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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609793
Report Date: 10/12/2023
Date Signed: 10/20/2023 12:00:02 PM


Document Has Been Signed on 10/20/2023 12:00 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364



FACILITY NAME:SAINT CLAIR ASSISTED LIVINGFACILITY NUMBER:
197609793
ADMINISTRATOR:EMMA ARUTIUNIANFACILITY TYPE:
740
ADDRESS:6608 SAINT CLAIR AVETELEPHONE:
(818) 358-3059
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY:6CENSUS: 0DATE:
10/12/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Emma Arutiunian, LicenseeTIME COMPLETED:
10:20 AM
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Licensing Program Analyst(LPA) conducted a case management visit as a result of the facility closure discovered upon arrival at the facility at 9:35am on 10/12/23 to conduct a required Annual Inspection. Emma Arutinian, Licensee, was contacted via telephone while on site and she confirmed that the facility was closed due to the property being sold by the owner about 3-4 months ago. Licensee could not remember the exact date.

Per telephone conversation with the Licensee on 10/12/23, the Department was notified but she could not provide the address where the letter was sent. LPA Yee requested a closure letter with the effective date of closure, a list of residents with their relocation sites and contact information and the return of the original license. Licensee was provided with the address of the Woodland Hills North Regional Office. Current mailing address for the Licensee and her email address was also obtained so that a copy of this report could be provided for a signature.

While on site, LPA Yee conducted a tour of the facility from the outside. LPA Yee was able to see the inside of the facility from the gaps in the windows and the home was observed unfurnished and there were no signs of residents. Deep trenches were observed along the left side of the home and paint cans and buckets in the front. Per two individuals working on the back house, they confirmed that there is no one at home. The home is vacant and has been sold for a couple of months. Per research on the internet, the property was sold on 6/15/23.

On 10/12/23 at 1:59pm, a copy of an email dated 6/21/23, with a time stamp of 1:55pm was forwarded to LPA Yee. The email message advises LPA Yee that the facility was closed and where the residents were relocated to on 6/1/23. The email does not provide the Department with the effective date of closure. Per
SUPERVISOR'S NAME: Kristin HeffernanTELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Christine YeeTELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:
DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/12/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: SAINT CLAIR ASSISTED LIVING
FACILITY NUMBER: 197609793
VISIT DATE: 10/12/2023
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 the Licensee, she does not know the effective date of facility closure. The Licensee was advised that she would be responsible for all annual fees incurred to date as a result of failing to report the closure in a timely manner.

An advanced copy of this report was emailed to the Licensee for her signature and another copy will be mailed to the Licensee's current mailing address.
SUPERVISOR'S NAME: Kristin HeffernanTELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Christine YeeTELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023
LIC809 (FAS) - (06/04)
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