197609785-5-5-2022-31-AS-NMAN-CHVSYR-20220902141759

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609785
Report Date: 05/04/2022
Date Signed: 05/05/2022 10:09:51 AM

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
05/02/2022 and conducted by Evaluator Rosaura Valenzuela

COMPLAINT CONTROL NUMBER: 31-AS-20220502103141

FACILITY NAME:	EATON CANYON VILLAS I		FACILITY NUMBER:	197609785
ADMINISTRATOR:	GARIBYAN, ARMOND		FACILITY TYPE:	740
ADDRESS:	2518 GANESHA AVE		TELEPHONE:	(818) 429-0070
CITY:	ALTADENA	STATE: CA	ZIP CODE:	91001
CAPACITY:	6	CENSUS: 5	DATE:	05/04/2022
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Aura Amaya-Lopez, Manager		TIME COMPLETED:	05:45 PM

ALLEGATION(S):

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Covid-19 screening protocols are not being followed.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced complaint investigation for the above noted allegation. LPA met with Aura Amaya-Lopez, Manager and discussed the purpose of the visit.

It was alleged that Covid-19 protocols are not being followed. To investigate this allegation, LPA Valenzuela conducted an unannounced visit on 05/04/2022. LPA arrived at 1;15pm and was immediately temperature screened upon entrance to the facility. LPA observed that other visitors that came to the facility were also screened upon arrival and asked to wear masks. There is a sign in sheet and hand sanitizer located on a table in front of the entrance door. Between 1:50pm and 2:45pm, staff interviews were initiated. Interviews revealed that staff always check visitors temperature. LPA observed only one main entrance is being utilized by the facility and required signs were posted on the front windows and throughout the facility.

Based on observation and interviews there is not sufficient information to support this allegation. Therefore, this allegation is UNSUBSTANTIATED at this time.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Rosaura Valenzuela	TELEPHONE: (818) 421-5360
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

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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