197603560-4-16-2025-29-AS-KHEN-DG8226-20250429170014

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197603560
Report Date: 04/16/2025
Date Signed: 04/16/2025 07:13:24 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
02/18/2025 and conducted by Evaluator Christine Yee

COMPLAINT CONTROL NUMBER: 29-AS-20250218093203

FACILITY NAME:	COURTYARD PLAZA		FACILITY NUMBER:	197603560
ADMINISTRATOR:	EVELINA PAPAZYAN		FACILITY TYPE:	740
ADDRESS:	6951 LENNOX AVENUE		TELEPHONE:	(818) 780-5005
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91405
CAPACITY:	195	CENSUS: 77	DATE:	04/16/2025
		UNANNOUNCED	TIME BEGAN:	10:54 AM
MET WITH:	Evelina Papazyan, Administrator		TIME COMPLETED:	07:20 PM

ALLEGATION(S):

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1. Staff does not ensure residents personal belongings are safely secured

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christine Yee conducted a subsequent unannounced complaint visit to continue the investigation of the above allegation and met with Evelina Papazyan, Administrator. The reason for today's visit was explained.

On 2/21/25, Licensing Program Analyst (LPA) Christine Yee conducted an unannounced complaint visit to investigate the above allegation and met with Evelina Papazyan, Administrator. The reason for today's visit was provided.

On the visit conducted on 2/21/25, LPA Yee conducted an investigation into two separate complaints on today's visit. interviews with the Administrator at 10:09am, Staff #1 at 11:21am, Staff #2 at 12:47pm, Staff #3 at 1:04pm and Resident #1 at 1:24pm, Resident #2 at 1:48pm, Resident #3 at 2:23pm and

continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Christine Yee	TELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025

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-20250218093203

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: COURTYARD PLAZA	FACILITY NUMBER: 197603560
	VISIT DATE: 04/16/2025

NARRATIVE

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Resident #4 at 2:49pm. Due to time constraints, the findings for both complaints investigated on today's visit will be rendered on a return visit. Further investigation is needed at this time.
Exit interview was conducted and a copy of this report was provided.

On today's visit, LPA Yee conducted a joint interview with the Administrator at 11:05am and Staff #1 at 11:08am to clarify conflicting information obtained from previous interviews and Staff #8 at 12:01pm.

Per information obtained from interviews conducted regarding the allegation that staff does not ensure residents personal belongings are safely secured, the Administrator is not aware of any facility wide incidents of theft. The only incident that was brought to her attention was in back in November 2024. Resident #4 had come to her office and informed the Administrator that they were missing money in the amount of $230 from their room. Per interview with Resident #4, resident also admitted to staff and LPA Yee that they would roll up money in a sock and hide it somewhere in the room and couldn't find it or remember where it was hidden. Resident also indicated that a family member had given them $300 as a gift to have their hair done. $20 of that money was given to their offspring and the amount stolen or misplaced was $280, which is different from what was told to the Administrator. Resident #4 stated that they rolled money in a sock and placed it in their knitting box but now it is not there. Resident #4 also indicated that 10 of the 12 porcelain tree ornaments of faces of little women, purchased from a garage sale was in the room one day and gone the next day or two. Per the Administrator, the missing ornaments were never reported to her. When the missing money was reported to the Administrator, Staff #8 was sent to the room to assist the resident in finding the money but it was not found. The Administrator also offered to call the police to file a theft report but, Resident #4 informed her that they would speak with their offspring about it first. On 11/20/24, two days later, the Administrator met with the offspring to discuss the missing money and also offered to file a police report and it was refused. Per the offspring, they would go up to the resident's room after the office meeting and search for it since the resident has a known tendency to hide money and various things and had a difficult time finding it again. A few days later the offspring contacted the front office staff to relay a message to the Administrator that they did not want a police report filed and that the matter was resolved and not to approach Resident #1. Per the Administrator, they dropped the matter. Per the offspring, they did not have a meeting

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Christine Yee	TELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20250218093203

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: COURTYARD PLAZA	FACILITY NUMBER: 197603560
	VISIT DATE: 04/16/2025

NARRATIVE

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with the Administrator. Resident#4 was asked by LPA Yee why they believe that staff was coming into their room at night and the response was that their bedroom door is kept locked and a key is needed for entry.
Staff have the room keys. Per Interviews conducted with staff, they all deny that the staff are stealing any residents money and are unaware of any theft going on at the facility. . The staff who work the night shift are very long time employees and there aren't any strangers wandering around in the facility at night. Visitors are required to sign in and out. Randomly selected Residents from all 3 floors were interviewed and they deny having any knowledge of staff stealing residents belongings and they do not have anything missing. Per Resident #1, the laundry is usually what is missing because they are misplaced not stolen. Per Resident #2, they know about the theft of Resident #4's money and porcelain ornaments because Resident #4 told them about it and they believe them.

During the investigation, LPA Yee was not able to locate anyone else besides Resident #4 who was missing money and the porcelain ornaments. By own admission Resident #4 hides their money and their belongings for safe keeping and has a difficult time remembering where they hid or put it. During this visit, Resident #4 was observed to have misplaced their wallet and claimed it was in the Administrator's office. Staff found the wallet in the resident's room.

Based on information obtained during the investigation, LPA Yee was not able to find sufficient evidence to support the allegation that Staff does not ensure residents personal belongings are safely secured. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated at this time.

Exit interview was conducted and a copy of this report was provided.

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Christine Yee	TELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025

LIC9099 (FAS) - (06/04)

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