Senior Care Records.

Complaint Investigation Report

Agape Residential Home, Northridge01/26/2024Licence 197609370

Census4
Date signed01/26/2024 10:23:26 AM
The inspector’s account

197609370-1-26-2024-31-AS-EMIR-D2P2V8-20240221164331

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

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

10/12/2021 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20211012123120

Staff are not providing adequate supervision.

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent visit to the facility to issue an amended report to the above allegation. On 10/18/23, LPA Michael Cava conducted his investigation. Based on the information obtained, the investigation was deemed Unsubstantiated at that time. Since then, a review and additional information was received. This information revealed that prior to the incidents on 09/26/21 and 10/11/21, Resident 1 (R1) already required one to one supervision. R1 is very hyper and regional center was working on getting one on one staff so that they can constantly monitor R1. There were incidents and concerns made by the facility’s neighbors of the noises and yelling from R1. There were also incidents where R1 eloped into the neighborhood, causing damage to the neighbors cars, and getting onto a neighbor’s driveway before getting redirected by staff. Despite R1 never being left alone by staff, who always had to redirect R1, adequate one to one supervision wasn’t approved by Regional Center initiated until 10/15/21. Therefore, based on the new information obtained, the allegation of R1 not being provided adequate supervision is Substantiated.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction