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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610480
Report Date: 11/04/2024
Date Signed: 11/04/2024 12:52:28 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
10/25/2024 and conducted by Evaluator Leslie Ngo-Castaneda
COMPLAINT CONTROL NUMBER: 31-AS-20241025111603
FACILITY NAME:BEST CARE LAFACILITY NUMBER:
197610480
ADMINISTRATOR:MARINE STEPANYANFACILITY TYPE:
740
ADDRESS:15954 RAYEN STREETTELEPHONE:
(818) 489-0088
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:6CENSUS: 2DATE:
11/04/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Adrine Akopyan- LicenseeTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Resident was pushed by staff.
INVESTIGATION FINDINGS:
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On 11.4.2024 Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced complaint visit for the above allegation. LPA arrived at 9:30 a.m. and was greeted by staff, Seda Vardanyan, LPA explained the reason for the visit. At 9:45AM licensee, Adrine Akopyan arrive and was advised the reason for the visit.

At 9:50AM LPA conducted a physical plant tour of the facility with the assistance of the licensee. From 10:00 a.m. to 12 NN, LPA Ngo-Castaneda interviewed licensee and one (1) staff familiar with the incident the complaint is about. At 11:30 AM - 12:30 PM LPA reviewed and obtained documents relevant to the investigation.

Continue to LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024
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-20241025111603
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: BEST CARE LA
FACILITY NUMBER: 197610480
VISIT DATE: 11/04/2024
NARRATIVE
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Allegation: Resident was pushed by staff.

In regards to the allegation, it was reported that a staff pushed resident #1 (R1), no specific staff was stated. To investigate the allegation LPA Ngo-Castaneda interviewed licensee, staff, emergency contacts in LIC 601, and residents regarding the incident in question. Interview with S2 regarding the incident revealed that R1 cellphone rang and S2 helped pick-up the call. S2 overheard that R1 told the caller that a staff 'push' R1. Interview with licensee and S2 revealed that the allegation is untrue. LPA interview two (2) out of two (2) residents, R2 and R3 revealed unanimously that they are happy and content living at the facility. Residents did not experience or witness being abused or pushed with staff in the facility. LPA also called emergency contact in LIC 601 and found that they are happy for R1 living in the facility and stated that the allegation is untrue.

Therefore, there was not enough evidence to prove the alleged violation did or did not occur therefore the allegation is deemed Unsubstantiated at this time.

No deficiencies cited. Exit interview conducted. Copy of report provided.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024
LIC9099 (FAS) - (06/04)
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