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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608579
Report Date: 08/03/2023
Date Signed: 08/03/2023 02:29:47 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/14/2022 and conducted by Evaluator Angelica Rea
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20220614122018
FACILITY NAME:NO PLACE LIKE HOME FOR GOLDEN AGESFACILITY NUMBER:
197608579
ADMINISTRATOR:EMMA TOPADZHIKYANFACILITY TYPE:
740
ADDRESS:1459 WESTERN AVENUETELEPHONE:
(818) 245-6799
CITY:GLENDALESTATE: CAZIP CODE:
91201
CAPACITY:6CENSUS: 6DATE:
08/03/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Gayane KhachatryanTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Resident is not allowed to use the restroom
Resident is restrained in the wheelchair
Staff do not treat resident with dignity
Resident lost a lot of weight
Staff do not provide alternative meals
Staff are not following physicians orders
Resident is made to go to bed at 3:00 PM
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Rea conducted a subsequent visit in response to the above allegations. On today's visit, LPA met with Staff, Alla Abgean, who assisted with the visit. LPA spoke to Administrator, Emma Topadzhikyan via telephone regarding the allegations. Resident #1 is no longer residing at the facility, and was not able to be interviewed.

Regarding the allegation that Resident #1 is not allowed to use the restroom, the investigation consisted of interviews with Administrator, Staff #1, Staff #2, and resident #2 - resident #5. Administrator and staff interviewed denied the allegation. They stated that they assist residents with all of their needs, including going to the restroom. Residents interviewed were unable to corroborate the allegation. Four out of four residents denied that they are not allowed to use the restroom. Regarding the allegation that resident #1 is retrained in the wheelchair, the investigation consisted of interviews with Administrator, Staff #1, Staff #2, and resident #2 - resident #5.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Angelica Rea
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
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 28-AS-20220614122018
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
FACILITY NAME: NO PLACE LIKE HOME FOR GOLDEN AGES
FACILITY NUMBER: 197608579
VISIT DATE: 08/03/2023
NARRATIVE
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Administrator and Staff interviewed denied the allegation. They stated that residents are not restrained in their wheelchair(s). Residents interviewed were unable to corroborate the allegation. Residents who use a wheelchair, stated that they have not been restrained. Four out of four residents stated that they have not been restrained in any way.

Regarding the allegation that Staff do not treat resident #1 with dignity, the investigation consisted of interviews with Administrator, Staff #1, Staff #2, and resident #2 - resident #5. Administrator and staff interviewed denied the allegation. They stated that they treat all of their residents with dignity. Residents interviewed were unable to corroborate the allegation. Four out of four residents stated that they are treated with respect and dignity by staff.

Regarding the allegation that Resident #1 lost a lot of weight, the investigation consisted of interviews with Administrator, Staff #1, Staff #2, and resident #2 - resident #5. Administrator and staff interviewed denied the allegation. They stated that they did not observe that resident #1 lost a lot of weight. Residents interviewed were unable to corroborate the allegation. Four out of four residents stated that they receive plenty of food, and they have not lost a lot of weight.

Regarding the allegation that Staff do not provide alternative meals, the investigation consisted of interviews with Administrator, Staff #1, Staff #2, and resident #2 - resident #5. LPA also reviewed facility food supply, and observed a sufficient amount and a variety of food available. Administrator and staff interviewed denied the allegation. They stated that they do offer alternate meals, if a resident doesn't want what is being served. Residents interviewed were unable to corroborate the allegation. Four out of four residents stated that the staff will offer them alternate meals, if they request it.

Regarding the allegation that Staff are not following physicians orders, the investigation consisted of interviews with Administrator, Staff #1, Staff #2, and resident #2 - resident #5. Administrator and staff interviewed denied the allegation. They stated that they follow physicians orders for all of the residents. Residents interviewed were unable to corroborate the allegation. Four out of four residents interviewed stated that the staff do follow their physicians orders.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Angelica Rea
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20220614122018
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
FACILITY NAME: NO PLACE LIKE HOME FOR GOLDEN AGES
FACILITY NUMBER: 197608579
VISIT DATE: 08/03/2023
NARRATIVE
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Regarding the allegation that Resident #1 is made to go to bed at 3:00 PM, the investigation consisted of interviews with Administrator, Staff #1, Staff #2, and resident #2 - resident #5. Administrator and staff interviewed denied the allegation. They stated that they do not make any of the resident(s) go to bed. They stated that some residents choose to rest in the afternoon, but they do not make them. Residents interviewed were unable to corroborate the allegation. 4 out of 4 residents interviewed, stated they staff do make them go to bed. They stated that they can stay up as late as they choose.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview was conducted, and a copy of this report was provided to Ms. Khachatryan.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Angelica Rea
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3