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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197607892
Report Date: 02/03/2025
Date Signed: 02/03/2025 11:21:44 AM

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
01/31/2025 and conducted by Evaluator Trevor Byrne
COMPLAINT CONTROL NUMBER: 29-AS-20250131082617
FACILITY NAME:CHRISTINE'S RETREATFACILITY NUMBER:
197607892
ADMINISTRATOR:GEVORG MKRTCHIANFACILITY TYPE:
735
ADDRESS:14712 KILLION STREETTELEPHONE:
(818) 387-8572
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91411
CAPACITY:6CENSUS: 4DATE:
02/03/2025
UNANNOUNCEDTIME BEGAN:
09:51 AM
MET WITH:Gevorg MkrtchianTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not ensure alternative heating sources were made available to residents in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced complaint investigation visit at the facility at 09:51 AM. LPA met with facility staff who contacted the facility Administrator Gevorg Mkrtchian the reason for the visit was explained and entrance interview was conducted.

During today’s visit LPA conducted a physical plant tour to ensure there are no health and safety hazards, and interviewed the Administrator, two (2) staff members, and one resident between 09:52 AM and 10:50 AM.

Continued on LIC 9099C.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025
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 2
Control Number 29-AS-20250131082617
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: CHRISTINE'S RETREAT
FACILITY NUMBER: 197607892
VISIT DATE: 02/03/2025
NARRATIVE
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The allegation of “Staff did not ensure alternative heating sources were made available to residents in care” alleges that the facility did not make alternative heating sources available to the clients while the facility’s HVAC system was out of service. During the physical plant tour LPA observed the facility to be a comfortable temperature of 74 degrees Fahrenheit three (3) space heaters located in the common areas of the facility and in one (1) client’s bedroom. During the interview with the Administrator, they stated that the facility’s HVAC system stopped working on the evening of Tuesday 01/28/2025. The Administrator called an HVAC repair company that same evening. The Administrator stated that they dropped off space heaters to the facility the next day, Wednesday 01/29/2025. LPA observed HVAC repairmen completing repairs to the system at the time of the visit. LPA observed one (1) vent in the facility to be blowing 95 degrees Fahrenheit hot air after repairs were completed. Interviews with one (1) resident (R1) did not reveal concerns with the temperature of the facility. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff did not ensure alternative heating sources were made available to residents in care” Therefore, the allegation is deemed Unsubstantiated at this time.

Exit interview was conducted. This report was reviewed with the Administrator and a copy was provided.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2