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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608506
Report Date: 07/22/2024
Date Signed: 07/22/2024 04:00:05 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
07/17/2024 and conducted by Evaluator Rosaura Valenzuela
COMPLAINT CONTROL NUMBER: 31-AS-20240717160937
FACILITY NAME:GLEN PARK AT GLENDALE - MARIPOSA STFACILITY NUMBER:
197608506
ADMINISTRATOR:SUSAN PARKFACILITY TYPE:
740
ADDRESS:1220 S MARIPOSA STTELEPHONE:
(818) 242-9000
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:120CENSUS: 94DATE:
07/22/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Susan Park, Executive DirectorTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff is selling drugs

Staff is abusing the residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit for the above noted allegations. LPA met with Executive Director (ED) Susan Park and explained the reason for the visit.

It was reported that staff is selling drugs. To investigate this allegation on 07/22/2024, between 1:00pm and 2:00pm, staff interviews were initiated. Interviews revealed that Staff #1 (S1) is not a staff memeber at the facility, but rather is the Licensee. The Licensee rarely if ever goes to the facility. The Licensee does not sell drugs. Between 2:00pm and 2:30pm, LPA reviewed the Personnel Report and confirmed what staff had told LPA.

Based on interviews and records review, there is not sufficient information to support this allegation. Therefore, the allegation will be UNSUBSTANTIATED at this time.

Continue on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2024
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 2
Control Number 31-AS-20240717160937
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: GLEN PARK AT GLENDALE - MARIPOSA ST
FACILITY NUMBER: 197608506
VISIT DATE: 07/22/2024
NARRATIVE
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It was alleged that Staff is abusing the residents. To investigate the allegation, between 1:00pm and 2:00pm, staff interviews were initiated. Interviews revealed that Staff #1 (S1) is not a staff member at the facility, but rather is the Licensee. The Licensee is not present at the facility and does not abuse residents since they do not interact, have contact with, or see any residents. Between 2:00pm and 2:30pm, LPA reviewed the Personnel Report and confirmed what staff had told LPA.

Based on interviews and records review, there is not sufficient information to support this allegation. Hence, the allegation will be UNSUBSTANTIATED at this time.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2