197610260-2-11-2026-31-AS-TAGD-DRSRJV-20260302120430

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610260
Report Date: 09/30/2025
Date Signed: 02/11/2026 11:22:25 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
09/29/2025 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20250929222431

FACILITY NAME:	TELECARE OLIVE HOUSE		FACILITY NUMBER:	197610260
ADMINISTRATOR:	KENOBI, ROBBIE		FACILITY TYPE:	772
ADDRESS:	14149 BUCHER AVE		TELEPHONE:	(747) 999-4232
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	16	CENSUS: 12	DATE:	09/30/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Roger Rivera		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff sexually abused resident while in care.
Staff did not provide a safe environment for resident.

INVESTIGATION FINDINGS:

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This is an amended report. For the original, please see report dated September, 30, 2025.

On September 30, 2025, Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced initial complaint visit to this facility to investigate the above allegations. LPA met with Program Administrator, Roger Rivera and explained the reason for the visit.

---Staff sexually abused resident while in care.
---Staff did not provide a safe environment for resident.
It was alleged that staff sexually assaulted Client #1 (C1) and multiple individuals raped C1 while sleeping. To investigate the allegations, on 09/30/2025 LPA conducted a physical plant tour and requested documents at around 11:00 AM, interviewed (03) staff from 12:00 PM to 1:30 PM and interviewed three (03) out of twelve (12) clients from 1:30 PM to 3:00 PM.
(CONT. on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026

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-20250929222431

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: TELECARE OLIVE HOUSE	FACILITY NUMBER: 197610260
	VISIT DATE: 09/30/2025

NARRATIVE

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(This is an amended report. For the original, please see report dated September, 30, 2025.)

LPA was unable to interview remaining clients.

During the physical plant tour, LPA observed C1’s room in direct view of the nursing station used to monitor residents. During interviews with staff, all staff stated they have never sexually assaulted or made any sexual advancements towards C1 or any other client. Staff #2 (S2) added that C1 made multiple sexually inappropriate comments, grabbed and attempted to grab staff by the genitals. During interviews with residents, all interviewed clients stated they have never been sexually assaulted by staff or anyone at the facility.

It was alleged that facility staff did not provide safe environment resulting C1 being raped by multiple individuals while sleeping. During interviews with staff, all staff stated they have never sexually assaulted C1 or any other resident. During interviews with clients, all interviewed clients added facility is a safe environment and they are being treated with respect and dignity. LPA was unable to interview C1 as they were on medical hold during the visit.

Based on interviews, there is not enough information to verify the allegations. Therefore, the allegations is are UNSUBSTANTIATED at this time.

No health and safety hazards noted during the visit.

Exit interview conducted. Copy of this report issued.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026

LIC9099 (FAS) - (06/04)

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