197610161-8-10-2026-31-AS-NGID-DY2PGT-20260918111852

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610161
Report Date: 08/10/2026
Date Signed: 08/10/2026 05:21:22 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
04/03/2025 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20250403124254

FACILITY NAME:	BETD SAN FERNANDO CARE LLC		FACILITY NUMBER:	197610161
ADMINISTRATOR:	TIKU, ELIZABETH A.		FACILITY TYPE:	740
ADDRESS:	628 NORTH LAZARD STREET		TELEPHONE:	(818) 493-8351
CITY:	SAN FERNANDO	STATE: CA	ZIP CODE:	91340
CAPACITY:	6	CENSUS: 3	DATE:	08/10/2026
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Elizabeth Tiku, Administrator		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Staff did not ensure resident's care needs are met in a timely manner

INVESTIGATION FINDINGS:

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At 3:00pm, Licensing Program Analyst (LPA) Angela Panushkina conducted a subsequent visit to deliver final findings. LPA met with the Administrator and explained the reason for the visit.

During the initial visit, conducted on 04/10/25, LPAs requested resident and staff roster. At 09:10am requested copies of pertinent information which include, but not limited to Physician’s report, Admission Agreement, Appraisal Needs and Services Plan, Staff Training, relevant to the investigation. At approximately 09:15am, LPAs conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 09:30am - 1:00pm, LPAs interviewed the Administrator, one (1) staff and three (3) out of four (4) residents.

Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2026

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-20250403124254

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: BETD SAN FERNANDO CARE LLC	FACILITY NUMBER: 197610161
	VISIT DATE: 08/10/2026

NARRATIVE

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Allegation: Staff did not ensure resident's care needs are met in a timely manner

To investigate this allegation, LPAs conducted an interview with the Administrator who stated that staff are trained to respond promptly to residents’ care needs and are expected to communicate any delays. Administrator denied that care needs are left unmet and reported no complaints regarding untimely care during the relevant period. One (1) staff interviewed informed LPAs that they respond to calls and care requests as quickly as possible and did not recall any incidents where a resident’s care needs were intentionally left unaddressed or significantly delayed. Three (3) out of four (4) residents interviewed reported that staff generally respond in a timely manner when assistance is requested. Residents stated that staff check in regularly and provide support when asked. None of the interviewed residents reported concerns about long delays or unmet care needs. During the visit, LPA observed staff interacting with residents and responding to care requests. Staff were seen assisting residents, answering calls, and providing routine care. No concerns were noted regarding staff availability or timeliness during the observation period. Based on interviews and LPA observations, there is not enough evidence to support the allegation that staff did not ensure resident’s care needs were met in a timely manner. Therefore, the allegation is UNSUBSTANTIATED at this time.

No deficiency issued.

Exit interview conducted and copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2026

LIC9099 (FAS) - (06/04)

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