191221839-10-24-2025-31-AS-NMAN-DRP2TU-20260226164119

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191221839
Report Date: 10/24/2025
Date Signed: 10/24/2025 02:36:59 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
10/08/2025 and conducted by Evaluator Antonia Alvizar-Ettima

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20251008082013

FACILITY NAME:	BROADVIEW RESIDENTIAL CARE CENTER		FACILITY NUMBER:	191221839
ADMINISTRATOR:	BETSY K DAVIS		FACILITY TYPE:	740
ADDRESS:	535 WEST BROADWAY		TELEPHONE:	(818) 246-4951
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91204
CAPACITY:	180	CENSUS: 80	DATE:	10/24/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator, Betsy Davis		TIME COMPLETED:	02:50 PM

ALLEGATION(S):

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Staff are not allowing residents to pass away in the facility

INVESTIGATION FINDINGS:

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At 9:30a.m., Licensing Program Analyst (LPA) Antonia Alvizar- Ettima conducted an unannounced subsequent visit to complete an investigation and deliver findings of the above noted allegation. LPA met with Administrator and explained the reason for the visit.

During initial visit on 10/14/2025 at 9:55a.m. LPA Alvizar-Ettima requested copies of the facility resident and staff roster. At 10:30a.m. LPA and Administrator conducted a physical plant inspection. Between 11:15a.m. - 2:55p.m. LPA conducted interviews with Staff #1 (S1), Administrator, five (5) out of seventy-eight (78) residents and asked questions relevant to the investigation. LPA request copies of Resident #1 (R1) Identification Information, Admission Agreement, Physician Report, Facility & Hospice Collaboration Plan, Appraisal/Needs and Services Plan, Preplacement Appraisal, Unusual Incident Reports, and other pertinent documentations.

Cont. on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025

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-20251008082013

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: BROADVIEW RESIDENTIAL CARE CENTER	FACILITY NUMBER: 191221839
	VISIT DATE: 10/24/2025

NARRATIVE

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Cont. from LIC9099

Prior to this visit on 10/17/2025 LPA Alvizar-Ettima reviewed records and prior documentation obtained during the initial visit.

During this visit at 10:10a.m., LPA and Administrator conducted a physical plan tour. Between 10:35a.m. – 12:20p.m., LPA conducted additional interviews with facility staff and three (3) residents. At the time of the investigation, resident #1 (R1) had already passed away.

Staff are not allowing residents to pass away in the facility

It was alleged that Administrator is not allowing Resident (R1) to pass away in the facility and instead arranges for resident to be transferred to Skilled Nursing Facility (SNF) or other setting at the end of life. Interviews conducted with facility staff revealed that R1 never expressed a desire to pass away in the facility. Administrator indicated that they discussed with R1 the need for higher level of care, and R1 reportedly agreed with the plan for transfer. Staff#1(S1) indicated that R1 had become too weak to transfer independently from bed to restroom. Staff provided continuous care until the last few days, when R1 appeared increasingly weak and immobile. Resident#2 (R2) indicated that staff will temporarily assist residents with mobility. However, all residents must be able to ambulate independently as part of the facility’s admission and retention criteria. A review of R1’s Admission Agreement dated 12/12/2022 confirmed that the agreement included a clause stating that residents requiring medical care and assistance beyond the facility’s capacity must be transferred to a higher level of care. Other residents interviewed during investigation verified that they had knowledge that anyone requiring medical care and assistance beyond the facility’s capacity must be transferred to a higher level of care.

Based on interviews and records reviewed, there is not sufficient information to support this allegation. Thus, this allegation is deemed to be UNSUBSTANTIATED at this time.

No immediate health and safety issues were noted.

Exit interview was conducted and copy of was provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025

LIC9099 (FAS) - (06/04)

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