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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609597
Report Date: 02/17/2023
Date Signed: 02/17/2023 02:17:30 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
02/13/2023 and conducted by Evaluator Melissa Ruiz
COMPLAINT CONTROL NUMBER: 31-AS-20230213083143
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:
02/17/2023
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Alisa Arshakyan - staff TIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff does not properly store medications.
INVESTIGATION FINDINGS:
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On 2/17/2023, Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to conduct an unannounced complaint investigation. Upon arrival, LPA was greeted by staff Alisa (S1). S1 contacted the Administrator, who stated they were unable to come at the moment and designated S1 to sign the report.

Allegation - Staff does not properly store medications.

LPA initiated a physical plant tour. At 12:31 p.m. LPA observed medication belonging to S1 in the living room and LPA observed medication packages pertaining to residents in the desk located in the kitchen. Due to LPA observation, the allegation mentioned above is SUBSTANTIATED at this time. Deficienies issued per CA Code of Regulatuons Title 22. Appeal rights issued. Report signed and delivered.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Nichelle GillyardTELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Melissa RuizTELEPHONE: (818) 401-7980
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023
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-20230213083143
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: BETTER DAYS ASSISTED LIVING
FACILITY NUMBER: 197609597
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/24/2023
Section Cited
CCR
87465(h)(2)
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87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.

This requirement is not met as evidenced by:
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The licensee shall conduct in-house training with all staff, and to be submit by the POC due date.
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Based on LPAs observation, the licensee did not ensure that medication was kept locked and inaccessible to residents in care, due to observation of S1's medication and other medication deliveries in the common areas which poses a potential Health, Safety, or Personal Rights risk to persons 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: 02/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2