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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608579
Report Date: 09/04/2024
Date Signed: 09/04/2024 04:35:40 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
08/26/2024 and conducted by Evaluator Rosaura Valenzuela
COMPLAINT CONTROL NUMBER: 31-AS-20240826115332
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: 4DATE:
09/04/2024
UNANNOUNCEDTIME BEGAN:
12:13 PM
MET WITH:Lilya Gerozgyan, CaregiverTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Unqualified staff are providing care and supervision to resident(s) in care.

Staff did not ensure that resident was provided adequate medical attention as necessary.
INVESTIGATION FINDINGS:
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Staff did not ensure that resident was provided adequate medical attention as necessary. Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit for the above noted allegations. LPA met with caregiver Lilya Gerozgyan and explained the reason for the visit.

It was reported that unqualified staff are providing care and supersivision to resident(s) in care. Resident #1 (R1)'s oxygen saturation was in the 80's and staff called 911. To investigate this allegation on 09/04/2024, between 12:15pm and 1:00pm, staff interviews were initiated. Interviews revealed that Staff #1 (S1) called Licensee to notify them that R1 had labored breathing. Licensee had another employee go to the facility and 911 was called. Facility is a board and care and is not a skilled nursing facility. Staff are not nurses. R1 is being seen by a nurse through home health. R1's nurse was notified of the situation. Between 1:00pm and 2:00pm, facility records were reviewed. Records revealed that R1 has several underlying medical conditions.

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

DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2024
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-20240826115332
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: NO PLACE LIKE HOME FOR GOLDEN AGES
FACILITY NUMBER: 197608579
VISIT DATE: 09/04/2024
NARRATIVE
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Based on interviews and records review there is not sufficient information to support this allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

It was alleged that staff did not ensure that resident was provided adequate medical attention as necessary. To investigate this allegation on 09/04/2024, between 12:15pm and 1:00pm, staff interviews were initiated. Interviews revealed that staff immediately called 911. R1 had low oxygen saturation and was lethargic. Staff are not nurses. Home health sends nurses to provide care to R1. R1 has several underlying medical conditions and is being closely monitored by their primary care physician and home health staff.

Bases on interviews there is not sufficient information to support the allegation. Thus, the allegation is UNSUBSTANTIATED at this time.

No health and safety issues noted at the time of this visit.

Exit interview conducted and a copy of the report was issued.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2