197610233-1-5-2023-31-AS-MVAO-CMXTBU-20230110133539

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610233
Report Date: 01/05/2023
Date Signed: 01/05/2023 02:08:35 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
12/29/2022 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20221229154813

FACILITY NAME:	OASIS SENIOR LIVING		FACILITY NUMBER:	197610233
ADMINISTRATOR:	KHAMBEKYAN, SANDY		FACILITY TYPE:	740
ADDRESS:	7001 GARDEN GROVE AVENUE		TELEPHONE:	(310) 666-2392
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY:	6	CENSUS: 4	DATE:	01/05/2023
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Khatchik Danielian		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff member is physically abusing resident in care.

INVESTIGATION FINDINGS:

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At 12:45 p.m. on 01/05/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the Administrator and disclosed the reason for the visit. LPA and Administrator toured the facility inside and out. No immediate health or safety concerns were observed.
LPA interviewed residents from 12:50 p.m. to 1:10 p.m. and staff from 1:25 p.m. to 1:35 p.m.
Regarding the allegation above, it was alleged that staff physically abused Resident #1 (R1). From interviews, no specifics were provided about which staff abused R1 or how the abuse occurred. Staff #1 (S1) reported that R1 hit S1 with a closed fist and also hit a home health employee on another occasion. S1 and Staff #2 (S2) both stated they have never abused any residents. Residents interviewed reported never being abused or witnessing abuse in the home. The administrator noted R1 did not get along with staff but was never abused. R1 also showed no signs of abuse. Based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided.

Unsubstantiated

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: 01/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2023

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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