195850422-4-25-2024-29-AS-DPEA-D9LTU4-20240930150142

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 195850422
Report Date: 04/25/2024
Date Signed: 04/25/2024 02:40:55 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
03/26/2024 and conducted by Evaluator Valeria Conway

COMPLAINT CONTROL NUMBER: 29-AS-20240326091724

FACILITY NAME:	ARISE HILLSIDE TREATMENT CENTER		FACILITY NUMBER:	195850422
ADMINISTRATOR:	SHIRINYAN, SYUZANNA		FACILITY TYPE:	772
ADDRESS:	4800 ALMIDOR AVE		TELEPHONE:	(818) 257-1787
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91364
CAPACITY:	6	CENSUS: 2	DATE:	04/25/2024
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Syuzanna Shirinyan		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Licensees does not display the facility license number in advertisements
Facility staff do not have proper clearance

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 and Kelly Dulek on 04/02/2024. 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.

During the initial visit, at approximately 10:30 a.m., LPAs conducted a tour of the physical plant, interviewed licensee and reviewed and obtained pertinent documentation relevant to the investigation. On 04/25/2024, LPAs and LPM also conducted additional interviews with the facility administrator at approximately 11:15 a.m.

Continued LIC 9099

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)

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Control Number 29-AS-20240326091724

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-C

It was alleged that the licensee did not display the facility license number in the advertisement, as the licensee did not include the license number on the facility website. Information gathered during the course of the investigation reflected that the facility was licensed effective 03/01/2024. A physical copy of the license was mailed by Community Care Licensing Division’s Centralized Application Bureau (CAB) on 03/14/2024 and was received by the licensee on 03/18/2024. Interviews conducted reflected that the license number was included under the “FAQ” page previously and was updated on 03/31/2024 to be on the main landing page of the website. A review of the facility website reflected both CCL license number and DHCS certification numbers on the bottom of the landing page. Based on the information gathered, the Department does not have sufficient evidence to determine that the licensee did not display the facility license number in advertisements. Therefore, the above allegation is deemed UNSUBSTANTIATED at this time.

It was also alleged that the facility staff do not have proper clearance and the facility is hiring people with criminal backgrounds. During the course of the investigation, LPAs reviewed eight (8) staff files and also reviewed the Guardian system for the facility roster. Based on the records reviewed and interviews conducted, all staff are required to obtain criminal record clearance prior to employment. All staff currently employed have the appropriate clearances and are associated to the facility. Based on the information gathered, the Department does not have sufficient evidence to determine that facility staff do not have proper clearance; therefore, the above allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted/ No citations issued/ A copy of report 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)

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