197609496-9-22-2025-31-AS-NMAN-DU8UFU-20260519153317

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609496
Report Date: 09/22/2025
Date Signed: 09/22/2025 02:39:14 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
08/25/2025 and conducted by Evaluator Tihesha Smith

COMPLAINT CONTROL NUMBER: 31-AS-20250825092249

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: 56	DATE:	09/22/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Christie Herrera, Business Office Manager		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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There is no qualified administrator or back up administrator on duty during weekends.

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. LPA Smith was greeted by staff. and LPA Smith disclosed the purpose of the visit.

There is no qualified administrator or back up administrator on duty during weekends.

It was alleged that there is no qualified administrator or back up administrator on duty during weekends. To investigate the allegation, on 08/28/25, LPA Smith interviewed three (3) staff, reviewed records and requested copies of facility documents relevant to the investigation from approximately 10:25 am - 2:10 pm. LPA Smith briefly observed facility grounds during interview transitions. The interview with the Executive Director revealed that although it is not required to have a backup administrator, there is a qualified designee available to oversee the facility if they are not available to be present.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2025

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-20250825092249

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: 09/22/2025

NARRATIVE

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(cont from 9099)

The executive director also revealed they are on call during the weekends in addition to staff being trained in reporting procedures. LPA review of staff roster and personnel records verified the information revealed from interviews. Interview with Business Office manager revealed is in charge of facility in the Executive Directors absence as in any other designee. Interviews with six (6) residents revealed they have no concern about this allegation as they have seen management staff or designee present in the facility during the weekend.

Based on interviews and review of records there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2025

LIC9099 (FAS) - (06/04)

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