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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609597
Report Date: 04/12/2023
Date Signed: 04/12/2023 01:15:12 PM


Document Has Been Signed on 04/12/2023 01:15 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364



FACILITY NAME:BETTER DAYS ASSISTED LIVINGFACILITY NUMBER:
197609597
ADMINISTRATOR:SEDA KHECHUMYANFACILITY TYPE:
740
ADDRESS:19431 ENADIA WAYTELEPHONE:
(818) 800-9266
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:6CENSUS: 4DATE:
04/12/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Lelet & Angela DilanchyanTIME COMPLETED:
11:30 AM
NARRATIVE
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On 4/12/2023 at 10:30 a.m., Licensing Program Analyst (LPA) arrived at this facility to conduct a Change of Ownership Application from facility # 197609597 to 197610340. Upon arriving to the facility, LPA conducted introductions with a staff #1 (S1), however S1 had limited communication in English. LPA had to prompt with hand gestures for communication. Furthermore, at 10:45 a.m. LPA conducted interviews with three (3) out of four (4) residents. Three residents all confirmed that there is a communication barrier between them and S1. LPA did not observe other staff at the facility during this visit, or duing a previous complaint visit on 2/17/2023. R3 stated that if there is an emergency, they call another staff who is not present at the time and get them to assist over the phone, or wait until they arrive to assist. Also, R3 stated that when other residents need assistance, or the need for a medical emergency arrives, R3 can call 911. Due to LPA interviews and observations, deficiencies issued per CA Code of Regulations, Title 22. See LIC809-D. Appeal rights issued. Report signed and delivered.
SUPERVISOR'S NAME: Nichelle GillyardTELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Melissa RuizTELEPHONE: (818) 401-7980
LICENSING EVALUATOR SIGNATURE:
DATE: 04/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/12/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/12/2023 01:15 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: BETTER DAYS ASSISTED LIVING
FACILITY NUMBER: 197609597

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/19/2023
Section Cited

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Personnel Requirements - General 87411(d)(3).. experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance.. Skill and knowledge required to provide necessary resident care and supervision,... This requirement is not met as evidenced by:
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The licensee shall hire staff who is able to understand and communicate English. Licensee shall submit proof of hiring staff documentation by the POC due date. Failure to do so will withhold the facility's Change of Ownership Application.
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Based on LPA interviews with staff and three residentst, the licensee did not have staff available to communicate with residents and emergency personnel effectively which poses a potential risk to the residents 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.
SUPERVISOR'S NAME: Nichelle GillyardTELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Melissa RuizTELEPHONE: (818) 401-7980
LICENSING EVALUATOR SIGNATURE:
DATE: 04/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/12/2023
LIC809 (FAS) - (06/04)
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