Complaint Investigation Report

197609828-3-12-2024-31-AS-NMAN-DBVMTP-20241212085349

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

WOODLAND HILLS S.RO , 21731 VENTURA BLVD., STE. 250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

03/08/2024 and conducted by Evaluator Rosaura Valenzuela

COMPLAINT CONTROL NUMBER: 31-AS-20240308160649

NO PLACE LIKE HOME FOR GOLDEN AGES 3, LLC

Licensee did not provide resident with copy of admissison agreement.

Licensing Program Analyst (LPA) Rosaura Valenzuela and Licensing Program Manager (LPM) Naira Margaryan conducted an unannounced visit for the above noted allegation. LPA and LPM met with Licensee Emma Topadzuikyan and explained the reason for the visit.

It was reported that Licensee did not provide a resident with a copy of the admission agreement. To investigate this investigation on 3/12/24, between 3:50pm and 4:00pm facility records for Resident #1 (R1) were requested. Facility records for R1 were not provided to Licensing Agents because they were not created. Between 4:00pm and 4:15pm, staff interviews were initiated. Staff #1 (S1) was interviewed and revealed that R1 never signed an admission agreement because they did not want to sign it.

Based on interviews, there is sufficient information to verify this allegtion. Thus, this allegation is SUBSTANTIATED at this time.

No health and safety issues were noted at the time of this visit. Exit interview conducted and a copy of the report was issued.