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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198600200
Report Date: 05/05/2026
Date Signed: 05/05/2026 12:50:04 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 05/05/2026 12:50 PM - 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.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:UNIVERSAL DAY PROGRAM,INC.FACILITY NUMBER:
198600200
ADMINISTRATOR/
DIRECTOR:		AREVIK MATEVOSIANFACILITY TYPE:
775
ADDRESS:4219 WEST BURBANK BLVD.TELEPHONE:
(818) 848-5236
CITY:BURBANKSTATE: CAZIP CODE:
91505
CAPACITY: 60CENSUS: 28DATE:
05/05/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Emma Pinto Duran- Program SupervisorTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. LPA met with Emma Pinto Duran - Program Supervisor and explained the purpose of the visit. The Adult Day Program (ADP) is licensed for 40 ambulatory and 20 non-ambulatory Developmentally Disabled Adults, ages 18 and above. There are 28 clients currently attending the program, 1 of whom is non-ambulatory. The program is vendorized through the Frank D. Lanterman and North Los Angeles Regional Centers. The program does not provide medications or meals, clients bring their meals from home.

LPA spoke with Administrator - Arevik Matevosian over the telephone, who designated the Program Supervisor to sign the report. At 10:30am, with the assistance of staff, LPA toured the facility and observed the following:



The structure is single-story structure, located on a busy street. Visitors enter from the front reception area but point of entry for clients and staff is from the rear door. Both exit doors are used during emergencies. There are four fire extinguishers, one in the kitchen, one in the hallway next to the common area, one in the service/storage room and one by the rear exit door. All of the fire extinguishers were serviced on 05/19/2025. Smoke/monoxide carbon detectors and fire sprinklers are interconnected and the Burbank Fire Department conducts annual tests. Facility conducts quarterly (sometimes monthly) fire and disaster drills, the last fire drill was conducted on 02/09/2026 and the earthquake drill was conducted on 04/29/2026. In addition, facility is equipped with cameras (recording-no sound) outside and inside the common areas.

The program consists of a reception area, two offices, conference room, service/storage rooms, program breakout rooms, locker area for client personal storage, kitchen, three bathrooms, and a covered patio, next to the parking area in the back. There is no swimming pool or body of water present.



Continued on 809-C
NAME OF LICENSING PROGRAM MANAGER: Mary G Flores
NAME OF LICENSING PROGRAM ANALYST: Nadia Shahbazian
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2026
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)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: UNIVERSAL DAY PROGRAM,INC.
FACILITY NUMBER: 198600200
VISIT DATE: 05/05/2026
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Common Areas: There is an activity room next to the front reception, central common area, rest area with 2 beds. There are four class rooms, including computer room, exercise/gym, library/money management room. LPA observed a piano and big screen for watching movies and performing exercises in the central common area. There are lockers for client personal items in the central common area. There are breakout areas with games, puzzles and other activities for clients. The program site is clean, sanitary, and in good condition, all furnishings are in good repair.

Kitchen: Appliances included a refrigerator, stove and microwave; all appliances were observed to be functional. Knives, and sharp kitchen utensils are stored in a locked cabinet. The cleaning supplies were also locked in storage cabinet. Even though program does not provide meals or snacks, LPA observed a sufficient amount of perishable and non-perishable food supplies, which clients use to prepare lunch, once a week as "kitchen activity".

Bathrooms: There are three (3) bathrooms, one for staff use, one for men and one for women. The women's bathroom had 2 stalls (1 wheelchair accessible), the men's bathroom also had 2 stalls (1 wheelchair accessible), and 1 urinal. All toilets and sinks are maintained in sanitary, operating condition. Hot water temperature was tested between 115.9 and 118.2 degrees Fahrenheit.

First-Aid Kit: There are two complete first-aid kits on site with all required supplies and the first aid manual. The program does not manage medications.

Resident/Staff Files: LPA conducted a file review of resident records to ensure compliance of licensing forms. Staff files were reviewed to ensure forms and training records are up to date.

Administrative Documents: LPA reviewed Infection Control Plan, Emergency and Disaster Plan. Auto/Van insurance expiration date is 05/01/2027 and Program Liability insurance expires on 12/10/2026. Administrator Certificate is valid through 07/31/2026.

Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit.

Exit Interview Conducted / A Copy of the Report provided.

NAME OF LICENSING PROGRAM MANAGER: Mary G Flores
NAME OF LICENSING PROGRAM ANALYST: Nadia Shahbazian
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
LIC809 (FAS) - (06/04)
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