<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850422
Report Date: 05/07/2024
Date Signed: 05/07/2024 04:39:10 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
05/01/2024 and conducted by Evaluator Valeria Conway
COMPLAINT CONTROL NUMBER: 29-AS-20240501134654
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:
05/07/2024
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Syuzanna ShirinyanTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility does not have sufficient staffing
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Valeria Conway and Kelly Dulek conducted an unannounced 10-day complaint investigation visit to the facility above. LPAs met with Syuzanna Shirianyan, Administrator/Licensee and explained the purpose of the visit.

The complaint alleges that the facility does not have sufficient staffing, particularly on the overnight shift. During today's visit, LPAs interviewed Administrator/Licensee at 02:50PM, interviewed clients and staff between 03:50PM to 04:10PM. During the course of the visit, LPA requested and analyzed staff schedule. Staff schedule review and interview revealed the Administrator is present a sufficient number of hours to manage and oversee the facility. During the day there are at least two (2) or three (3) employees and at night time there are two (2) who are trained and certified to assist clients. LPAs observed sufficient staffing at the facility at the time of the visit.

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
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-20240501134654
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: 05/07/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Continued from LIC9099-C

Also, LPAs requested LIC 500 to confirm that there will be sufficient projected staff in the future. Based on the information obtained, observation, and interviews, there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation "facility does not have sufficient staffing" is deemed UNSUBSTANTIATED at this time.

No citations issued. Exit interview was conducted and a copy of the report was issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2