197610305-8-14-2023-31-AS-RRAZ-CWP2ZD-20231016175007

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610305
Report Date: 08/14/2023
Date Signed: 08/14/2023 02:43:33 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 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
02/08/2023 and conducted by Evaluator Evelin Rios

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20230208125524

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:	08/14/2023
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Narineh Ohanian		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff are unable to communicate with residents due to language barrier.
Staff did not provide a safe environment for resident(s) in care.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Evelin Rios and Christopher Alemoh conducted a subsequent complaint visit to follow-up with the facility about the above allegations. LPAs were greeted by staff #1 (S1) and granted access. LPAs met with the house manger Narineh Ohanian and explained the purpose of the visit.

Allegation: Staff are unable to communicate with residents due to language barrier.
In regards to the allegation, it was reported that a staff spoke very limited English and was unable to understand instructions or requests for assistance. Interviews with staff #1 (S1) on 2/13/2023 indicated that they do speak limited English but it does not hinder them from taking care of the residents. According to S1 they can use google translate if need be. Interview with residents on 02/13/2023 and 08/14/2023 revealed S1 doesn't speak English very well but is able to assist when needed. Various resident interviews indicate if one staff doesn't understand they call on another staff that does. On 02/13/2023 LPA Rios observed S1 assisting residents with lunch and getting in and out of bed to use the bathroom.
(Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023

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-20230208125524

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: BRIGHTSTAR SENIOR CARE,INC	FACILITY NUMBER: 197610305
	VISIT DATE: 08/14/2023

NARRATIVE

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Based on interviews and observation, 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.

Allegation: Staff did not provide a safe environment for resident(s) in care.
It was alleged a staff member was not able to follow the 911 instructions while being told by the operator how to perform CPR. Interviews with residents on 02/13/2023 and 08/14/2023 revealed that they believed staff were capable of assisting them during a medical emergency. Record review on 02/13/2023 and 08/14/2023 revealed Narineh Ohanian, S1 and staff #2 (S2), had and have current CPR and first-aid certification from an accredited organization. Unusual Incident/Injury Report (SIR) from 01/25/2023 about resident #1 (R1) reported R1 fainted. Interview with Narineh Ohanian revealed R1 has a health condition that was not disclosed to them by R1's responsible party and on the incident in question, according to Narineh she called 911 and was able to perform CPR until the ambulance arrived. Based on interviews and record review, 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.

No deficiencies cited. Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023

LIC9099 (FAS) - (06/04)

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