197609496-10-2-2024-31-AS-NMAN-D9XRQ5-20241011131259

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609496
Report Date: 10/02/2024
Date Signed: 10/02/2024 03:24:54 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
04/17/2024 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20240417171008

FACILITY NAME:	ENCINO TERRACE SENIOR LIVING		FACILITY NUMBER:	197609496
ADMINISTRATOR:	ARTEAGA, IRMA		FACILITY TYPE:	740
ADDRESS:	16025 VENTURA BLVD		TELEPHONE:	(818) 986-8466
CITY:	ENCINO	STATE: CA	ZIP CODE:	91436
CAPACITY:	85	CENSUS: 34	DATE:	10/02/2024
		UNANNOUNCED	TIME BEGAN:	12:02 PM
MET WITH:	Katia Arriaga		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Staff speaks inappropriately to residents in care.
Staff hit resident in care.
Food services are inadequate.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent visit for the above allegation. LPA met with Katia Arriaga and explained the reason for the visit.

---Staff speaks inappropriately to residents in care.
---Staff hit resident in care.

It was alleged that resident was spoken to inappropriately, bullied and sucker punched by staff. To investigate the allegation, on 10/02/2024 LPA conducted a physical plant tour at around 11:00a.m., interviewed four (04) staff from 12:00p.m. to 1:30pm and interviewed six (06) residents from 1:30p.m. to 2:45p.m. During the physical plant tour, LPA observed that residents were clean, well-groomed with no signs of abuse. During interviews with staff, all staff stated they have never hit or bullied a resident and treat all residents with dignity and respect.
(CONT. on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024

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-20240417171008

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: 10/02/2024

NARRATIVE

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During interviews with residents, five (05) out of six (06) residents stated they have never experienced or witnessed any bullying or hitting by staff and are treated with respect and dignity. One (01) out of six (06) residents stated one (01) staff who is no longer employed pointed their finger at them while speaking, did not treat them with dignity and respect but did not physically assault them.

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

--- Food services are inadequate.

It was alleged that there are food issues, and that the food is bad. To investigate the allegation, on 10/02/2024 LPA conducted a physical plant tour at around 11:00a.m., interviewed four (04) staff from 12:00p.m. to 1:30pm and interviewed six (06) residents from 1:30p.m. to 2:45p.m. During the physical plant tour, LPA also observed a full and well-balanced menu with options. During a tour of the kitchen and dining area, LPA observed fresh and nutritious foods being prepared and served. A review of the menu shows that there are a variety of nutritious and well-balanced meals served daily. During interviews with staff, all staff stated residents are served fresh and nutritious foods daily. During interviews with resident, all residents stated they are served fresh, well-balanced and nutritious breakfast, lunch and dinners daily.
Based on observations, record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards were noted during the visit.

Exit interview was conducted and a copy of the report was issued.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024

LIC9099 (FAS) - (06/04)

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