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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609677
Report Date: 03/22/2023
Date Signed: 03/22/2023 05:39:50 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
02/07/2023 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20230207145923
FACILITY NAME:ABLE & AVAILABLE HOME CAREFACILITY NUMBER:
197609677
ADMINISTRATOR:BOYADZHYAN, ARMEN MFACILITY TYPE:
740
ADDRESS:17626 TULSA STTELEPHONE:
(747) 239-1640
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 6DATE:
03/22/2023
UNANNOUNCEDTIME BEGAN:
10:24 AM
MET WITH:Marine GazdzhyanTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Resident fell due to neglect of supervision
Staff is harassing resident.
Staff used resident’s personal phone
Staff did not provide appropriate bathroom assistance to the resident.
Staff was recording resident without consent.
Resident was not allow to eat isolated in the room during mealtime.
Resident was not allowed to eat around a table
Resident’s room was not clean.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to this facility to investigate the above allegations. LPA met with the co-administrator, Marine Gazdzhyan, and explained the reason for the visit.

--- Resident fell due to neglect of supervision

It was alleged that Staff (S1) did not help Resident #1 (R1) to the bathroom which led to a fall. To investigate the allegation, on 02/15/2023, LPA requested documents at around 9:30AM, interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. Record review shows that R1 requires assistance for toileting and has motor impairment, but did not find fall incident report in facility file.

(CONT. LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
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 5
Control Number 31-AS-20230207145923
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: ABLE & AVAILABLE HOME CARE
FACILITY NUMBER: 197609677
VISIT DATE: 03/22/2023
NARRATIVE
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During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that they do not recall having a fall incident on the way to the toilet and staff assist them to the toilet as needed. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 stated that they do not recall a fall incident with R1. S1 also stated that they stand next to and hold residents that need assistance all the way to the toilet seat and wait with them until finished to return them back to their resting position of choice safely. Based on record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Staff is harassing resident.

It was alleged that Staff (S1) harassed Resident #1 (R1). To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that they have never been harassed or mistreated by any staff. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and Staff #2 (S2) stated that they have never harassed or mistreated any of the residents and that their relationships with the residents are very good. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Staff used resident’s personal phone

It was alleged that Staff (S1) uses Resident #1’s (R1) cell phone. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that they have their own cell phones and staff have never used or asked to use their cell phones. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, and Staff #2 (S2) stated that they have their own cell phones and have never used a resident’s phone to make a call or for any other use. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

(CONT. on LIC 9099-C)
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 31-AS-20230207145923
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: ABLE & AVAILABLE HOME CARE
FACILITY NUMBER: 197609677
VISIT DATE: 03/22/2023
NARRATIVE
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--- Staff did not provide appropriate bathroom assistance to the resident.

It was alleged that Staff (S1) did not help resident to the bathroom in an appropriate position. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff assist them to the toilet as needed safely with enough assistance and support. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 stated that if residents are walking backward into the restroom with a walker, they stand behind supporting them, but if they are walking forward then they enter first and guide them supporting them. S1 also stated that if they are walking without the walker, they can walk them in while supporting them side by side. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Staff was recording resident without consent.

It was alleged that Staff (S1) was recording residents. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff have never recorded them. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and S2 stated that they have never recorded any of their residents. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Resident was not allow to eat isolated in the room during mealtime.

It was alleged that Staff (S1) instructed resident to eat in the room. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff do not force them to eat in their rooms and that they have the choice to decide where they eat. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7).
(CONT. on LIC 9099-C)
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 31-AS-20230207145923
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: ABLE & AVAILABLE HOME CARE
FACILITY NUMBER: 197609677
VISIT DATE: 03/22/2023
NARRATIVE
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During interviews with staff, S1 and S2 stated that they do not force residents to eat in their rooms. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Resident was not allowed to eat around a table

It was alleged that Staff (S1) did not allow resident to eat at the table. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff do not tell them that they are not allowed to eat at the table. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and S2 stated that they do not tell residents that they are not allowed to eat at the table and that they try to encourage them to eat at the table so that they may interact and socialize with one another. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Resident’s room was not clean.

It was alleged that resident’s room has spills under the bed and dust on bed frame. To investigate the allegation, on 02/15/2023, LPA made observations during a physical plant tour at around 08:45 AM, interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During the physical plant tour, LPA observed that all residents’ rooms were clean and free from spills and dust. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff clean frequently and feel that their rooms are clean. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and S2 stated that they keep the rooms clean and that whatever the day staff miss, the night shift will clean up during the nightly deep cleaning. 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 observed during the visit.

Exit interview conducted. Copy of this report issued.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5