Glen Park At Glendale - Boynton St

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility to investigate the above allegation. LPA met with the, Executive Director, Chanel Sanchez and explained the reason for the visit. --- Staff allow residents with prohibited health conditions. It was alleged that the facility allows residents to have bed sores. To investigate the allegation, on 09/25/2023, LPA conducted physical plant tour at around 10:30 AM, requested documents at 11:30 AM, LPA interviewed 04 (four) staff at 11:45 AM. During the physical plant tour, LPA selected fifteen (15) residents’ room at random and did not observe any residents with bed sores or pressure injuries. LPA also randomly selected six (06) residents’ physician’s reports which also did not indicate that any of the residents had bed sores or pressure injuries. (CONT. on LIC 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, February 29, 2024 · control 31-AS-20230921104845

Licensing Program Analyst (LPA) Rosaura Valenzula conducted an unannounced subsequent visit for the above noted allegations. LPA met with Administrator Peter Bonilla and explained the reason for the visit. It was reported that facility staff is emotionally and mentally abusing residents. To investigate this allegation, on 2/14/2024, between between 1:00pm and 2:00pm, staff interviews were initiated. Interviews revealed that facility employees are not emotionally and mentally abusing residents. Staff #1 (S1) told LPA that if they were to become aware or see any staff abusing residents in care, that they would be fired immediately. Moreover, the staff that are identified as the abusers are not present or employed at the facility. Between 2:00pm and 2:30pm, LPA reviewed facility records. Records confirmed what staff had told LPA. The alleged abusers are not employed as facility staff. Between 2:30pm and 3:30pm, resident interviews were initiated. Eight residents were interviewed. IntervieRead the full finding— CDSS inspection report, February 14, 2024 · control 28-AS-20230222134544

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit for the above noted allegation. LPA met with Administrator Peter Bonilla and explained the reason for the visit. It was reported that staff mismange Resident #1 (R1)'s medication. To investigate this allegation on 10/31/2023 between 1:00pm and 2:30pm, facility records were reviewed. Between 3:00pm and 3:30pm, staff interviews were initiated. Staff interviews revealed that approximately six weeks ago a medication error occurred. R1 was given Resident #2 (R2)'s medication and R2 was given R1's medication. The medication was mixed up by a former staff member. Staff #1 (S1) was terminated and no longer works at the facility. Between 3:35pm and 3:50pm, LPA interviewed R2. Interviews confirmed what staff told LPA. R2 stated that their medication was mixed up. Based on interviews there is sufficient information to support this allegation. Therefore, this allegation is SUBSTANTIATED at this time. SubstantiatedRead the full finding— CDSS inspection report, October 31, 2023 · control 31-AS-20231030103931

Licensing Program Analysts (LPAs) Angela Panushkina and Michael Cava conducted an unannounced subsequent complaint visit to conclude the investigation regarding the above allegations. This initial visit to this complaint was made by LPA Cava on 05/26/23. LPAs met with the Executive Director, Peter Bonilla, and explained the reason for the visit. At approximately 11:30am to 1:00pm, LPAs conducted a physical plant inspection of the facility and conducted interviews with five (5) residents. A record review was also made. Staff does not ensure resident's hygiene needs are being met: In regards to the allegation, it was reported that Resident 1's (R1) hasn't had their nails clipped or cleaned in over two weeks. Also, it was alleged that R1 wasn't getting assistance with their teeth brushed. During the initial visit on 05/26/23, LPA Cava attempted to interview R1, but R1 was non-verbal to the LPA's questions. LPA did assess and observe R1 to be maintained and in good hygiene, and R1's nailsRead the full finding— CDSS inspection report, October 27, 2023 · control 31-AS-20230509133727

This is a subsequent visit to previous visit conducted on 3/9/23, with additional deficiencies added to the 9099-D. Licensing Program Analyst (LPA) Angelica Rea met with Office Manager, Brenda Chacon, who assisted with today's visit. Regarding the allegation that Resident #1 sustained multiple burns while in care, the investigation was conducted by the department, which included interviews with staff, residents, and review of resident #1's facility file and hospital records. The investigation revealed that on 1/23/21, resident #1 was found by staff #1, in the bathtub with hot water running. Resident #1 was sent to hospital. It was determined that resident #1 was scalded by hot water and suffered multiple first and second degree burns to the face and body. SubstantiatedRead the full finding— CDSS inspection report, October 11, 2023 · control 28-AS-20210126124057

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced complaint visit to the facility to investigate the above allegation. LPA met with Executive Director, Peter Bonilla, and explained the reason for the visit. --- Staff did not provide adequate supervision, resulting in a resident wandering away from the facility. It was alleged that on 09/13/2023, Resident #1 (R1) was found by police to be wandering an apartment complex’s courtyard, appeared to be lost and unable to follow instructions. To investigate the allegation, on 09/20/2023 LPA conducted physical plant tour at around 10:15 AM, interviewed 02 (two) staff at 11:15 AM and requested records at 12:15pm. During the physical plant tour, LPA observe the delayed egress doors in working condition. (CONT. on LIC 9099-C) SubstantiatedRead the full finding— CDSS inspection report, September 20, 2023 · control 31-AS-20230913123339

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced complaint visit to the facility to investigate the above allegation. LPA met with Executive Director, Peter Bonilla, and explained the reason for the visit. --- Staff did not provide proper transportation assistance to resident in care. It was alleged that on 09/19/2023, Resident #1 (R1) was refused transportation assistance for a doctor’s appointment. To investigate the allegation, on 09/20/2023 LPA interviewed 02 (two) staff at 11:15 AM, requested records 12:15pm and interviewed six (06) residents at 1:00 PM. During interviews with staff, both Staff #1 (S1) and Staff #2 (S2) stated residents are assisted with transportation to doctor’s appointments. (CONT. on LIC 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, September 20, 2023 · control 31-AS-20230919112018

Licensing Program Analyst (LPA) Antonia Alvizar conducted unannounced complaint visit to the facility to deliver finding for the above noted allegation. It was alleged that while R1 was admitted at the hospital, for low blood pressure they run tests and found Fentanyl in R1’s urine. Initial investigation was conducted by the LPA Laqueena Lacy and Senior Investigator Christine Ferris assisted LPA with this investigation. On 05/26/2023 at 3:45pm and 06/12/23, LPA Lacy and investigator Ferris attempted to speak (R1) and R1 was unable to respond to the questions. On 05/26/23 and 06/12/23 LPA and investigator spoke with the Administrator who indicated that prior to hospitalization in May 2023, R1 was on hospice and due to declining health was taking controlled medication Hydrocodone. UnsubstantiatedRead the full finding— CDSS inspection report, September 1, 2023 · control 31-AS-20230525153815

Licensing Program Analyst (LPA) Angelica Rea conducted a visit in response to the above allegation. On today's visit, LPA met with General Manager, Brenda Chacon, who assisted with the visit. Regarding the allegation that: Staff #1 is physically abusing resident #1. The investigation consisted of interview(s) with Former administrator, Staff #1 - Staff #7, and Resident #2 - Resident #8. LPA also reviewed Resident #1's file, and Staff #1's file. Resident #1 is no longer liviing at the facility, and was not interviewed. Former Administrator, and 7 out of 7 staff interviewed denied the allegation. They stated that they have not observed any staff physically abuse any of the resident(s). Staff #1 denied physically abusing resident #1. Residents interviewed were unable to corroborate the allegation. 7 out of 7 residents interviewed, denied the allegation. They stated that they have not observed any staff physically abuse any resident(s). They stated that they are treated well by the staff.Read the full finding— CDSS inspection report, August 1, 2023 · control 28-AS-20210310125323

On 07/07/23 at 09:50 a.m., Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced complaint visit to investigate the allegations listed above. Upon arrival, LPA met with the Assistant Administrator Brenda Chacon and explained the purpose of the visit. An entrance interview was conducted. At 9:58 a.m. LPA and Brenda started a physical plant tour of the facility. LPA did not observe any health and safety issues. From 10:00 a.m. to 11:00 a.m. LPA toured the medication room and conducted a medication review with the assistance of staff #1 (S1). LPA conducted a review of Centrally Stored Medication logs, Medication Administration Records, and observe S1 conduct pill counts. From 11:05 a.m. to 12:30 p.m. LPA conducted interviews with residents, staff, Assistant Administrator and current Administrator Narine Mertkhanyan. At 1:00 p.m. LPA reviewed and obtained records relevant to this investigation. (Report continued on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, July 7, 2023 · control 31-AS-20230627165051

Licensing Program Analyst (LPA) Antonia Alvizar made an unannounced complaint visit. LPA met the Narine and explained the visit was to conduct an investigation and deliever finding of the above allegation. It was alleged that facility staff had sexual contact with residents. LPA conducted a physical plant tour at 10:40am. At 10:17am LPA requested and reviewed facility internal incident reports, staff and resident roster. At 10:50am LPA spoke with five (5) staff, and they denied any knowledge of sexual assault by the facility staff toward resident. Out of sixty-eight (68) residents LPA attempt to interview seven (07) however two (02) where not available at 11:51am. Five (05) out of seven (07) residents revealed that they had no knowledge of resident being sexually harassed by facility staff. Based on observation, interviews and documents review there is an insufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Exit interview conducRead the full finding— CDSS inspection report, May 16, 2023 · control 31-AS-20230508161732

Licensing Program Analyst (LPA) Elizabeth Irra conducted a subsequent visit pertaining to the above allegations. LPA met with Brenda Chacon (S-4) and explained the purpose of today’s visit. The initial/health and safety visit was conducted on 06/11/2021 by Licensing Program Analysts (LPAs) Christine Wong and Alberto Lopez. LPA's met with Administrator, Nirjara Acharya and Assistant Administrator Brenda Chacon who assisted with the tour. During this visit, LPAs did not observe any signs of neglect, abuse or other immediate health and safety threats. LPAs also obtained documentation for Resident #1(R-1) through Resident #3 (R-3). Refer to LIC 9099C for the continuation of this report. UnsubstantiatedRead the full finding— CDSS inspection report, May 4, 2023 · control 28-AS-20210611091608

Licensing Program Analyst (LPA) Angelica Rea made another visit to issue the final results of the investigation. LPA met with Administrator, Narine Mertkhanyan, who assisted with today's visit. Regarding the allegation that Resident #1 sustained multiple burns while in care, the investigation was conducted by the department, which included interviews with staff, residents, and review of resident #1's facility file and hospital records. The investigation revealed that on 1/23/21, resident #1 was found by staff #1, in the bathtub with hot water running. Resident #1 was sent to hospital. It was determined that resident #1 was scalded by hot water and suffered multiple first and second degree burns to the face and body. Review of resident #1's file, including needs and services plan dated 6/19/20, indicates that resident #1 had severe cognitive impairment, and a history of wandering throughout the facility. Per documentation and interviews, Resident #1 was often disoriented and confused, aRead the full finding— CDSS inspection report, March 9, 2023 · control 28-AS-20210126124057

Licensing Program Analyst(s) LPA Angelica Rea and Kimberly Ramirez conducted another visit to deliver the final results of the investigation. LPAs met with Administrator, Narine Mertkhanyan who assisted with today's visit. The investigation consisted of interviews with Administrator, Staff #1- Staff #4, and resident #1-resident #5, and review of resident #1's file. Regarding the allegation that Administrator made inappropriate comments to the resident #1. Administrator and staff interviewed denied that Administrator made inappropriate comments to resident(s). Residents interviewed were unable to corroborate the allegation. 4 out of 5 residents interviewed stated that the Administrator and staff do not make inappropriate comments to residents. Regarding the allegation that resident #1 is being bullied, Administrator and staff interviewed denied the allegation. They stated that none of the residents are being bullied to their knowledge. Residents interviewed were unable to corroborate thRead the full finding— CDSS inspection report, October 24, 2022 · control 28-AS-20201026110759

Licensing Program Analyst (LPA) Ashley Calderon made an unannounced visit to the facility and met with Narine Mertkhanyan. LPA explained the reason of the visit to Mertkhanyan, who assisted with the visit. LPA Calderon is following up on a needs further conducted initially by LPA Tao on 1/11/22.LPA Calderon reviewed all documentation's gathered by LPA Tao prior to todays visit. On todays visit 10/17/22 there was a census of 58 resdients and 40 staff.LPA Calderon's investigation consisted of residents R #2-6 (R2, R3,R4 ,R5,R6) and staff interviews S1-5 (S1,S2,S3, S4,S5). LPA Calderon collected R2-R10 LIC 613c -Personal Right form, staff training on Personal Rights and Discrimination documentation was provided. (Continue on LIC9099C) UnsubstantiatedRead the full finding— CDSS inspection report, October 17, 2022 · control 28-AS-20220106080051

On 9/21/22 at 10:25 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Complaint investigation to the facility. Upon arrival LPA met with Narine Merthanyan (Administrator) and explained the purpose of the visit. During today’s visit LPA toured the facility with the administrator and general manager, obtained resident roster, staff roster/ schedule, Bathing schedule, chauffer service schedule, R1 physician visit summary report dated 9/15/22 and purchase order for hygiene supplies dated 8/29/22. LPA interviewed residents R1 through R7. LPA Interviewed administrator, general manager, Staff S1, and S2. Report continued on 9099c UnsubstantiatedRead the full finding— CDSS inspection report, September 21, 2022 · control 28-AS-20220912143538

Licensing Program Analyst (LPA) Elizabeth Irra conducted an initial complaint visit to investigate the above allegations. LPA met with Brenda Chacon (Office Manager) and Narine Mertkhanyan and discussed the purpose of today's visit. During this investigation the following occurred: LPA obtained a copy of the staff and resident rosters, staff schedule for September 2022, list of residents who receive personal and incidental money and resident social activity schedule for September 2022 (Newsletter). LPA interviewed Staff #1 through Staff #5 (S-1 through S-5) and interviewed Resident #1 through Resident #6 (R-1 through R-6). LPA also reviewed resident files for R-1 through R-6 and obtained relevant documentation. Refer to LIC 9099C for the continuation of this report. UnsubstantiatedRead the full finding— CDSS inspection report, September 20, 2022 · control 28-AS-20220914082919

On 8/31/22 at 10:15 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced subsequent complaint visit to investigate the allegation listed above. The initial complaint visit was conducted on 8/26/2022. Upon arrival, LPA met with Narine Mertkhanyan (Administrator) and explained the purpose of the visit. During the initial visit, LPA toured the facility with the administrator and obtained the resident/ staff roster, R1 discharge paperwork dated 8/17/2022 and 8/21/2022, Facility incident report, photos of R1 bruising, R1 behavioral plan, R1 functional behavior assessment. LPA interviewed residents R2 through R7 and R1 is nonverbal. LPA Interviewed administrator and staff S1 and S2. LPA discovered S1 is no longer working with the facility. Report continued on 9099c SubstantiatedRead the full finding— CDSS inspection report, August 31, 2022 · control 28-AS-20220825113139

Licensing Program Analyst (LPA) David Sicairos conducted an unannounced subsequent complaint visit regarding the above stated allegations. LPA met with Narine Mertkhanyan and explained the reason for the visit. The investigation consisted of the following: during the initial visit conducted on 11/09/21, LPA interviewed the former Administrator and obtained copies of Staff & Resident Rosters. During today’s visit, LPA obtained copies from R1's file such as Physician's Report, Resident Appraisal, Resident Re-Appraisal, Identification & Emergency Sheet, and MARS from July 2021 - November 2021. LPA also interviewed the current Administrator and Staff #1 - Staff #2. R1 could not be interviewed as R1 is no longer a resident of the facility. The investigation revealed the following: in regards to the allegation “staff changed resident medication without consulting with authorized representative”, it is alleged that facility staff changed R1’s medications without contacting her doctor or authoRead the full finding— CDSS inspection report, August 31, 2022 · control 28-AS-20211105080603

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced subsequent complaint visit to determine the validity of the above-mentioned allegation. LPA met with Administrator Yamilex Razo and explained the reason for the visit. The investigation consisted of the following: On 03/28/2022, LPA obtained copies of resident and staff rosters, March 2022 staff work schedule and shower schedule/log. Conducted a facility tour. Interviewed the Administrator, Staff 1 - Staff 4 (S1 - S4), and Resident 1 – Resident 7 (R1 – R7). On today's visit, LPA obtained copies of resident and staff rosters, April and May 2022 staff work schedule and shower schedule/log, and interviewed Staff 5 - Staff 7 (S5 - S7). The investigation revealed the following: regarding the allegations "residents are not showered timely", "residents are not being shaved timely", "resident call buttons are not answered timely" and "residents are not being changed timely", it is alleged that there is only 2 caregivers on shifRead the full finding— CDSS inspection report, May 20, 2022 · control 28-AS-20220321083017

Licensing Program Analyst (LPA) Angelica Rea conducted an unannounced complaint visit in response to the above allegations. LPA met with Administrator, Yamilex Razo who assisted with today's visit. Regarding the allegation that unqualified staff are providing care to residents, the investigation consisted of review of staff schedule, review of staff trainings, interview(s) with resident #1- #7, and Interview(s) with Administrator and Staff #1- #4. The investigation revealed the following: Residents interviewed were unable to corroborate the allegation. 6 out of 7 residents stated that the facility has sufficient, qualified staff providing care to residents. Administrator and staff interviewed were unable to corroborate the allegation, they stated that there are usually 3 to 4 caregivers during the morning shift, and during the afternoon shift. 4 out of 5 staff stated that the facility staff is qualified and providing sufficient care to residents. LPA observed that staff schedule reflecRead the full finding— CDSS inspection report, March 24, 2022 · control 28-AS-20220317084812

Licensing Program Analyst (LPA), Tao conducted an unannounced subsequent visit to this facility. LPA met with Yamilex Razo, Administrator. LPA explained the purpose of today’s visit is to discuss the above mentioned allegation. LPA conducted an initial visit on 12/20/19 and subsequent visits on 06/23/21, 12/23/21 and 3/23/22. During today's visit, LPA obtained staff roster and resident roster. LPA interviewed Staff# 5 and attempted to interview Resident#13. LPA reviewed resident files and incident reports for resident #1 (R1). The investigation consisted of resident interview, staff interview, record reviews and observation. In regard to allegation “Resident's care needs were not being met resulting in hospitalization," it was alleged that resident was admitted to the hospital and the hospital found out resident had scabies, fungal infection, a urinary tract infection (UTI) and dehydration. (-Continued on LIC 9099-C-) UnsubstantiatedRead the full finding— CDSS inspection report, March 23, 2022 · control 28-AS-20191217093514