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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608661
Report Date: 12/01/2025
Date Signed: 12/01/2025 02:46:42 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
09/25/2025 and conducted by Evaluator Angela Barutyan
COMPLAINT CONTROL NUMBER: 29-AS-20250925091254
FACILITY NAME:ELWYN NC - KELVIN 1FACILITY NUMBER:
197608661
ADMINISTRATOR:CRYSTAL CORTESFACILITY TYPE:
735
ADDRESS:5651 KELVIN AVETELEPHONE:
(747) 900-6742
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:4CENSUS: 4DATE:
12/01/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Crystal CortesTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff speaks inappropriately to clients in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Barutyan, along with North Los Angeles County Regional Center (NLACRC), Quality Assurance Specialist (QAS) Lisseth Carrillo, arrived at the facility unannounced to conduct a subsequent complaint investigation for the allegation listed above at 10AM. The LPA and QAS met with staff and Administrator Crystal Cortes explained the reason for the visit.

During today's visit, the LPA and QAS interviewed five (5) staff and one (1) client between 10:07AM-01:20PM, reviewed and obtained copies of pertinent documents between 10:15AM-10:20AM, and conducted a brief physical plant tour beginning at 11:22AM. During the initial visit on 10/01/2025, LPA Barutyan interviewed three (3) staff and three (3) clients, conducted a brief physical plant tour, reviewed and obtained copies of pertinent documents relevant to the investigation, and discussed allegation with Administrator.
Report Continued on LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2025
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-20250925091254
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: ELWYN NC - KELVIN 1
FACILITY NUMBER: 197608661
VISIT DATE: 12/01/2025
NARRATIVE
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It was alleged that Staff #1 (S1) has been verbally abusing Client #1 (C1) for about a year since C1’s admission to the facility. During the initial visit on 10/01/2025, LPA interviewed the three (3) clients who were present during the visit and during today’s visit on 12/01/2025, LPA interviewed the one (1) remaining client. Two (2) out of four (4) clients, including C1, stated that S1 yells at them. The clients stated that S1 does not use inappropriate or mean words but that S1’s tone of voice can be loud and mean. The clients stated that S1 yells at them when the clients ask for things, but were unable to elaborate further or provide examples. The other clients had no concerns and stated that S1 gets yelled at by clients when the clients do not get their way. One (1) out of seven (7) staff interviewed stated that S1’s voice can be loud sometimes, and the clients do not like that, but nothing inappropriate has been said to the clients. LPA reviewed S1’s training records which were up to date and C1’s behavior plan dated 08/25/2025 which documents C1’s attention seeking behaviors from staff. S1 stated that they, and other staff, do not tend to clients alone without at least one other staff present. Based on interviews and record review, the information obtained during the investigation does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the above allegation “Staff speaks inappropriately to clients in care” is deemed UNSUBSTANTIATED at this time.


No deficiencies cited at this time. Exit interview conducted. A copy of the report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2