197609597-3-3-2023-31-AS-NMAN-CPXW2J-20230315165425

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609597
Report Date: 03/03/2023
Date Signed: 03/03/2023 03:50:22 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
02/24/2023 and conducted by Evaluator Tihesha Smith

COMPLAINT CONTROL NUMBER: 31-AS-20230224164940

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:	03/03/2023
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Alisa Arshakyan		TIME COMPLETED:	03:55 PM

ALLEGATION(S):

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Facility did not allow resident to call 911.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tihesha Smith conducted a complaint visit to this facility at 9:10 am. LPA met with Staff Alisa Arshakyan who contacted the administrator Yulia Barseghian. Staff also contacted another facility worker, identified as caregiver Angela Dilanchyan. LPA spoke with Angela who confirmed Administrator should arrive in approximately 30 minutes..

During today’s visit from approximately 9:10 am to 3:55 pm, LPA conducted a tour of the facility, interviewed staff, held conference call interview between individuals that were not present in the facility and requested documents relevant to the investigation. Administrator authorized Alisa Arshakyan to sign any reports in her absence.

Facility did not allow resident to call 911

It was alleged that the Facility did not allow resident to call 911 . During interviews administrator revealed

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Tihesha Smith	TELEPHONE: 818-307-6280
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2023

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-20230224164940

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
	VISIT DATE: 03/03/2023

NARRATIVE

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(Cont from 9099)

that on 02/06/2023 staff from Resident #1(R1) Dialysis office called an informed her that R1 eye is swollen. Adminstrators revealed R1 complaining of eye pain. Administrator revealed that a nurse and doctor came to facility on 02/06/2023 to prescribe R1 medication drops and on 02/08/2023 the nurse and doctor returned for a follow up visit, yet the administrator was unable to provide complete name and contact information for the nurse and doctor, and was not able to provide any documentation of the medical assessment, prescription, pharmacy, or logged visit of the medical staff. During interviews administrator referenced written account of events and also revealed that 911 was not contacted until the morning of 02/09/2023 at approximately 3 am.
Based on interviews there is sufficient information to support the allegation. Therefore, the allegation is SUBSTANTIATED at this time.

Under Title 22 Regulations, the following citations were issued and recorded on LIC9099D.

No other immediate health and safety hazard were noted during this visit.

Exit interview was conducted, appeal rights and copy of report issued.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Tihesha Smith	TELEPHONE: 818-307-6280
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2023

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20230224164940

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: 03/03/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/06/2023 Section Cited CCR 87465(g)	1 2 3 4 5 6 7	87465(g)- Incidental Medical and Dental Care The Licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident's health including, but not limited to, an apparent life-threatening medical crisis... This requirement was not met as evidenced by:	1 2 3 4 5 6 7	The licensee shall submit in writing to CCLD how they will ensure that all residents in care are provided timely medical care when a medical crisis arises. POC date: 03/06/23
	8 9 10 11 12 13 14	Based on interviews the licensee failed to call 911 immediately after being notified that a resident was experiencing pain and symptoms This poses an immediate health and safety risk to residents in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Tihesha Smith	TELEPHONE: 818-307-6280
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2023

LIC9099 (FAS) - (06/04)

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