197610706-1-12-2026-31-AS-NMAN-DVYPZD-20260714114521

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610706
Report Date: 01/12/2026
Date Signed: 01/12/2026 01:24:07 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
10/30/2025 and conducted by Evaluator Antonia Alvizar-Ettima

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20251030121001

FACILITY NAME:	AZALEA HOUSE		FACILITY NUMBER:	197610706
ADMINISTRATOR:	HEWITT, AMBER		FACILITY TYPE:	740
ADDRESS:	1952 MAIDEN LANE		TELEPHONE:	(626) 239-9051
CITY:	ALTADENA	STATE: CA	ZIP CODE:	91001
CAPACITY:	6	CENSUS: 5	DATE:	01/12/2026
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Jasmine Hewitt, House Manager & Amber Hewitt, Administrator		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Facility does not have a qualified administrator

INVESTIGATION FINDINGS:

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This is an addendum of the Licensing Report previously issued on 11/05/2025. The document was amended to make corrections due to granting the appeal and dismissing citation.

At 10:15a.m. Licensing Program Analyst (LPA) Antonia Alvizar- Ettima conducted an unannounced subsequent visit to deliver the finding for the above noted allegation. LPA was greeted by House Manager and explained the reason for the visit. During this visit at approximately 10:40a.m. LPA and House Manager conducted a physical plan tour.

During initial visit on 11/05/2025 at 9:30a.m. LPA Alvizar-Ettima met with Staff#1 (S1) and granted entry to the facility. Later, Ms. Hewitt joined and explained the reason for the visit. LPA Alvizar-Ettima requested the staff and residents’ roster S1 stated that they don’t know what the rosters were and have no access to staff files. At 10:15a.m., LPA and S1 conducted physical plant tour.
On 12/04/2025 LPA Alvizar-Ettima conducted phone interviews with Staff #1-#2 (S1-S2) via-phone.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026

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-20251030121001

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: AZALEA HOUSE	FACILITY NUMBER: 197610706
	VISIT DATE: 01/12/2026

NARRATIVE

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Facility does not have a qualified administrator

It was alleged that Staff #1 (S1) is unqualified, has no credentials, no training or classes as an Administrator. During this visit, LPA Alvizar- Ettima requested and reviewed the facility staff Administrator files. The staff training information also was requested for review. Interviews revealed that the Administrator may not be present in the facility all the time. However, qualified staff was present at the facility at the time of Administrator’s absence. Interview of staff and residents confirmed the information provided by the administrator. Investigation revealed that the facility had certified Administrator and during their absence there are other qualified personnel to oversee facility operations. A review of facility records verified the information revealed from the interviews.

Based on the interviews and record review there is no pertinent information to verify this allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health and safety issues were noted.

Exit interview was conducted and copy of report was provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026

LIC9099 (FAS) - (06/04)

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