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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850202
Report Date: 06/04/2025
Date Signed: 06/04/2025 01:14:19 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/29/2025 and conducted by Evaluator Angela Barutyan
COMPLAINT CONTROL NUMBER: 29-AS-20250529105427
FACILITY NAME:PSYCLARITY HEALTH INC.FACILITY NUMBER:
195850202
ADMINISTRATOR:BARSALOU, AARONFACILITY TYPE:
772
ADDRESS:22450 COLLINS STTELEPHONE:
(832) 312-9611
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:6CENSUS: 7DATE:
06/04/2025
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Robert YoungTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Facility is operating over capacity
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct an initial complaint investigation for the allegation listed above at 10:05AM. LPA met with staff upon arrival, Clinical Supervisor Shalmar Neal and Compliance Director Robert Young at 10:58AM, and Director of Operations Hayle Jimenez and Administrator Aaron Barsalou at 11:12AM. Reason for the visit was explained, entrance interview conducted.

During today's visit, LPA conducted a physical plant tour with staff between 10:06-10:12AM, interviewed seven (7) staff and one (1) client between 10:07AM-11:20AM, reviewed and obtained copies of pertinent documents between 10:35AM-12:15PM, and discussed the allegation Compliance Director at 01:05PM.

Report Continued on LIC9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
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 3
Control Number 29-AS-20250529105427
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: PSYCLARITY HEALTH INC.
FACILITY NUMBER: 195850202
VISIT DATE: 06/04/2025
NARRATIVE
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It was alleged that the facility was operating with nine (9) clients, yet the licensed capacity is six (6) clients. Upon arrival, LPA observed seven (7) clients at the facility. Five (5) clients were in the living room, one (1) was in their bedroom, and one (1) was in the office with a staff member. The facility has four (4) bedrooms of which two (2) are designated as shared rooms and two (2) are designated as private rooms. However, LPA observed that the private rooms were being used as shared rooms; three (3) bedrooms had two (2) beds and one (1) bedroom, Bedroom #3, had three (3) beds. Per California Code of Regulations, Title 22 section 81087(e)(1) Buildings and Grounds, “Bedrooms must meet, at a minimum, the following requirements: (1) No more than two clients shall sleep in a bedroom unless the program justifies a group living arrangement of more than two persons to a room and such arrangement is approved in writing by the licensing agency.” The facility does not have departmental approval for a group living arrangement nor for operating with more than six (6) clients. LPA observed the facility license and program approval from Department of Health Care Services posted on the entryway wall which state that the facility’s total capacity is six (6). Facility does not have fire clearance for more than six (6) clients. Staff interviews and record review confirmed that there were nine (9) clients living in the facility and that two (2) clients discharged in the morning prior to LPA’s arrival, which dropped the census to seven (7). Administrator stated that the facility has been over capacity for about a month and staff confirmed. Based on observation, interview, and record review, the allegation “Facility is operating over capacity” is deemed SUBSTANTIATED at this time.

The following deficiency was observed (See LIC 9099-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Civil penalty was assessed in the amount of $500 for fire clearance violation. Administrator was informed that failure to correct the deficiency may result in additional civil penalties.

Exit interview conducted. Appeal rights and a copy of the report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20250529105427
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: PSYCLARITY HEALTH INC.
FACILITY NUMBER: 195850202
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/05/2025
Section Cited
CCR
81020(a)
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Fire Clearance (a) A social rehabilitation facility shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal.
This requirement is not met as evidenced by:
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Two (2) of the nine (9) clients discharged from the facility prior to LPA's arrival. Administrator stated that the one (1) additional client is in the process of finding a new facility and will move out by tomorrow. Administrator will submit proof to CCL by 06/05/2025.
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Based on observation, record review, and interview, the licensee did not comply with the section cited above as the facility did not maintain fire clearance by operating over capacity, which poses an immediate health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
LIC9099 (FAS) - (06/04)
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