197608493-2-17-2026-31-AS-NGID-DU4UTV-20260515155230

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608493
Report Date: 02/17/2026
Date Signed: 02/17/2026 03:31:50 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
02/11/2026 and conducted by Evaluator Huma Rahimi

COMPLAINT CONTROL NUMBER: 31-AS-20260211094420

FACILITY NAME:	UNIVERSAL DAY PROGRAM 2		FACILITY NUMBER:	197608493
ADMINISTRATOR:	AREVIK MATEVOSIAN		FACILITY TYPE:	775
ADDRESS:	8847 LANKERSHIM BL.		TELEPHONE:	(747) 223-2350
CITY:	SUN VALLEY	STATE: CA	ZIP CODE:	91352
CAPACITY:	128	CENSUS: 63	DATE:	02/17/2026
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Suzie Hastings, Program Director		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not prevent a client from hitting another client.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

At 11:00am, Licensing Program Analyst (LPA), Huma Rahimi conducted an unannounced initial complaint visit in response to the above-mentioned allegation. LPA met with Human Resources Director (HRD) Maggie Akhparian and the Program Director (PD) was contacted via a telephone. LPA explained the reason for the visit. The PD arrived shortly after.

At 11:10am, LPA requested resident and staff roster. At 11:15am, LPA requested copies of pertinent information which include, but not limited to Admission Agreement, Physician's Report, Appraisal Needs and Services Plan, Staff Training, relevant to the investigation. At approximately 11:20 am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between
11:25am - 3:00 pm, LPA conducted an interview with the Program Director (PD), Human Resources Director (HRD), Activities Coordinator (AC), two (2) instructors/staff, and eight (8) clients.
Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026

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-20260211094420

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: 02/17/2026

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

Staff did not prevent a client from hitting another client.
It was alleged that staff did not prevent client #1 (C1), from hitting Client #2 (C2) and that supervision was inadequate. To investigate, LPA interviewed the Program Director (PD), Human Resources Director (HRD), two (2) Instructors, Activities Coordinator (AC), and nine (9) clients present during the incident, and reviewed C1's Individual Program Plan (IPP) and incident reports. The PD stated that staff maintain a 6:1 client-to-staff ratio, are trained in verbal redirection, de-escalation, and CPI techniques, and supervise clients at all times. C1 has a history of physical aggression, and staff are familiar with behavioral tendencies and verbal redirection.

HRD and the Instructors stated that the incident occurred suddenly when C1 turned off the lights during an advocacy meeting. The Instructor attempted verbal redirection; C1 struck the Instructor and subsequently C2. Staff intervened immediately, and AC removed C1 from the area. All clients reported staff were present, intervened, and ensured safety. During observations, LPA noted staff were actively supervising clients. Incident reports confirmed immediate staff response, removal of C1, and no injuries.

Based on interviews, record review, and observations, the allegation that staff failed to supervise C1 or prevent client-to-client aggression is Unsubstantiated.

Appeal rights explained and exit interview conducted.

Copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2