197610523-1-26-2026-31-AS-NGID-DQYQ5K-20260204105202

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610523
Report Date: 01/26/2026
Date Signed: 01/26/2026 01:46:53 PM

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
01/22/2026 and conducted by Evaluator Huma Rahimi

COMPLAINT CONTROL NUMBER: 31-AS-20260122160124

FACILITY NAME:	CRT PROGRAMS-SYLMAR		FACILITY NUMBER:	197610523
ADMINISTRATOR:	STORY, LAWRENCE		FACILITY TYPE:	772
ADDRESS:	14124 BUCHER AVENUE		TELEPHONE:	(310) 709-7355
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	16	CENSUS: 12	DATE:	01/26/2026
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Nicole Nehoraoff, Clinical Director		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

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Staff is restricting resident use of personal items in the facility

INVESTIGATION FINDINGS:

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At 9:35 a.m., Licensing Program Analyst (LPA) (name) conducted an unannounced initial complaint visit in response to the above-mentioned allegation. Upon arrival, LPA was greeted by the Receptionist/Front Desk employee, and the Clinical Director (CD) was notified. LPA explained the purpose of the visit to the CD.

At 9:40 am, LPA requested resident and staff roster. At 9:45 am, LPA requested copies of pertinent information which include, but not limited to Admission Agreement, Physician's Report, Appraisal Needs and Services Plan, Facility Policy, Staff Training, relevant to the investigation. At approximately 9:55 am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 10:10 am - 12:30 pm, LPA conducted an interview with the Current Program Director (CPD), Clinical Director (CD), Case Manager (CM), Former Program Director (FPD), and seven (7) out of twelve (12) clients who were available.
Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026

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-20260122160124

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: CRT PROGRAMS-SYLMAR	FACILITY NUMBER: 197610523
	VISIT DATE: 01/26/2026

NARRATIVE

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Staff is restricting resident use of personal items in the facility.
It was alleged that facility staff violated Client #1 (C1’s) personal rights by restricting possession and use of professional art markers purchased with permission from the former Program Director. One (1) out of seven (7) clients reported that the markers were initially taken due to alcohol-based content and returned for use only in the kitchen under staff supervision, prohibiting keeping them in their room and confirming the restriction, while six (6) out of seven (7) clients expressed no concern regarding the allegation. The CPD, CD, CM, and FPD stated that the restriction applies to all residents with similar materials, was communicated verbally, and implemented to maintain safety. The CD confirmed the restriction is a general safety precaution, not based on C1’s diagnosis. The Admission Agreement prohibits alcohol or drug use due to potential adverse interactions with medications and risk to recovery, and allows room searches for such substances, while C1’s Appraisal/Needs and Services Plan identifies ongoing medication management, housing support, and outpatient follow-up as essential to stability. Based on the review of records and interviews, the facility’s actions were consistent with safety policies and protective of client health; therefore, the allegation is unsubstantiated.

Appeal rights explained and exit interview conducted.

Copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026

LIC9099 (FAS) - (06/04)

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