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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610318
Report Date: 09/18/2024
Date Signed: 09/18/2024 02:53:48 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
09/09/2024 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20240909115151
FACILITY NAME:EMERALD SENIOR CARE,INC.FACILITY NUMBER:
197610318
ADMINISTRATOR:HAYRAPETYAN, ELENFACILITY TYPE:
740
ADDRESS:10401 ENCINO AVE.TELEPHONE:
(747) 300-2232
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 6DATE:
09/18/2024
UNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Hayk Margaryan, Hovhannes PapazyanTIME COMPLETED:
11:19 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff over medicated resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegation. It was reported that Resident 1 (R1) was given a double dose of their medication, because according to facility staff, it would help them to sleep better. LPA met with both administrators, Hayk Margaryan and Hovhannes Papazyan, and advised them of the complaint. Today's investigation consisted of interviews, a physical plant inspection and record review.

Interviews with both administrators deny the allegation. Both administrators stated R1's physician increased the dosage of their medication by two for anxiety and insomnia. LPA conducted a record review, and observed a physician's order to increase their Lorazepam from one tablet orally per day to two tablets orally per day. Order date made was 08/24/24. Interviews with six (6) of six residents also deny the allegation. These residents did not express any complaints regarding their medications. Based on the information obtained, there wasn't enough evidence to prove staff overmedicated a resident. Therefore, the allegation is deemed Unusubsantiated at this time.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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