Facility Evaluation Report

Licensing Program Manager (LPM) Naira Margaryan, Licensing Program Analysts (LPAs) Leslie Ngo-Castaneda and Angelica Segovia conducted unannounced Case Management: Health and Safety visit to the facility. LPM and LPAs met the Executive Director (ED) Charles Brugh and he was informed that this case management visit was conducted to discuss the recent visit conducted by the Fire Inspector from Glendale Fire Department.

During Licensing Inspection conducted by the Department on 09/24/2024, it was noted that the facility retains non-ambulatory residents on the 2nd, 3rd and 4th floors without having appropriate approved fire clearance. The facility requested a new fire clearance to get approval for the upper levels. However, on 11/19/2024 the fire clearance was denied. Prior to this visit, Fire Inspector from GFD contacted community care Licensing Department and informed the following.

“On 11/19/2024, Glendale Fire Department (GFD) performed an inspection at the facility. Upon review of the application, GFD has denied the request to increase the non-ambulatory and bedridden counts for this site. In addition, the applicant contacted the Fire Department and request to indicate that all 4 floors would be permitted to allow non-ambulatory and bedridden patients. GFD was unable to accommodate this request. Based on GFD inspection, all non-ambulatory and bedridden patients shall remain on the 1st floor as per Tittle 22 of CCR or have direct access to the outside from their rooms.