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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609823
Report Date: 07/24/2024
Date Signed: 07/24/2024 02:22:27 PM

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
07/17/2024 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20240717100349
FACILITY NAME:ALALIK CARE HOMEFACILITY NUMBER:
197609823
ADMINISTRATOR:ARZUMANYAN, HARUTYUNFACILITY TYPE:
740
ADDRESS:11152 WOODLEY AVETELEPHONE:
(818) 818-1808
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 6DATE:
07/24/2024
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Harutyun ArzumanyanTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff violate the personal rights of the residents in care
Staff do not meet a resident's hygiene needs
Staff do not meet a resident's incontinent needs
Staff do not have planned activities for the residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with the administrator, Harutyun Arzumanyan, and advised him of the complaint. Today's investigation consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection to insure the health and safety of the residents, and a record review.

Staff violate the personal rights of the residents in care:
In regards to the allegation, it was reported that residents get locked in their room. It was also reported that staff would slap, push, punch, grab residents multiple times, causing these residents to suffer falls and bruises. Names of staff were identiried to this allegation. Interviews with the administrator and two (2) of two staff deny the allegation. According to the administrator, he hasn't received any complaints or concerns about staff being rough, aggressive or inappropriate with them. Interviews with six (6) residents do not corroborate with the allegation, and had no complaints or concerns with the care and supervision
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Eva MillerTELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael CavaTELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024
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-20240717100349
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: ALALIK CARE HOME
FACILITY NUMBER: 197609823
VISIT DATE: 07/24/2024
NARRATIVE
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provided by staff, nor their treatment. Based on the information obtained, there was insufficient evidence to prove that the resident personal rights are violated. Therefore, the allegations is deemed Unsubstantiated at this time.

Staff do not meet a resident's hygiene needs/Staff do not meet a resident's incontinent needs:
In regards to the allegation, it was reported that residents are not being assisted with showers, and only given a shower once per week. It was also reported that staff does not help residents with a change in diaper. Interviews with the administrator and staff deny the allegations. According to the administrator, each residents are scheduled a shower at least three times per week (Monday, Thursday, Saturday) common days. Both the administrator and staff adds that additional assistance provided if residents would request additional days for staff assistance. In regards to incontinent care, the administrator stated there are at least two residents who need help going to the bathroom. Neither of these residents have expressed any complaints that their incontinent needs are not met. Interviews with six (6) of six residents do no corroborate the allegation. Residents that were interviewed revealed that their needs are being met, and have no complaints regarding care and supervision. Based on the information obtained, there was insufficient evidence to prove that staff do not meet the resident's hygiene and incontinent needs. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff do not have planned activities for the residents:
In regards to the allegation it was reported that residents are not allowed to go outside and are not taken for walks. The facility also doesn’t have any activities or group activities and residents aren't allowed to socialize. According to the administrator, outside activities/exercises such as morning walks are conducted everyday, if the weather permits. Indoor activities such as card and board games, puzzles, music/singing, and arts and crafts are held daily. Sometimes there are multiple resident participation, and at times there are not. During the day's visit, LPA observed residents doing puzzles. Interviews with six (6) of six residents do not corroborate with the allegation. Some residents reveal they do participate if they like the activity that is being held, and sometimes they would prefer to do something else. Based on the information obtained, there was insufficient evidence to prove that there are no planned activities being held. Therefore, the allegation is deemed Unsubstantiated at this time.
SUPERVISOR'S NAME: Eva MillerTELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael CavaTELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2