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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608349
Report Date: 11/15/2024
Date Signed: 11/15/2024 09:55:05 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/09/2023 and conducted by Evaluator Tuesday Cabiness
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20230109085206
FACILITY NAME:ABBEY ROAD VILLAFACILITY NUMBER:
197608349
ADMINISTRATOR:MARINE KARAPETIANFACILITY TYPE:
740
ADDRESS:14132 HUBBARD STREETTELEPHONE:
(818) 837-0077
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:78CENSUS: 69DATE:
11/15/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Marine KarapetianTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Resident sexually assaulted by male staff
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced visit and met with Administrator Marine Karapetyan to explain the purpose of the visit, which was to finalize the complaint allegation received. On January 9, 2023, the Woodland Hills Regional South Adult and Senior Care Office received a complaint alleging, “Resident was sexually assaulted by male staff.” The complaint was referred to the Community Care Licensing Division’s (CCLD) Investigations Branch (IB) and assigned to Investigator Heidy Bendana for further review and interview of the alleged victim/resident. Investigator Bendana interviewed resident #1 (R1), who denied being touched inappropriately. (R1) stated that staff #1 (S1) was unfamiliar with cleaning (R1) after toileting. Based on (R1’s) statements, IB determined that the allegation did not require escalation to a full investigation.

On January 15, 2023; July 15, 2024; and October 17, 2024, between 8:30 a.m. and 4:30 p.m., LPA T. Cabiness conducted additional visits to follow up on the matter, interviewing (R1), (S1), and other residents and staff.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024
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 31-AS-20230109085206
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: ABBEY ROAD VILLA
FACILITY NUMBER: 197608349
VISIT DATE: 11/15/2024
NARRATIVE
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During these visits, (R1) declined to discuss the allegation further, stating, “I forgot about it, and I’m not going to talk about anything.” (R1) also commented, “I have no issues, and the staff are very nice.” In a separate interview, (S1) reported that (R1) expressed dissatisfaction with the way (S1) was providing assistance during toileting and requested that another staff member assist. Administrator Karapetyan confirmed that (R1’s) request was granted, and (S1) was reassigned to assist other residents. Based on the findings from Investigator Bendana’s initial interview and LPA’s subsequent interviews, the allegation is deemed Unsubstantiated at this time.



Exit interview and copy of report provided to Administrator.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2