197609496-1-11-2026-31-AS-NMAN-DTW3YM-20260508184011

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609496
Report Date: 01/11/2026
Date Signed: 01/11/2026 03:40:27 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 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:	08:45 AM
MET WITH:	Norelia Alvarado, Staff		TIME COMPLETED:	03:50 PM

ALLEGATION(S):

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Staff do not ensure resident is provided with transferring assistance

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.

Staff do not ensure resident is provided with transfer assistance
It was alleged that staff do not ensure residents are provided with transfer assistance and alleging that staff leave them in their bed all day and won't assist them with transferring to their chair. To investigate the allegations on 8/13/25, LPA Smith conducted a 10-day visit at which time LPA Smith requested documents relevant to the investigation, interviewed staff, residents and toured random resident rooms.

On 11/05/25, LPA Smith delivered findings for one (1) of the five (5) remaining allegations. During interviews with staff, five (5) of five (5) staff denied the above allegation and/or revealed it is not true. Interview with five (5) of six (6) residents reveal they receive transferring or mobility assistance if requested or if staff observes them in the common areas.

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-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: 01/11/2026

NARRATIVE

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(Continued from 9099)

On 11/05/25, LPA Smith asked Resident#1 (R1) if they receive assistance with transferring to wheelchair for interview but R1 didn’t provide an answer. LPA has made various visits to the facility and observed R1 going to and from first floor break area accessible through the subterranean parking which is inconsistent to being in bed all day. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

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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