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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602950
Report Date: 01/13/2025
Date Signed: 01/13/2025 01:39:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/07/2025 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250107124635
FACILITY NAME:LAKEWOOD PARK MANORFACILITY NUMBER:
198602950
ADMINISTRATOR:NARINE MERTKHANYANFACILITY TYPE:
740
ADDRESS:12045 LAKEWOOD BLVDTELEPHONE:
(562) 923-4417
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:160CENSUS: 128DATE:
01/13/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Narine Mertkhanyan/S-1TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Staff do not treat resident with respect.
Staff are not assisting resident in coordinating religious services at the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted an initial visit to investigate the above allegations. LPA met with Narine Mertkhanyan/S-1 and discussed the purpose of today’s visit.

During this visit, LPA obtained a copy of the resident and staff rosters, interviewed Resident #2 (R-2) through Resident #7 (R-7), interviewed Staff #1 (S-1) through Staff #6 (S-6) and obtained a copy of the activity schedule. LPA attempted to interview Resident #1 (R-1) and was unsuccessful. Resident #8 (R-8) refused to be interviewed.

Refer to LIC 9099C for the continuation of this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2025
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 28-AS-20250107124635
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: LAKEWOOD PARK MANOR
FACILITY NUMBER: 198602950
VISIT DATE: 01/13/2025
NARRATIVE
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Allegation: Staff do not treat resident with respect. It has been alleged that the front desk receptionist is disrespectful, speaks to residents in a rude manner and hangs up on calls and does not deliver messages. Staff interviews revealed that the staff at the front desk are not disrespectful nor speak to anyone (including residents) in a rude manner. Stafft interviews also revealed that front desk staff do not hang up on calls and that staff deliver messages to residents. Interviewed staff indicated they have not received any complaints regarding this matter. Interviewed residents revealed that the front desk staff are not disrespectful nor rude. Interviewed residents indicated that front desk staff do not hang up on calls and that staff deliver messages to residents. Interviewed residents indicated that they have not heard anyone complaining pertaining this matter. Interviews do not corroborate this allegation.

Allegation: Staff are not assisting resident in coordinating religious services at the facility. It has been alleged that this facility is not allowing residents to have Catholic services at this facility. Staff interviews revealed that this facility was previously receiving visits from religious individuals to provide religious services for residents on a voluntary basis. However, staff indicated that the individuals providing this service have not recently provided this service. Interviewed staff indicated that they will continue to follow up to see if religious services can be provided at this facility for residents to attend on a voluntary basis. Staff interviews also indicated that on Sunday’s, a van from a local church provides transportation to residents that voluntarily would like to attend religions services. Interviews do not corroborate this allegation.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.



Exit interview conducted, a copy of the Appeal Rights and this report was provided to Narine Mertkhanyan/S-1.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2