197610403-5-9-2024-31-AS-NMAN-D5SRHL-20240531130228

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610403
Report Date: 02/27/2024
Date Signed: 05/09/2024 01:29:29 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
02/22/2024 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20240222123534

FACILITY NAME:	GARDEN OF PALMS LA		FACILITY NUMBER:	197610403
ADMINISTRATOR:	HIRSCH,RENA		FACILITY TYPE:	740
ADDRESS:	1025 N FAIRFAX AVE		TELEPHONE:	(323) 656-7900
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90046
CAPACITY:	130	CENSUS: 106	DATE:	02/27/2024
		UNANNOUNCED	TIME BEGAN:	09:23 AM
MET WITH:	Adam Syncheff, Executive Director		TIME COMPLETED:	03:04 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not prevent resident from entering other resident's room
Staff do not prevent inappropriate interactions between residents

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

This amendment is correct the finding from Needs Further to Unsubstantiated.
Licensing Program Analysts (LPAs) Abeye Duguma, conducted an unannounced initial complaint visit to this facility to investigate the above allegations. LPA met with Executive Director, Adam Syncheff, and explained the reason for the visit.

---Staff do not prevent resident from entering other resident's room

It was alleged that Resident #2 (R2) goes into Resident #1's (R1) room and says inappropriate things. To investigate the allegation, LPA interviewed three (03) staff and eleven (11) residents. During interviews with staff, two (02) out of three (03) staff stated that they are not aware of any complaints from the R1, have never heard R2 saying inappropriate things to R1 and that the relationship between the two is cordial and consensual. One (01) out of three (03) staff stated they are not aware of R2 going into R1 room and saying inappropriate things. (CONT. on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 31-AS-20240222123534

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: GARDEN OF PALMS LA	FACILITY NUMBER: 197610403
	VISIT DATE: 02/27/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During interviews with residents, all residents stated that residents do not go into their rooms and say inappropriate things. R1 added that R2 does not go into their room and say inappropriate things.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

---Staff do not prevent inappropriate interactions between residents

It was alleged that Resident (R1) is being sexually harassed by Resident #2 (R2). To investigate the allegation, LPA interviewed three (03) staff and eleven (11) residents. During interviews with staff, two (02) out of three (03) staff stated they are aware of their friendship and that any interactions between the two are consensual. One (01) out of three (03) staff stated that they are not aware of their relationship. During interviews with residents, all residents stated they have never been sexually harassed by residents. R1 added that all interactions with R2 are consensual and welcomed.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards noted during the visit.

Exit interview conducted. Copy of this report issued.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 3