maintained clean and sanitary. Interview with staff disclosed that the facility is cleaned twice a day and is always maintained sanitary. Based on LPA’s observation and interviews this allegation is Unsubstantiated at this time.
Exit interview conducted. Report signed and delivered.

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Joscelyn Martinez	TELEPHONE: (818) 383-6108
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022

LIC9099 (FAS) - (06/04)

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