197610318-8-21-2025-31-AS-NMAN-DMMVWP-20251020164814

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610318
Report Date: 08/21/2025
Date Signed: 08/21/2025 02:38:43 PM

Unfounded

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
08/19/2025 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20250819123103

FACILITY NAME:	EMERALD SENIOR CARE,INC.		FACILITY NUMBER:	197610318
ADMINISTRATOR:	HAYRAPETYAN, ELEN		FACILITY TYPE:	740
ADDRESS:	10401 ENCINO AVE.		TELEPHONE:	(747) 300-2232
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	6	CENSUS: 5	DATE:	08/21/2025
		UNANNOUNCED	TIME BEGAN:	09:21 AM
MET WITH:	Hayk Margaryan		TIME COMPLETED:	11:33 AM

ALLEGATION(S):

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Staff unlawfully evicted resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegation. It was reported that Resident 1 (R1) was moved to another facility unlawfully, on or around 08/17/25. When asked why, R1 gave no specific reason why other than having too much belongings that prompted the move. Today's investigation consisted of interviews with the administrator, staff, and residents. LPA also conducted a physical plant inspection and reviewed facility records. Prior to making this investigation, LPA checked facility file to see if an eviction notice was submitted, but didn't find one on file.

Interviews with the administrator and staff deny the allegation. According to the administrator, R1 has a Power of Attorney (POA), who made the decision to move R1 to another facility. R1 was advised of this move and agreed to it. Interviews with five (5) of five residents was inconsistent and do not corroborate with the allegation. In addition to interviews with staff and residents, LPA made contact with R1's POA, who

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

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-20250819123103

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: EMERALD SENIOR CARE,INC.	FACILITY NUMBER: 197610318
	VISIT DATE: 08/21/2025

NARRATIVE

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confirmed that the decision to move R1 to another facility was theirs.

Based on the information obtained, there was insufficient evidence to prove that the resident was unlawfully evicted. Therefore, the allegation is deemed Unfounded.

This agency has investigated the complaint alleging, Staff unlawfully evicted resident. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint.

Exit interview held. A copy of the report issued.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

LIC9099 (FAS) - (06/04)

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