197603560-12-29-2025-29-AS-KLOZ-DPVPZV-20251231104611

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197603560
Report Date: 12/29/2025
Date Signed: 12/29/2025 05:50:27 PM

Unsubstantiated

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
12/22/2025 and conducted by Evaluator Erica Mosley

COMPLAINT CONTROL NUMBER: 29-AS-20251222122103

FACILITY NAME:	COURTYARD PLAZA		FACILITY NUMBER:	197603560
ADMINISTRATOR:	EVELINA PAPAZYAN		FACILITY TYPE:	740
ADDRESS:	6951 LENNOX AVENUE		TELEPHONE:	(818) 780-5005
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91405
CAPACITY:	195	CENSUS: 78	DATE:	12/29/2025
		UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Evelina Papazyan – Consultant Aaron Feingold - Administrative Assistant / Designee		TIME COMPLETED:	06:00 PM

ALLEGATION(S):

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Licensee did not ensure staff have criminal record clearance and/or exemption prior to presence in the facility

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA’s) Christine Yee and Erica Mosley conducted the initial 10-day complaint visit to investigate the above-listed allegation. Upon arrival approx. at 10:10 a.m., LPA's were greeted by front desk staff and Assistant Administrator, Aaron Feingold. Evelina Papazyan, Consultant arrived at 11:45 a.m. and the reason for the visit was explained. Entrance interview conducted.

On 12/22/2025, the Department received a complaint regarding the following allegation, Licensee did not ensure staff have criminal record clearance and/or exemption prior to presence in the facility. During today's visit starting at 11:20 a.m. LPA's toured the physical plant areas inside and outside to ensure there are no immediate health and safety hazards, and facility is in compliance with Title 22 Regulations. Starting at 10:35 a.m., and throughout the visit LPA’s conducted three (3) in person, staff interviews and obtained copies of pertinent documents relevant to the investigation.

Report continued on LIC 9099-C PAGE 2...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Erica Mosley
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025

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 29-AS-20251222122103

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: COURTYARD PLAZA	FACILITY NUMBER: 197603560
	VISIT DATE: 12/29/2025

NARRATIVE

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(PAGE 2) Report continued from LIC 9099...

On the allegation Licensee did not ensure staff have criminal record clearance and/or exemption prior to presence in the facility it is the concern of the Reporting Party (RP) that Staff #1 (S1) and Staff #2 (S2) who work in the kitchen have been working at the facility without a criminal record clearance. To investigate this complaint LPA’s conducted three (3) in person interviews with the Administrative Assistant at 10:35 a.m., the Dishwasher at 11:29 a.m. and the Cook at 11:34 a.m. LPA's reviewed the live Guardian roster and reviewed and obtained copies of pertinent documents relevant to the investigation. Interviews with the Administrative Assistant revealed that the facility had a case management visit conducted on 11/18/2025 and were cited for criminal record clearance for both S1 and S2. Since 11/18/2025 both S1 and S2 have not returned to work at the facility, and as of today they do not plan on having them return. It was also noted that the facility disassociated S1 at the time of the visit on 12/29/2025. Interview with the Dishwasher revealed that S1 did work at the facility, however since the visit on 11/18/2025 S1 has not returned to work at the facility. S2 worked at the facility occasionally to fill in, however since 11/18/2025 has not returned to work at the facility. Interview with the Cook revealed that S1 no longer works at the facility and has not returned since 11/18/2025. S2 was occasionally working at the facility filling in when coverage was needed, however S2 has not returned to work at the facility since 11/18/2025. At 12:30 p.m. live Guardian roster review revealed that S1 was added to the facility roster on 11/18/2025 with a pending status and is still showing as pending. S2 is not listed on the facility roster. At 4:00 p.m. a live Guardian roster review revealed that S1 was separated from the facility as of 11/18/2025. Facility records revealed that on the Personnel Report- LIC 500 dated 12/15/2025 it does not list S1 or S2. Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Licensee did not ensure staff have criminal record clearance and/or exemption prior to presence in the facility is deemed unsubstantiated at this time.

Exit interview conducted. A copy of the report provided.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Erica Mosley
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025

LIC9099 (FAS) - (06/04)

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