197609496-10-17-2025-31-AS-NMAN-DVYNJ2-20260714102930

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609496
Report Date: 10/17/2025
Date Signed: 10/17/2025 04:06:19 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
09/10/2025 and conducted by Evaluator Tihesha Smith

COMPLAINT CONTROL NUMBER: 31-AS-20250910141622

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: 59	DATE:	10/17/2025
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Rose Yousefian, Executive Director		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not treat resident with respect

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Staff did not treat resident with respect
It was alleged that staff do not treat Resident #1(R1) with respect. On 9/10/25, R1 clarified that most staff do treat them with respect, but states there are one (1) to three (3) staff who did not treat them with respect. LPA Smith asked R1 to provide clarification on how those staff failed to treat them with respect. R1 revealed that when they are requesting food at mealtimes, the staff would yell at them and tell them to wait. Interview with four (4) staff revealed they have never yelled at, treated R1 or any other residents in a bad way or not respect them. All staff interviewed describe R1 as rude and yells at staff when R1 does not get their way. Interview with six(6) of six (6) residents revealed they have not been treated disrespectfully by staff. However (3) of six (6) residents reveal they have witnessed R1 being disrespectful to staff and other residents during mealtime in the dining room. Three (3) of six (6) residents state that R1 is aggressive and is a bully.
Based on the information obtained during the interviews, there is insufficient information to verify the allegation.Therefore the allegation is UNSUBSTANTIATED at this time
Exit interview conducted/copy of report given.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2025

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