197609597-2-1-2023-31-AS-NMAN-CNNUA7-20230202142416

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609597
Report Date: 12/15/2022
Date Signed: 02/01/2023 03:08:23 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
12/07/2022 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20221207090700

FACILITY NAME:	BETTER DAYS ASSISTED LIVING		FACILITY NUMBER:	197609597
ADMINISTRATOR:	SEDA KHECHUMYAN		FACILITY TYPE:	740
ADDRESS:	19431 ENADIA WAY		TELEPHONE:	(818) 800-9266
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY:	6	CENSUS: 5	DATE:	12/15/2022
		UNANNOUNCED	TIME BEGAN:	01:55 PM
MET WITH:	Alisa Arshakyan		TIME COMPLETED:	03:55 PM

ALLEGATION(S):

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Facility staff was not wearing a mask.
Facility staff left medication out and unlocked.

INVESTIGATION FINDINGS:

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*** This report was amended to change deficiency types and regulations on the attached LIC 9099-D page ***
At 1:55 p.m. on 12/15/2022 Licensing Program Analyst (LPA) Nicholas Reed an unannounced complaint visit. LPA met with Staff #1 (S1) and disclosed the reason for the visit. LPA and S1 toured the facility inside and out. No immediate health or safety concerns were observed. Regarding the allegations above, it was alleged staff were not wearing masks in the facility. From observations of a credible witness, staff were observed without masks in the facility on 11/11/2022. From observations of LPA today, S1 was not wearing a mask and did not put on a mask during the visit. Based on observations, the allegation is deemed SUBSTANTIATED at this time. Deficiency is cited on LIC 9099-D. Regarding the allegations above, it was alleged that medications were left accessible and the medication cabinet was unlocked. From observations of a credible witness, medications were unlocked and accessible during an unnanounced visit on 11/11/2022. From observations of LPA today, medications was sitting on top of the medication cabinet, and the medication cabinet was unlocked. Based on observations, the allegation is deemed SUBSTANTIATED at this time. Deficiency is cited on LIC 9099-D. Exit interview conducted. Appeal Rights discussed. Copy of report provided.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

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-20221207090700

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: 12/15/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/13/2023 Section Cited CCR 87465(h)(2)	1 2 3 4 5 6 7	*This deficiency was amended to change the violation type and the regulation* 87465 Incidental Medical and Dental Care (h) The following requirements shall apply... (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee will provide a written statement and conduct an in-service training for all staff by the POC due date.
	8 9 10 11 12 13 14	Based on observations and interviews, the licensee did not comply with the section cited above. Medication cabinet was open and at least 1 medication was accessible to the residents which poses an immediate Health, Safety, or Personal Rights risk to persons in care.	8 9 10 11 12 13 14
Type B 01/13/2023 Section Cited CCR 87470(c)(1)(F)	1 2 3 4 5 6 7	87470 Infection Control Requirements (c) An Infection Control Plan...(1) shall include all of the following: (F) Staff shall demonstrate knowledge of and skill in infection control, as appropriate to the job assigned... This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee will provide a written statement to be maintained on file confirming the cited section will not be violated again.
	8 9 10 11 12 13 14	Based on observations and interviews, the licensee did not comply with the section cited above in 2 out of 2 staff which posed a potential Health, Safety, or Personal Rights risk to persons in care.	8 9 10 11 12 13 14

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: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

LIC9099 (FAS) - (06/04)

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