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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609749
Report Date: 08/30/2022
Date Signed: 08/30/2022 02:45:48 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., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/25/2022 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20220825165522
FACILITY NAME:ENCINO GARDENSFACILITY NUMBER:
197609749
ADMINISTRATOR:ARUTUNYAN, ALEXFACILITY TYPE:
740
ADDRESS:4930 NOELINE AVETELEPHONE:
(818) 983-5598
CITY:ENCINOSTATE: CAZIP CODE:
91436
CAPACITY:6CENSUS: 5DATE:
08/30/2022
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Zoey GevorkianTIME COMPLETED:
02:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident's money went missing.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. LPA met with Zoey Gevorkian and explained the reason for the visit. The Administrator designated Zoey Gevorkian as the responsible staff member to sign and accept this report.

---Resident's money went missing.
It was alleged that staff #1 (S1) stole resident #1’s (R1) money on 08/17/2022. To investigate this allegation, on 08/30/2022, LPA interviewed two (02) staff and four (04) out of five (05) residents from 11:30 AM - 1:00 PM. During interviews, R1 stated that S1 stole their money, S1 stated that they did not steal R1’s money and the remaining three (03) out of four (04) residents stated they have never experienced any form of theft. Furthermore, on 08/30/2022 at 1:30 PM, LPA interviewed a witness who stated that the money was found in R1’s purse and R1 gave it to the witness for safekeeping. Based on interviews, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time.
Exit interview was conducted and a copy of report was issued.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
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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