<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610647
Report Date: 07/03/2026
Date Signed: 07/03/2026 11:26:36 AM

Document Has Been Signed on 07/03/2026 11:26 AM - 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 S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:ENCINO TERRACE SENIOR LIVINGFACILITY NUMBER:
197610647
ADMINISTRATOR/
DIRECTOR:		YOUSEFIAN, ROSEFACILITY TYPE:
740
ADDRESS:16025 VENTURA BLVD.TELEPHONE:
(818) 986-8466
CITY:ENCINOSTATE: CAZIP CODE:
91436
CAPACITY: 146CENSUS: 76DATE:
07/03/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:32 AM
MET WITH:Maria GalvanTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
At approximately 8:30 a.m. on 07/03/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with staff and later the administrator and disclosed the reason for the visit.

A file review was conducted prior to the visit.

The facility was last visited on 06/09/26 for a complaint visit. It is a three (03) story building with a capacity of 146 residents. LPA observed offices, bedrooms, shared and private bathrooms, kitchen and dining areas, garage, common areas, activity rooms, garage, and courtyards. It has an approved fire clearance for 146 residents, of which eighty-five (85) may be non-ambulatory. Approved hospice waivers for five (05).

The facility was accessible through the main entrance and garage entrance. The main entrance had a keypad and phone number posted for after-hours entry. Postings were observed inside for COVID precautions, emergency contacts, Ombudsman contacts, confidential complaint contacts, facility license, facility sketch, emergency disaster plan, administrator certificate, personal rights, rights of resident councils, and daily menu.

Walls, floors, windows, screens, and blinds were clean, free from stains, and in good repair. Personnel files were stored and locked in the business office. Beyond the reception area were business offices and activity rooms. Around 9:00 a.m., three (03) residents were observed exercising in the activity rooms. The Rooms had exercise equipment and were sanitary.

At approximately 9:10 a.m., fully-charged fire extinguishers were observed near the main entrance, the kitchen, and hallways of all floors. They were last inspected on 06/06/26 with tags attached. At 09:15 a.m.

NAME OF LICENSING PROGRAM MANAGER: Naira Margaryan
NAME OF LICENSING PROGRAM ANALYST: Nicholas Reed
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: ENCINO TERRACE SENIOR LIVING
FACILITY NUMBER: 197610647
VISIT DATE: 07/03/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
the room temperature was measured to be 70 degrees Fahrenheit on the first floor and 74 degrees Fahrenheit on the second floor. The water temperature in the first floor bathroom was measured at 9:20 a.m. to be 105.4 degrees Fahrenheit.

Rooms #313 and #232 were inspected. All rooms contained functional smoke alarms, appropriately furnished bedding, chairs, nightstands, storage, lighting, and bathrooms with paper towels, liquid soap, grab bars near the toilets and showers, and non-skid strips in the shower. All rooms were clean and in good repair. Water temperatures in bathrooms were tested at 9:40 a.m. and 10:00 a.m. to be 105.5 and 108.2 degrees Fahrenheit, respectively.

The second floor contained a locked medication room, courtyards, the kitchen, dining room, and resident rooms. The medication room contained a fully-stocked first aid kit, inaccessible medications, confidential files, and locked medication carts. The kitchen contained an adequate supply of perishable, non-perishable, and emergency foods. The dishwashing area was free of debris and vermin. Appliances were in good condition. Cleaning solutions and sharps were inaccessible. At approximately 10:30 a.m. today, the walk-in freezer and refrigerator temperatures were measured to be 0 and 40 degrees Fahrenheit. Temperature logs were observed near appliances. Menus and alternate meal request slips were posted in the dining area. The dining area had recent repairs completed.

The third floor contained resident rooms, an activity area, and a laundry room. The elevator accessed the second and third floors and was operational with a permit approved on 12/15/25. Three (03) out of three (03) stairwells had emergency evacuation chairs at the tops of the stairwells. No hazards were observed in stairwells or emergency exit paths. All emergency exits were unlocked. All electrical rooms, maintenance rooms, and roof access doors were locked. The garage was free of hazards ad also had a shaded smoking area. The facility had locked laundry rooms on the first and third floors. Two (02) washing machines and two (02) dryers were located in the third floor laundry room. Both were in working order. Detergents were stored and locked. At 11:00 a.m. the carbon monoxide detector in the first floor laundry room was tested to be operational. Rooms with oxygen in use had signs for “No Smoking”. Fire sprinklers and hand sanitizer dispensers were observed throughout the building.

During today's inspection, the facility was in compliance with Title 22 regulations. No immediate health or safety hazards were observed.

Exit interview conducted. Copy of report provided.

NAME OF LICENSING PROGRAM MANAGER: Naira Margaryan
NAME OF LICENSING PROGRAM ANALYST: Nicholas Reed
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2026
LIC809 (FAS) - (06/04)
Page: 3 of 3