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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850422
Report Date: 04/25/2024
Date Signed: 04/25/2024 02:42:02 PM

Unsubstantiated


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
03/15/2024 and conducted by Evaluator Valeria Conway
COMPLAINT CONTROL NUMBER: 29-AS-20240315131537
FACILITY NAME:ARISE HILLSIDE TREATMENT CENTERFACILITY NUMBER:
195850422
ADMINISTRATOR:SHIRINYAN, SYUZANNAFACILITY TYPE:
772
ADDRESS:4800 ALMIDOR AVETELEPHONE:
(818) 257-1787
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY:6CENSUS: 2DATE:
04/25/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Syuzanna ShirinyanTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility is operating beyond the terms of license
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Valeria Conway, Kelly Dulek and Licensing Program Manager (LPM) Desaree Perera conducted an unannounced subsequent complaint visit to the above facility. The purpose of the visit is to conclude an investigation initiated by LPA Brian Balisi on 03/19/2024. Department of Health Care Services (DHCS) Associate Govermmental Program Analyst (AGPA) Ronda Hyde was also present during today’s visit. LPAs and LPM met with Administrator/Program Director/Licensee Syuzanna Shirinyan and the reason for the visit was explained.

It was alleged that the facility was operating beyond the terms of the license as they were treating clients with substance abuse/addiction and that the facility was not licensed by DHCS. During the initial visit, at approx. 10:45 a.m., LPA Balisi conducted a tour of the physical plant, interviewed Administrator/Program Director/Licensee and reviewed and obtained pertinent documentation relevant to the investigation. During the course of the investigation, LPA also reviewed the facility file.
Continued from LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024
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 29-AS-20240315131537
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: ARISE HILLSIDE TREATMENT CENTER
FACILITY NUMBER: 195850422
VISIT DATE: 04/25/2024
NARRATIVE
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Continued from LIC 9099

Information gathered and records reviewed reflected that the Social Rehabilitation Program certification (Cert. # MHBS240486) was approved by DHCS on 03/01/2024, which allows the licensee to operate and maintain a Short-Term Crisis Residential Treatment Program. Information gathered also reflected that no clients in the home receive detox treatment for substance abuse or addiction.

Based on the information gathered, the Department does not have sufficient evidence to determine the facility is operating beyond the terms of the license. Therefore, the above allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted/ No citation issued/ A copy of report was provided.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2