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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609496
Report Date: 08/13/2025
Date Signed: 08/13/2025 04:35:49 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
08/06/2025 and conducted by Evaluator Tihesha Smith
COMPLAINT CONTROL NUMBER: 31-AS-20250806114836
FACILITY NAME:ENCINO TERRACE SENIOR LIVINGFACILITY NUMBER:
197609496
ADMINISTRATOR:ROSE YOUSEFIANFACILITY TYPE:
740
ADDRESS:16025 VENTURA BLVDTELEPHONE:
(818) 986-8466
CITY:ENCINOSTATE: CAZIP CODE:
91436
CAPACITY:85CENSUS: 53DATE:
08/13/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Rose Yousefian, Executive DirectorTIME COMPLETED:
04:34 PM
ALLEGATION(S):
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Staff does not ensure the food is of good quality
Staff do not ensure residents room is kept in clean/sanitary conditions
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced complaint visit to this facility to investigate the allegations above at 9:45 am. LPA Smith was greeted by Laurie Fernando, Regional Manager. The administrator was present at the facility and LPA Smith disclosed the purpose of the visit.

At 10:10 am LPA Smith requested documents relevant to the investigation to include but not limited to a copy of admissions agreement, Personnel Report, Staff schedule, Resident roster. LPA Smith conducted interviews with the administrator and five (5) residents, and toured 4-6 random rooms from approximately 11:10 am -3:45 pm.

The allegation: Staff does not ensure the food is of good quality

It was alleged that Staff does not ensure the food is of good quality, specifically the food is terrible. LPA Smith interview with the administrator revealed the facility provides a menu for food being served
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2025
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 3
Control Number 31-AS-20250806114836
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: 08/13/2025
NARRATIVE
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(cont from 9099)

each day and the food is fresh and prepared properly. The administrator also revealed she does eat meals that are prepared at the facility just as the residents do and notes the food is of good quality. Interviews with five (05) out of five (05) residents interviewed revealed the food is of good quality and/or okay. Based on the information obtained, there is not enough evidence to prove that staff do not ensure the food is of good quality. Therefore, the allegation is deemed Unsubstantiated.

Staff do not ensure residents room is kept in clean/sanitary condition

Interview wit the administrator revealed each room is cleaned by housekeeping and has not received any notices that a resident has refused any housekeeping services. Interviews with five (5) of five (5) residents revealed housekeeping does clean room and they are well kept. During the the tour of the resident rooms LPA observed rooms to be clean and sanitary. Furniture in rooms were in good repair and floors were free of obstruction. Based on the information obtained, there is not enough evidence to prove that Staff do not ensure residents room is kept clean/sanitary condition. Therefore, the allegation is deemed Unsubstantiated.

Exit Interview conducted/Copy of report given.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3