197610305-9-15-2023-31-AS-EMIR-CYNP6J-20231219100223

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610305
Report Date: 09/15/2023
Date Signed: 09/15/2023 06:36:14 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
09/07/2023 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20230907102318

FACILITY NAME:	BRIGHTSTAR SENIOR CARE,INC		FACILITY NUMBER:	197610305
ADMINISTRATOR:	ALLAHDADI, AYEDEH		FACILITY TYPE:	740
ADDRESS:	10455 GAYNOR AVE		TELEPHONE:	(818) 517-0544
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	6	CENSUS: 5	DATE:	09/15/2023
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Zinaida Safaryan, Irina Gregoria		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff are not preventing resident(s) from being abused while in care.
Staff are not ensuring that residents' care needs are being met while in care.

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 staff, Zinaida Safaryan and Irina Grigoryan, and advised them of the complaint. LPA advised the office manager, Narine Aida and administrator, Ayedah Allahdad over the telephone. Today's investigation consisted of interviews with staff and residents and a physical plant inspection.

Staff are not preventing resident(s) from being abused while in care:
In regards to the allegation, it was reported that at least two (2) residents stated they're being abused. No residents were identified to who was being abused. There were also no witnesses identified to the allegation. During the course of the investigation, two (2) of two staff interviewed and they deny the allegation. According to both administrator and office manager, they are unaware of any abuse being made and haven't received any complaints from residents about being mistreated. LPA interviewed five (5) of five residents

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

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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Control Number 31-AS-20230907102318

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: BRIGHTSTAR SENIOR CARE,INC	FACILITY NUMBER: 197610305
	VISIT DATE: 09/15/2023

NARRATIVE

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who do not corroborate with the allegation. LPA was able to speak with a witness, who comes to the facility everyday to visit one of the residents. Witness states they've never observed any abuse or mistreatment from staff during their visitations. The witness didn't express any concern regarding resident care, and is satisfied with the care and supervision provided to the resident in care. Based on the information obtained, there was insufficient evidence to prove that staff are not preventing residents from being abused. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff are not ensuring that residents' care needs are being met while in care:
In regards to the allegation, it was reported that a resident was found lying in bed and appeared to be neglected by staff. There is one staff member for multiple residents, who do not appear to be getting the care they need. During the day's investigation, LPA observed two (2) staff present and providing care and supervision for a total of five (5) residents. Interview with both staff deny the allegation of not ensuring the residents needs being met. Interviews with five (5) of five residents also deny allegation. Residents state their needs are being met, and had no complaints with the care and supervision provided by staff. Furthermore, LPA was able to interview one witness who comes to the facility everyday to visit one of the residents. Witness states they've never observed neglect or lack of supervision from staff during their visitations. Also the witness didn't express any concern regarding resident care, and is satisfied with the care and supervision provided to the residents in care. Based on the information obtained, there was insufficient evidence to prove that staff are not ensuring that residents' care needs are being met. Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

LIC9099 (FAS) - (06/04)

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