197609496-1-11-2026-31-AS-NMAN-DTMSBU-20260430134431

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609496
Report Date: 01/11/2026
Date Signed: 01/11/2026 03:43:35 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/10/2025 and conducted by Evaluator Tihesha Smith

COMPLAINT CONTROL NUMBER: 31-AS-20251010123155

FACILITY NAME:	ENCINO TERRACE SENIOR LIVING		FACILITY NUMBER:	197609496
ADMINISTRATOR:	ROSE YOUSEFIAN		FACILITY TYPE:	740
ADDRESS:	16025 VENTURA BLVD		TELEPHONE:	(818) 986-8466
CITY:	ENCINO	STATE: CA	ZIP CODE:	91436
CAPACITY:	85	CENSUS: 62	DATE:	01/11/2026
		UNANNOUNCED	TIME BEGAN:	03:12 PM
MET WITH:	Norelia Alvarado, Staff		TIME COMPLETED:	03:53 PM

ALLEGATION(S):

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Staff do not ensure a safe environment for residents in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tihesha Smith made an unannounced subsequent complaint visit to this facility at 845 a.m. LPA met with staff and disclosed the reason for the visit.
On 10/17/25, LPA Smith conducted a 10-day complaint and interviewed staff and residents from 10:20 AM to 12:50 PM, and requested copies of facility documents relevant to the investigation at 11:25 am.

Staff do not ensure a safe environment for residents in care

It was alleged that Staff do not ensure a safe environment for residents in care. Interviews with staff reveal they help the residents as needed and help keep the facility safe and clean for the residents. Interviews with three (3) of three (3) staff revealed they have never witnessed Resident #1 (R1) and Resident # (R2) in any physical fight. Per interviews with five (5) staff and six (6) residents R1 is constantly yelling and demanding service. Then on 09/10/25, R2 told R1 in a firm voice to stop yelling at the staff. Staff intervened before anything escalated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20251010123155

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: ENCINO TERRACE SENIOR LIVING	FACILITY NUMBER: 197609496
	VISIT DATE: 01/11/2026

NARRATIVE

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(continued from 9099)

Administrator notes that during those incidents they were not present. Administrator revealed law enforcement was contacted by R1 however, R1 did not come downstairs to meet with them, so the officers left with no statement taken at the facility. During interviews R1 was unable to provide copy of police reports or police report number.

On 10/10/25 staff revealed both residents were downstairs and R1 made a comment to R2 in Spanish and R2 replied by stating do talk to me but neither resident touched one another. R2 reveals denies any allegation of fighting or bothering R1. Five (5) of six (6) residents revealed they like living at the facility and do not have any concerns regarding the allegation.
Therefore, based on interviews, the above allegation is deemed unsubstantiated at this time.

No hazards observed at time of visit.

Exit interview conducted/Copy of report given

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2026

LIC9099 (FAS) - (06/04)

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