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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610083
Report Date: 04/17/2024
Date Signed: 04/17/2024 02:39:48 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
03/19/2024 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20240319165941
FACILITY NAME:SAINT MARY'S RESIDENTIAL CAREFACILITY NUMBER:
197610083
ADMINISTRATOR:YEGEYAN, NAZARFACILITY TYPE:
740
ADDRESS:17177 1/2 SAN JOSE STREETTELEPHONE:
(818) 403-1803
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 5DATE:
04/17/2024
UNANNOUNCEDTIME BEGAN:
12:17 PM
MET WITH:Nazar "Nick" YegeyanTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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9
Staff inappropriately touched resident.
Staff physically abused resident.
Staff verbally abused resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. It was reported that staff were verbally and physically abusive towards Resident 1 (R1) and staff inappropriately touched R1 at the breast area. The ten day visit was initiated by LPAs Mariana Agban and Michael Cava on 03/20/24. That visit consisted of interviews with both facility administrators, Nazar "Nick" Ygeyan, and Mary Yegeyan, and five (5) of five residents. A physical plant inspection was also made to insure the health and safety of the residents. The complaint was also referred to Investigations Branch (IB) on 03/20/24, and accepted as an assignment for IB Investigator Christine Ferris to conduct interviews to address allegation #1.

Staff inappropriately touched resident:
On 03/25/24 IB Ferris conducted interviews with R1 and Resident 2 (R2). R1 stated to IB that they “are in a safe place, and nobody is mistreating them or hurting them here”. Interview with R2 also made and
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2024
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 31-AS-20240319165941
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: SAINT MARY'S RESIDENTIAL CARE
FACILITY NUMBER: 197610083
VISIT DATE: 04/17/2024
NARRATIVE
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R2 stated that the facility is a “safe and wonderful place”. In addition, R2, who is friends with R1, “denies seeing any inappropriate behavior by staff towards R1 or any of the other residents in care”.

Based on the information obtained by IB, there was insufficient evidence to corroborate the allegation of staff inappropriately touching R1. Therefore the allegation is deemed Unsubstantiated at this time.

Staff physically abused resident/staff verbally abused resident:
On 03/20/24, LPAs Agban and Cava conducted the initial 10 day visit to the facility. Investigation on that day consisted of interviews with five (5) of five residents and both administrators, Nazar "Nick" Ygeyan, and Mary Yegeyan. Both administrators deny the allegations of abuse. Interviews with the five residents also deny both allegations of physical and verbal abuse, and did not express any concerns or complaints regarding staff. On 04/17/24, LPA Cava conducted interviews with one (1) of one staff who also deny both allegations of abuse.

Based on the information obtained, there was insufficient evidence to corroborate the allegations of staff being physically and verbally abusive to the residents in care. Therefore, the allegations are deemed Unsubstantiated at this time.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2