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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601809
Report Date: 02/10/2026
Date Signed: 02/10/2026 12:14:10 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/02/2026 and conducted by Evaluator Quoc Huynh
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20260202124025
FACILITY NAME:ELWYN NC - BABCOCKFACILITY NUMBER:
198601809
ADMINISTRATOR:LAURIE HERNANDEZFACILITY TYPE:
734
ADDRESS:5149 BABCOCK AVETELEPHONE:
(818) 287-5416
CITY:VALLEY VILLAGESTATE: CAZIP CODE:
91607
CAPACITY:5CENSUS: 4DATE:
02/10/2026
UNANNOUNCEDTIME BEGAN:
11:09 AM
MET WITH:Eivet Azizian - StaffTIME COMPLETED:
12:25 PM
ALLEGATION(S):
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Staff are not meeting the required training requirements
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced initial complaint visit for the above allegation. The LPA arrived at 11:09AM and met with Staff Eivet Azizian who contacted the Administrator Laurie Hernandez. The Administrator was unavailable and gave verbal confirmation that Staff may conduct the visit and the report delivered via telephone. Entrance interview conducted.

Beginning at 11:18AM, the LPA toured the physical plant areas and reviewed and obtained pertinent documents. The following was then determined:

Allegation: “Staff are not meeting the required training requirements”

Report Continued on LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 29-AS-20260202124025
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ELWYN NC - BABCOCK
FACILITY NUMBER: 198601809
VISIT DATE: 02/10/2026
NARRATIVE
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It was reported that Staff #1 (S1) and Staff #2 (S2) did not complete their Direct Support Professional (DSP) I and II training prior to providing direct care to clients. Record review revealed that S1 was hired on 09/08/2025 and S2 was hired on 10/06/2025. According to the Staff’s signed Elwyn California Training Policy, S1 was to enroll into DSP I and II between 11/03/2025 to 11/07/2025 and S2 was to enroll in the training on 11/03/2025. Documentation indicated that both Staff received their initial On-Site Orientation training upon employment, have valid RN licenses, and current first aid/CPR training. Staff and the Administrator confirmed that S1 and S2 have provided direct care since their hire date.

Per the facility’s Program Design with the North Los Angeles County Regional Center (NLACRC), “direct care staff will undergo DSP I and DSP II competency-based training and testing prior to providing care.” The facility additionally requested an exemption and extension for S1 and S2’s DSP training with NLACRC on 01/08/2026.

Based on interview and record review, S1 and S2 did not meet all training requirements and was confirmed to provide direct care to clients. The preponderance of evidence standard has been met, therefore the allegation is deemed SUBSTANTIATED at this time.

Pursuant to Title 22 CA Code of Regulations and/or the Health and Safety Code, the following deficiency was cited (Refer to LIC 9099-D).

Due to the unavailability of the Administrator, Staff signed today's report.

Exit interview conducted. A copy of the appeal rights and report was reviewed and provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20260202124025
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: ELWYN NC - BABCOCK
FACILITY NUMBER: 198601809
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/10/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2026
Section Cited
CCR
80065(f)
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(f) All personnel shall be given on-the-job training or shall have related experience which provides knowledge of and skill in the following areas, as appropriate to the job assigned and as evidenced by safe and effective job performance.

This was not met as evidenced by:
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S1 and S2 will complete required training and the Licensee will provide CCLD proof by POC due date.
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Based on interview and record review, S1 and S2 did not complete DSP training prior to providing direct care which poses/posed a potential health, safety, and personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3