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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608493
Report Date: 05/08/2024
Date Signed: 05/08/2024 12:51:38 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
05/01/2024 and conducted by Evaluator Leizl De La Cerra
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20240501100753
FACILITY NAME:UNIVERSAL DAY PROGRAM 2FACILITY NUMBER:
197608493
ADMINISTRATOR:AREVIK MATEVOSIANFACILITY TYPE:
775
ADDRESS:8847 LANKERSHIM BL.TELEPHONE:
(747) 223-2350
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY:128CENSUS: 72DATE:
05/08/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maggie Akhparian, Human Resources(HR)TIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff made inappropriate comments towards resident.
Staff are mentally abusing resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst Leizl de la Cerra and Antonia Alvizar-Ettima conducted an unannounced complaint visit at this facility to investigate the above allegations. LPAs met with HR and explained the reason for the visit.

To investigate the allegations above, LPAs requested copies of facility documents relevant to the investigation at 9:10AM; records included but not limited to clients and staff roster, facility program plan, internal incident log and etc. LPAs conducted physical plant tour at 9:30AM and which time LPAs observed that each classroom had 6 clients to 1 instructor. All clients were engaged in their specific group activities. LPA's observed good participation among the clients during activities.

LPA de la Cerra interviewed four (04) out of (13) staff members between 9:45AM and 10:30AM. LPA Alvizar-Ettima interviewed six (07) out of seventy-two (72) clients between 10:30AM and 11:30AM.
Cont. 9099c
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leizl De La Cerra
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
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-20240501100753
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: UNIVERSAL DAY PROGRAM 2
FACILITY NUMBER: 197608493
VISIT DATE: 05/08/2024
NARRATIVE
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In addition, LPAs interviewed a witness who was involved in facility operations.
It was alleged that staff made inappropriate comments towards former client #1 (C1) and mentally abused C1.

Staff interviews revealed that they did not make inappropriate comments to the clients, and they have not observed or heard any other staff making inappropriate comments to any of the clients. The staff members also stated that they have not observed or heard any staff members mentally abusing facility clients.
All clients interviewed during investigation denied being verbally or mentally abused by the facility staff.
A review of facility records did not reveal any information to support the allegation.

Based on inspection, observation, interviews, and record review, although the issues may have happened, there was not enough supporting information to verify the allegations.

Therefore, the allegations deemed unsubstantiated at this time.
No immediate health and safety hazard was noted during this visit.
Exit interview was conducted. Copy of report was email to HR.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leizl De La Cerra
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2