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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609544
Report Date: 10/17/2022
Date Signed: 10/17/2022 12:36:12 PM

Substantiated


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
10/10/2022 and conducted by Evaluator Wendell Smith
COMPLAINT CONTROL NUMBER: 31-AS-20221010150155
FACILITY NAME:EPT BETTER LIVINGFACILITY NUMBER:
197609544
ADMINISTRATOR:TABACH, ELENAFACILITY TYPE:
735
ADDRESS:18217 WELBY WAYTELEPHONE:
(818) 457-4199
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:4CENSUS: 4DATE:
10/17/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Vinva NicolasTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff speaks rudely to resident
Staff are not providing a comfortable environment for residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced subsequent visit to finish investigation into the allegations above. LPA met with facility staff and explained the reason for this visit. LPA spoke with administrator Paul Tabach by telephone.

It is alleged that staff # 1 (S1) speaks rudely to clients and are not providing a comfortable environments to clients by arguing with other staff and trying to keep make clients stay in their room. LPA conducted initial visit on 10/11/22 where interviews were conducted with clients and staff. During today's visit LPA conducted more interviews with clients and staff. Interviews revealed that S1 has spoken rudely to clients and staff and has not provided a comfortable environment by arguing with other staff in front of clients and treating clients rudely. Based on the information obtained through interviews both of these allegations are deemed Substantiated at this time. Deficiencies cited on LIC 9099 D. Appeal Rights explained. Exit Interview conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Wendell Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
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 3
Control Number 31-AS-20221010150155
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: EPT BETTER LIVING
FACILITY NUMBER: 197609544
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/21/2022
Section Cited
CCR
80072(a)(1)
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Personal Rights-each client shall have personal rights which include To be accorded dignity in his/her personal relationships with staff and other persons.
This requirement was not met as evidenced by:
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Administrator shall have S1 have personal rights training by Poc due date and submit training that was given to S1 by poc due date.
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Based on interviews conducted it was found that S1 spoke rudely to clients and engaged in arguments with other staff in front of clients which posed a personal rights risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Wendell Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3