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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609597
Report Date: 12/28/2021
Date Signed: 12/28/2021 06:10:51 PM

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) 578-3140
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:6CENSUS: 7DATE:
12/28/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Karine AbrahamyanTIME COMPLETED:
06:15 PM
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An unannounced Plan of Correction (POC) visit was conducted on this day by Licensing Program Analyst (LPA) Yelena Avetisyan. The purpose of this visit is to follow up on the Case Management Deficiencies visit which was conducted on 12/14/2021. Upon arrival LPA met with staff Karine Abrahamyan.

Staff contacted the licensee/administrator Grant Khechumyan. Mr. Khechumyan informed the LPA that he was not able to come to the facility because he tested positive for COVID two days ago. Per Mr. Khechumyan the administrator on record Seda Khechumyan is not able to come to the facility because she is caring for him. A discussion was held with Mr. Khechumyan regarding the pending POC's, the civil penalties that are accruing daily, the hospice information and incident report which were not submitted to the department as discussed during this visit. Mr. Khechumyan informed the LPA that Resident 1 (R1) who was hospitalized, has been sent to a Nursing home and will not be returning to the facility.

During the 12/14/2021 Licensee/administrators were cited for the following deficiencies. The Licensing Report issued on 12/14/2021 gave notice to the licensee that failure to correct the violations within a specified length of time would result in civil penalties being issued. During this visit the staff were notified that the civil penalties will continue to accrue until the violations are properly corrected:

87204 (a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. During the 12/14/2021 visit the licensee was operating over capacity by admitting and retaining 8 residents when their licensed capacity is for 6. During todays visit LPA observed that the licensee continues to retain 7 residents. Because the licensee has failed to complete and submit the cited plan of correction additional civil penalty has been issued in the amount of $1500.00 (12/15/2021 to 12/28/2021 = 15 days x $100 per day). This is a continuation of the civil penalty issued on 12/14/2021 in the amount of $500.00 due to the zero tolerance violation.
SUPERVISOR'S NAME: Eva MillerTELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Yelena AvetisyanTELEPHONE: (818) 378-8120
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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
VISIT DATE: 12/28/2021
NARRATIVE
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 87305(a) Alterations to Existing Building or New Facilities Prior to construction or alterations, all facilities shall obtain a building permit. During the 12/14/2021 visit the licensee was allowing two individuals/residents to live in the converted garage. On that visit Mr. Khechumyan informed the LPA that the conversions were completed with the required permits which he would be submitting to the department. As of todays visit the department has not received copies of the permits. For failure to submit plan of corrections a civil penalty of $100 per day is hereby assessed for the period of 12/16/2021 to 10/8/2021 totaling $1400.00.

87203 Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. During the 12/14/2021 visit the licensee was retaining 2 residents in the garage/recreational room which has not been fire cleared to be used as a bedroom. During todays visit LPA observed and the licensee Grant Khechumyan confirmed via telephone that the 2 residents continue to reside in the garage/recreational room. Because the licensee has failed to complete and submit the cited plan of correction additional civil penalty has been issued in the amount of $1500.00 (12/15/2021 to 12/28/2021 = 15 days x $100 per day). This is a continuation of the civil penalty issued on 12/14/2021 in the amount of $500.00 due to the zero tolerance violation.

During todays visit the licensee/administrators were cited for not submitting incident report regarding the hospitalization of Resident 1 (R1) .

Admitting and retaining 7 residents on hospice and not having a current/complete hospice care plan for all residents.

Exit interview conducted with the staff and copy of report, citations, civil penalties and appeal rights emailed.
SUPERVISOR'S NAME: Eva MillerTELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Yelena AvetisyanTELEPHONE: (818) 378-8120
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: 12/28/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/30/2021
Section Cited

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In order accept or retain terminally ill residents and permit them to receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department. The request shall include, but not be limited to the following: (1)Specification of the maximum number of terminally ill residents which the facility wants to have at any 1 time
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This requirement is not met as evidenced by: Based on observation, interview, the licensee did not comply with the section cited above by having an approved hospice waiver for 1 residents but retaining 7 residents who are receiving hospice services which poses an immediate health, safety and personal rights risk to persons in care.
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Type B
12/31/2021
Section Cited

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(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents,
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or unexplained absence of any resident. This requirement was not met as evidenced by interview conducted with the administrator on 12/14/2021 and during todays visit which revealed that the licensee did not comply with the cited section by not submitting incident report for R1 as requested which posed a potential violation of R1's personal rights
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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: Eva MillerTELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Yelena AvetisyanTELEPHONE: (818) 378-8120
LICENSING EVALUATOR SIGNATURE:
DATE: 12/28/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/28/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: 12/28/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/31/2021
Section Cited

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A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: This requirement is not met as evidenced by:


This requirement is not met as evidenced by:
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Based on record review and interview on 12/14/2021 and todays visit, the licensee did not comply with the section cited above by not maintaining a current, complete hospice care plan for 7 out of 7 residents who are currently receiving hospice services 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: Eva MillerTELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Yelena AvetisyanTELEPHONE: (818) 378-8120
LICENSING EVALUATOR SIGNATURE:
DATE: 12/28/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/28/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4