197609748-9-7-2022-31-AS-EMIR-D58TRP-20240513145751

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609748
Report Date: 09/07/2022
Date Signed: 09/07/2022 10:36:12 AM

Unsubstantiated

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
08/03/2022 and conducted by Evaluator Patrick Shanahan

COMPLAINT CONTROL NUMBER: 31-AS-20220803093341

FACILITY NAME:	GRANADA GOLDEN YEARS		FACILITY NUMBER:	197609748
ADMINISTRATOR:	ARUTYUNYAN, SEVAK		FACILITY TYPE:	740
ADDRESS:	17201 LAHEY ST		TELEPHONE:	(818) 535-9693
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	6	CENSUS: 3	DATE:	09/07/2022
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Naira Alikihyan/ Staff		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Staff uses illegal drugs while providing care and supervision

Staff behavior poses as a risk to the residents

Residents are being over medicated while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst arrived at the facility in order to complete these complaint allegations. The LPA was greeted by facility staff and explained the reason for the visit.

Allegation 1. Staff uses illegal drugs while providing care and supervision
LPA was able to speak with staff, residents and the administrator regarding this allegation. All residents confirmed that they have never seen a staff member under the influence of drugs or alchohol. A review of associated staff members indicated that the staff member in question is not associated to this facility and has never worked for this facility. The LPA was able to interview the back-up administrator who also confirmed that she has never suspected any of her staff of doing drugs, nor has she ever received a complaint of a staff member acting intoxicated at work.
Based on interviews and review of the facility documents, this allegation is deemed to be unsubstantiated.

Continues on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Patrick Shanahan	TELEPHONE: (747) 230-2225
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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-20220803093341

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: GRANADA GOLDEN YEARS	FACILITY NUMBER: 197609748
	VISIT DATE: 09/07/2022

NARRATIVE

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Allegation 2. Staff behavior poses as a risk to the residents
LPA was able to interview all residents and staff in order to come to a finding for this allegation. All residents interviewed are verbal and cognizant of their surroundings. None of the residents interviewed felt as though the staff behavior ever posed a risk to their well being. All residents confirmed that staff are helpful and professional. An interview with the administrator assistant also confirmed that there has never been any complaints regarding the staffs behavior and the staff member in question does not work at this facility.
Based on interviews with staff and residents, this allegation is deemed unsubstantiated.

Allegation 3. Residents are being over medicated while in care
LPA was able to interview staff, residents and go through resident medications in order to come to findings for this allegation. All residents in the home are cognizant of their surroundings and their feelings. All residents confirmed that they have all been given their medications as prescribed and that they have never been drugged or over medicated. Facility staff also confirmed that all medications are given as prescribed and that all medications are correct. Medications for two residents were inspected by the LPA and were observed to be correct.
Based on interviews and a medication review, this allegation is deemed unsubstantiated.

Exit interview conducted and report issued,

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Patrick Shanahan	TELEPHONE: (747) 230-2225
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

LIC9099 (FAS) - (06/04)

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