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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850066
Report Date: 08/07/2024
Date Signed: 08/07/2024 08:07:30 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/02/2024 and conducted by Evaluator Zabel Chochian
COMPLAINT CONTROL NUMBER: 29-AS-20240802172103
FACILITY NAME:MEADOWGLADE, THEFACILITY NUMBER:
565850066
ADMINISTRATOR:HELO, NICOLEFACILITY TYPE:
735
ADDRESS:6446 MEADOWGLADE DRTELEPHONE:
(805) 530-5301
CITY:MOORPARKSTATE: CAZIP CODE:
93021
CAPACITY:6CENSUS: 3DATE:
08/07/2024
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Narine Babikian, AdministratorTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is not kept clean and sanitary
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Zabel Chochian conducted an initial complaint visit regarding the above noted allegation. LPA initially met with staff who called the administrator. LPA spoke with administrator and explained the reason for the visit. Allegation reported was that the facility is not maintained clean and sanitary. Upon arrival LPA conducted a tour of the facility with Administrator. Administrator reported that the facility is cleaned daily and high touch areas are sanitized 2-3 times a day. LPA observed facility to be well kept. Resident bedrooms and common living space observed clean.

Based on observation of the facility during today's visit, there is insufficient evidence to support the allegation that the facility is not kept clean and sanitary. Therefore, allegation "Facility is not kept clean and sanitary" is deemed unsubstantiated at this time. Exit interview conducted copy of report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
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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