197609496-2-13-2026-31-AS-NMAN-DW7P3E-20260721105724

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609496
Report Date: 02/13/2026
Date Signed: 02/13/2026 02:37:27 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
11/17/2025 and conducted by Evaluator Tihesha Smith

COMPLAINT CONTROL NUMBER: 31-AS-20251117115117

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: 61	DATE:	02/13/2026
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Henery Reyes, Business Mgr/Designee		TIME COMPLETED:	02:49 PM

ALLEGATION(S):

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Staff did not safeguard resident's belongings
Resident was retaliated against for filing a complaint with the Ombudsman.

INVESTIGATION FINDINGS:

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Licensing analyst (LPA ) Tihesha Smith conduct an unannounced subsequent complaint visit to this facility. LPA Smith was greeted by staff and disclosed the reason for the visit. The administrator was present at the facility.

Staff did not safeguard resident's belongings
It was alleged that staff did not safeguard a residents’ belongings, specifically Resident #1’s (R1’s) shoes and glasses were thrown away or broken by staff. To investigate the allegation on 11/19/25 LPA Smith interviewed two (2) staff from approximately 12:55 pm AM to 1:45 pm and requested copies of facility documents relevant to the investigation at approximately 01:10 pm to include but not limited to personnel report and resident roster.
On 12/04/25, during interview, R1 did not name any staff in regard to staff breaking their glasses. R1 also revealed they believe their roommate may have taken shoes but did not witness roommate or staff touching their belongings nor did they ask roommate or staff about their shoes or glasses.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2026

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-20251117115117

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: 02/13/2026

NARRATIVE

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(cont frrom 9099)

Interviews conducted during the course of the investigation revealed the following: five (5) of five (5) staff revealed that they have not taken or stolen R1’s belongings or any residents’ belongings. Interviews with five (5) of six (6) residents revealed they have not had or noticed any personal belongings missing or stolen by staff. Review of R1’s personal property and valuables form does not include an entry for any shoes or glasses. Interview with Staff #1 (S1) revealed that no staff at the facility would steal any residents’ belongings and that due to R1 maintaining sunglasses fell and broke on facility grounds they have purchased replacement for the sunglasses but were not aware of any issues with R1 shoes. LPA Smith observed new sunglasses still in packaging.

Based on the information obtained during the course of this investigation, there is insufficient evidence to support the allegation Staff did not safeguard resident's belongings. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Resident was retaliated against for filing a complaint with the Ombudsman

In regard to this allegation, R1 was not able to provide any illegal actions that have been carried out against them by the administrator and receives all meals, housekeeping and medical treatment. R1 also revealed is looking to move. Interview with the administrator revealed they and facility staff have not and would never retaliate against any resident who files a complaint with any agency and also reveal that information is normally confidential and residents don’t normally disclose to them that they are filing a complaint. The administrator also revealed R1 does not have an eviction notice on file.

Based on the information obtained during the course of this investigation, there is insufficient evidence to support the allegation Resident was retaliated against for filing a complaint with the Ombudsman. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted/Copy of report given.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2026

LIC9099 (FAS) - (06/04)

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