<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609624
Report Date: 02/06/2025
Date Signed: 02/06/2025 02:21:17 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
01/30/2025 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20250130111923
FACILITY NAME:MAGIC VILLA INCFACILITY NUMBER:
197609624
ADMINISTRATOR:NAREK DAVTYANFACILITY TYPE:
735
ADDRESS:8526 CRANFORD AVETELEPHONE:
(747) 998-3399
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY:4CENSUS: 4DATE:
02/06/2025
UNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Narek Davtyan, AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hit a client.
Staff yelled at a client.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Abeye Duguma conducted an initial complaint visit to the facility to investigate the above allegations. LPA met with Administrator, Narek Davtyan, and explained the reason for the visit.

--- Staff hit a client.
--- Staff yelled at a client.

It was alleged that Staff #1 (S1) entered the room, slapped Resident #1 (R1) on the face twice and yelled. To investigate the allegations, LPA conducted a physical plant tour at around 10:00a.m., interviewed two (02) staff and four (04) residents from around 11:00a.m. to 1:30p.m. During the physical plant tour, LPA observed that all residents were clean and well groomed. LPA did not observe signs of abuse.

(CONT on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
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
Control Number 31-AS-20250130111923
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: MAGIC VILLA INC
FACILITY NUMBER: 197609624
VISIT DATE: 02/06/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
During interviews with staff, S1 stated they did not slap R1 or yell. S1 stated they only grabbed R1 by the arm to remove the sharp object. The administrator, Narek Davtyan, added S1 does not have a history of abusing residents and gets along very well with all residents and staff. During interviews with residents, all residents, including R1, stated they have never been physically or verbally abused by S1 or any other staff.

Based on observations 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.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2