366425792-9-10-2025-56-AS-NBRN-DLYU4L-20250929151518

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366425792
Report Date: 09/10/2025
Date Signed: 09/10/2025 03:11:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/12/2024 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240912115935

FACILITY NAME:	ZAB HOME LLC, THE		FACILITY NUMBER:	366425792
ADMINISTRATOR:	BALGJIAN, NARINE		FACILITY TYPE:	735
ADDRESS:	11495 SHAHAPTAIN AVE.		TELEPHONE:	(760) 244-4877
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	4	CENSUS: 3	DATE:	09/10/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Melanie Balgjian		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff made threatening comments towards a client
Facility staff do not treat clients with dignity
Facility staff are not ensuring clients with adequate meal service
Facility staff are not providing clients with personal care supplies
Client care needs are not being met due to facility staff's lack of communication.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Facility Manager, Melanie Balgjian and informed the purpose of the visit.

Regarding the allegation, Facility staff made threatening comments towards a client, two (2) staff interviews deny making threatening comments towards a client. Three (3) client interviews deny that staff have made threatening comments towards them.

Regarding the allegation, Facility staff do not treat clients with dignity, two (2) staff interviews deny not treating clients with dignity. Three (3) client interviews deny that staff do not treat them with dignity.

Regarding the allegation, Facility staff are not ensuring clients with adequate meal service, LPA observed staff maintains a sufficient supply of nonperishable, fresh perishable foods and snacks at the facility. (continued on LIC9099-C).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

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 2

Control Number 56-AS-20240912115935

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: ZAB HOME LLC, THE	FACILITY NUMBER: 366425792
	VISIT DATE: 09/10/2025

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

LPA also observed food was accessible to clients in care. Two (2) staff interviews reveal they are ensuring clients are provided adequate meal service. Staff interviews also reveal clients are provided breakfast, lunch, dinner and snacks. Three (3) client interviews reveal that staff do ensure they are provided adequate meal service. Client interviews also reveal they are provided breakfast, lunch, dinner, snacks and are served a sufficient amount of food.

Regarding the allegation, Facility staff are not providing clients with personal care supplies, LPA observed staff maintains personal hygiene supplies for the clients at the facility. Two (2) staff interviews deny that they do not provide clients with personal care supplies. Three (3) client interviews deny that staff are not providing them with personal care supplies.

Regarding the allegation, Client care needs are not being met due to facility staff's lack of communication, two (2) staff interviews deny not meeting clients’ needs due to their lack of communication. Three (3) client interviews deny that their needs are not being met due to facility’s staff lack of communication or understanding.

Based on observations, interviews with clients and staff, the allegations are Unsubstantiated. Unsubstantiated meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and a copy provided to the Facility Manager at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2