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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610282
Report Date: 06/05/2025
Date Signed: 06/05/2025 02:28:07 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 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
05/29/2025 and conducted by Evaluator Tuesday Cabiness
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20250529104139
FACILITY NAME:PSYCLARITY HEALTH 2FACILITY NUMBER:
197610282
ADMINISTRATOR:BARSALOU, AARONFACILITY TYPE:
772
ADDRESS:4198 SUNSWEPT DRTELEPHONE:
(818) 305-4147
CITY:STUDIO CITYSTATE: CAZIP CODE:
91604
CAPACITY:6CENSUS: 6DATE:
06/05/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Aaron Barsalou & Robert YoungTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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1. Facility is operating over the approved maximum capacity
2. Facility is exceeding the maximum bedroom capacity
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tuesday Cabiness, Licensing Program Manager (LPM) Eva Miller, and Investigator Jasmine Thomas conducted an initial complaint visit to address the allegations listed above. LPA met with the House Manager Anthony Valdez and explained the purpose of the visit. Administrator Aaron Barsalou, Shalmar Neal, Clinical Supervisor, Hayle Jimenez, Director of Operations, and Robert Young, Director of Compliance, arrived to the facility and all were informed the reason of the visit.

Allegation #1: The facility is operating over its approved maximum capacity. On June 4, 2025, and June 5, 2025, between 9:30 a.m. and 2:30 p.m. LPA conducted staff and resident interviews, reviewed facility records, and completed a physical plant inspection. It was reported that the facility was operating with nine to ten (9-10) clients, despite having a licensed capacity of six (6) clients. Based on the information obtained through documentation, and interviews, there is sufficient evidence to confirm that the facility admitted more residents than permitted under its current license. Additionally, the facility does not have fire clearance to accommodate more than six (6) clients.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
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 3
Control Number 31-AS-20250529104139
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: PSYCLARITY HEALTH 2
FACILITY NUMBER: 197610282
VISIT DATE: 06/05/2025
NARRATIVE
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A civil penalty was assessed in the amount of $500 for fire clearance violation. Therefore, this allegation is Substantiated.

Allegation #2: The facility is exceeding the maximum bedroom capacity. During the investigation conducted on June 4, 2025, and June 5, 2025, between 9:30 a.m. and 2:30 p.m., LPA conducted staff and resident interviews, reviewed facility documents, and completed a physical plant inspection. It was alleged that the facility housed more than two (2) residents per bedroom. It was confirmed and reported to LPA that room #1 previously contained three (3) beds, which were later relocated to a downstairs area that had been designated as a staff office. During the inspection, room #1 was observed to have only one (1) bed and one (1) client, with the two additional beds having been removed. Although the beds were relocated, based on interviews, documentation, and prior room usage, there is sufficient evidence to confirm that the facility had previously exceeded the approved bedroom capacity. Therefore, this allegation is Substantiated at this time. Note, citation issued for this violation, will be corrected during visit, due to the facility removing the (2) additional beds.

Exit interview conducted, citation and civil penalty assessed, appeal rights, and copy of report given to Director of Compliance Robert Young.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 31-AS-20250529104139
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: PSYCLARITY HEALTH 2
FACILITY NUMBER: 197610282
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/06/2025
Section Cited
CCR
81020(a)
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 (a); Fire Clearance (a) A social rehabilitation facility shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal.
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Administrator agreed to submit a new Plan of Operation to LPM Eva Miller, and will submit in writing to LPA that he would ensure that the facility will comply with there license maximum capacity number. POC is cleared, facility was in compliance during today's visit.
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This requirement was not met as evidenced by: Based on interviews, the Administrator admitted to being over capacity. In which the facility did not maintain fire clearance by operating over capacity. This poses an immediate health and safety risk to clients in care.
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Type B
06/12/2025
Section Cited
CCR
81087(e)(1)
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Buildings and Grounds..(e) Bedrooms must meet, at a minimum...(1) No more than two clients shall sleep in a bedroom unless...such arrangement is approved in writing by the licensing agency. This is a potential health and safety risk to clients in care.

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POC cleared during visit, the additional beds were removed in room # 1. Administrator will submit a new facility sketch, demonstrating the resident rooms and location of beds.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
LIC9099 (FAS) - (06/04)
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