197610269-9-3-2024-31-AS-TAGD-D93P4R-20240913105934

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610269
Report Date: 09/03/2024
Date Signed: 09/03/2024 02:19:49 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
02/14/2024 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20240214144751

FACILITY NAME:	HOUSE OF HOPE ASSISTED LIVING, INC		FACILITY NUMBER:	197610269
ADMINISTRATOR:	ALABERKYAN, GAYANE		FACILITY TYPE:	740
ADDRESS:	9617 STANWIN AVENUE		TELEPHONE:	(818) 302-6344
CITY:	ARLETA	STATE: CA	ZIP CODE:	91331
CAPACITY:	6	CENSUS: 4	DATE:	09/03/2024
		UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Oleh Markiv		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Staff hit resident with an object
Staff are unable to communicate with resident due to language barrier
Staff do not ensure resident receives adequate medical care
Staff do not provide resident with adequate food service
Staff do not dispense medication to resident as prescribed

INVESTIGATION FINDINGS:

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On 09/03/24, at 9:55am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Caregiver, Oleh Markiv. LPA explained the purpose of this visit was to gather additional information and deliver findings for this complaint.

On 02/15/2024, Licensing Program Analyst (LPA) Melissa Spaeth initiated the complaint investigation. On 09/03/24, LPA Saucedo asked for the census, staff, and resident rosters. On 09/03/24, LPA Saucedo interviewed additional staff and residents, conducted a physical tour, gathered additional information, and delivered findings.

LIC 9099C-continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Troy Agard	TELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina Saucedo	TELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024

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-20240214144751

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: HOUSE OF HOPE ASSISTED LIVING, INC	FACILITY NUMBER: 197610269
	VISIT DATE: 09/03/2024

NARRATIVE

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Regarding the allegation: Staff hit resident with an object. It is being alleged that one (1) of the staff at the facility hit the resident with a hose. Three (3) out of three (3) residents confirmed that they have never been hit by any of the staff. One (1) of the residents-resident #2 (R2) confirmed that they were there the day one (1) of the residents alleged that one (1) of the staff hit them. In addition, R2 showed LPA the police officer card that states the police arrived to do a welfare check and there was no evidence of abuse for any of the residents which was written in the back of the police card. LPA interviewed two (2) out of two (2) staff that confirmed they have never hit any of the residents. LPA also spoke to one (1) of the staff at Bridge Health Center (a placing agency) the agency that placed Resident # (R1) at the above facility and staff at the agency stated, “R1 would scream and yell down the hallway about staff hitting them here and would cause several other issues.” Therefore, based on the LPA's observations, staff and resident interviews, and record reviews the above allegation(s) above is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff are unable to communicate with resident due to language barrier. It is being alleged that the staff only speak English. Three (3) out of three (3) residents confirmed that they do not have a language barrier and they do understand what the staff is saying. Resident #2 (R2) did state that resident #1 (R1) did understand English but refused to speak English and only wanted to speak Spanish. LPA confirmed with the administrator of the above facility and with one (1) of the staff at Bridge Health Center that R1 did understand and speak English but refused to speak English at times and R1 never had any issues communicating with them. Therefore, based on the LPA's observations, staff and resident interviews, and record reviews the above allegation(s) above is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff do not ensure resident receives adequate medical care. It is being alleged that the staff are not providing medical assistance to the resident. Three (3) out of three (3) residents confirmed that they do receive adequate medical care. In addition, Resident #3 (R3) did state that home health comes to help them at the above facility. Two (2) out of two (2) staff confirmed that when medical care is needed, they do send the resident to the doctor and/or provide the adequate care. During LPA's visit Home Health did arrive to provide care for R3. Therefore, based on the LPA's observations, staff and resident interviews, and record reviews the above allegation(s) above is UNSUBSTANTIATED at this time.

LIC9099C-continued

SUPERVISOR'S NAME: Troy Agard	TELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina Saucedo	TELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20240214144751

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: HOUSE OF HOPE ASSISTED LIVING, INC	FACILITY NUMBER: 197610269
	VISIT DATE: 09/03/2024

NARRATIVE

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Regarding the allegation: Staff do not provide resident with adequate food service. It is being alleged that the resident did not receive their breakfast. Three (3) out of three (3) residents confirmed that they do receive three (3) meals a day-Breakfast, Lunch and Dinner. Two (2) out of (2) staff confirmed that all meals are provided to every resident along with snacks throughout the day. During LPA's visit, one (1) of the staff was providing lunch to the residents. Therefore, based on the LPA's observations, staff and resident interviews, and record reviews the above allegation(s) above is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff do not dispense medication to resident as prescribed. It is being alleged that the resident did not receive their proper dosage of medication. Three (3) out of three (3) residents confirmed that they do receive their proper medication and do not have any issues with the dosage or distribution. Resident #2 (R2) whom has been at the above facility the longest did confirm that they have never had any issues with the medication being provided. Two (2) out of two (2) staff confirmed that medication is dispersed properly to each resident. LPA was able to review the medication distribution for each resident and it was correct. Therefore, based on the LPA's observations, staff and resident interviews, and record reviews the above allegation(s) above is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Caregiver.

SUPERVISOR'S NAME: Troy Agard	TELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina Saucedo	TELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024

LIC9099 (FAS) - (06/04)

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