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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609662
Report Date: 12/31/2025
Date Signed: 12/31/2025 01:43:13 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
11/05/2024 and conducted by Evaluator Tihesha Smith
COMPLAINT CONTROL NUMBER: 31-AS-20241105151750
FACILITY NAME:TEEN PROJECT INC, THEFACILITY NUMBER:
197609662
ADMINISTRATOR:BURNS, LAURI LYNNEFACILITY TYPE:
772
ADDRESS:8142 SUNLAND BLVDTELEPHONE:
(818) 582-8832
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY:16CENSUS: 9DATE:
12/31/2025
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Rebecca Small-Program ManagerTIME COMPLETED:
01:47 PM
ALLEGATION(S):
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Staff are not properly trained.
Staff are not properly documenting medication
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tihesha Smith made an unannounced subsequent complaint visit to this facility at approximately 11:20 a.m. on 12/31/25. LPA met with staff and disclosed the reason for the visit. LPA Smith met with the program director as the administrator was not present at the facility.

Staff are not properly trained
It was alleged that staff are not properly trained and unqualified to make medical decisions. To investigate the allegation, on 11/24/24 LPA Leizl De La Cerra made a 10-day compliant visit at which time LPA De La Cerra conducted a physical plant tour, requested documentation relevant to the investigation and conducted interviews with three (03) staff and one (01) resident. On 10/21/25 LPA Smith interviewed three (03) staff, conducted tour of medication room, and obtained documentation requested documentation relevant to the investigation. Interviews conducted with the administrator and program manager, both of whom stated that all staff are properly trained and staff administer medications per doctors’ orders. Interview with three (3) of three (03) staff revealed they have
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025
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-20241105151750
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: TEEN PROJECT INC, THE
FACILITY NUMBER: 197609662
VISIT DATE: 12/31/2025
NARRATIVE
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completed Medication supervision of Self-Administration training. The program manager revealed that medication training is completed annually, and it includes a test and a hands on session. A review of records revealed staff have completed the required training. Therefore, based on the information revealed from interviews and records review, the above stated allegation is deemed UNSUBSTANTIATED at this time.

Staff are not properly documenting medication

It was alleged that staff are not properly documenting medication and Resident #1 (R1) PRN medications that were not given to them was reported that they refused. LPA review of R1 eMar revealed several medications listed as PRN (as needed) that did indicate any refused markings. LPA Smith was unable to interview R1 as resident discharged against medical advice. Interview with three (3) of three (03) staff revealed that medication is electronically documented. Two (2) of Two staff demonstrated electronic process of documenting resident medications. LPA Smith observed discharge medication transfer packaged with log sheet attached.

Therefore, based on the information revealed from medication record, interviews and observation, the above stated allegation is deemed UNSUBSTANTIATED at this time.

No health and safety hazards noted during the visit.

Exit interview conducted and a copy of the report given

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025
LIC9099 (FAS) - (06/04)
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