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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609677
Report Date: 05/03/2023
Date Signed: 05/03/2023 04:01:23 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:
05/03/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Rebecca CornejoTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Staff was sarcastic towards resident.
Resident clothes were not washed.
Resident did not receive proper medication assistance.
Resident did not receive an adequate daily food intake.
Resident’s belonging were missing or misplaced.
Expired medications were not distracted properly.
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 Rebecca Cornejo and explained the reason for the visit. The administrator, Marine Gazdzhyan, designated Rebecca Cornejo to sign and accept this report.

--- Staff was sarcastic towards resident.
It was alleged that Staff (S1) spoke sarcastically to 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 do not speak to them sarcastically or in a hurtful way, that they do not use profanity around them and have never been aggressive with them. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7).
(Cont. on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
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 4
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: 05/03/2023
NARRATIVE
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During interviews with staff, S1 and Staff #2 (S2) stated that they do not speak to them sarcastically or in a hurtful way and never use profanity around them. S1 and S2 also stated that they do not make fun of or argue with residents. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Resident clothes were not washed.

It was alleged that resident did not have any clean clothes to wear and laundry basket was full of dirty clothes. 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 had clean clothes and laundry baskets had between two (02) to five (05) items in each basket. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff do laundry very frequently. 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 residents’ laundry every day. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Resident did not receive proper medication assistance.

It was alleged that resident was not given all medications as prescribed. 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 all medications were given to Resident #1 (R1) timely. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), they stated that staff distribute all their medications timely. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, Staff #1 (S1) and Staff #2 (S2) stated that they distribute medications timely. Based on record review and 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: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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: 05/03/2023
NARRATIVE
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--- Resident did not receive adequate daily food intake

It was alleged that facility does not serve complete meals. To investigate the allegation, on 02/15/2023, LPA made observations during a physical plant tour at around 08:45 AM, 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. During the investigation, LPA observed staff serving complete and balanced meals to all residents and both pantry and refrigerator were well stocked. Record review shows that facility maintains a sample menu that is complete and well balanced. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that they are satisfied with the food and feel that the meals are complete and well balanced. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, Staff #1 (S1) and Staff #2 (S2) stated that they try their best to cater to each resident’s needs and always serve complete and well-balanced meals. Based on observations, record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

---Resident’s belongings were missing or misplaced

It was alleged that facility misplaces and mixes up resident belongings. 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 their belongings have never gone missing and that they have never encountered a time where they were given someone else’s belongings during their stay. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, Staff #1 (S1) and Staff #2 (S2) stated that they do each resident’s laundry separately and store them accordingly. S1 and S2 also stated that none of R1’s belongings were left behind, and the none current residents complained about any missing belongings. 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: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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: 05/03/2023
NARRATIVE
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--- Expired medications were not distracted properly.

It was alleged that facility gave resident a bag of expired medications. 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 have never been given expired medications. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, Staff #1 (S1) and Staff #2 (S2) stated that they do not give their residents their expired medications. 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: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4