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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608506
Report Date: 03/25/2026
Date Signed: 03/25/2026 03:47:18 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/20/2026 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20260320141457
FACILITY NAME:GLEN PARK AT GLENDALE - MARIPOSA STFACILITY NUMBER:
197608506
ADMINISTRATOR:SUSAN PARKFACILITY TYPE:
740
ADDRESS:1220 S MARIPOSA STTELEPHONE:
(818) 242-9000
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:120CENSUS: DATE:
03/25/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Susan Park, Executive DirectorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff did not safeguard resident’s belongings.
INVESTIGATION FINDINGS:
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Licensing Program Analyst, Abeye Duguma (LPA) conducted a subsequent complaint visit to investigate the above allegations. LPA met with Executive Director Susan Park and explained the reason for the visit.

--- Staff did not safeguard resident’s belongings.

It was alleged that Resident #1’s (R1) camera was taken out of room without R1’s knowledge. To investigate the allegation, on March 25, 2026, LPA requested documents at around 10:00a.m. and interviewed four (04) staff from around 10:30a.m. to 12:00p.m. At approximately 12:30p.m., LPA conducted a physical plant tour and interviewed Resident #1. At the time of R1’s file review, the Safeguards for Personals/Valuables form was not completed and it was annotated, “resident refused”. During interviews with staff, all staff stated they did not take R1’s camera out of their room.
(CONT. on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
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 31-AS-20260320141457
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: GLEN PARK AT GLENDALE - MARIPOSA ST
FACILITY NUMBER: 197608506
VISIT DATE: 03/25/2026
NARRATIVE
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Staff #1 (S1) added they were instructed to take them down and store for safe keeping in their rooms while facility’s Plan of Operation is being revised. During the physical plant tour, LPA observed Staff #2 (S2) take camera out of R1’s private bathroom drawer. During interviews with R1, they stated while in the hospital, R1’s Responsible Party entered their room and noticed the missing camera. R1 stated when their Responsible Party spoke with staff, they informed them there’s a new policy and all cameras were removed. They have not given me my camera back or this new policy they are referring to. After the physical plant tour, R1 added they were not told camera was in the bathroom drawer.

Based on interviews, observations and record reviews there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time.

No health and safety hazards noted during the visit.

Exit interview conducted and a copy of the report was issued.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2