197610083-10-22-2024-31-AS-EMIR-DF4PDN-20250325111347

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610083
Report Date: 10/22/2024
Date Signed: 10/22/2024 02:54:36 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
10/17/2024 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20241017161441

FACILITY NAME:	SAINT MARY'S RESIDENTIAL CARE		FACILITY NUMBER:	197610083
ADMINISTRATOR:	YEGEYAN, NAZAR		FACILITY TYPE:	740
ADDRESS:	17177 1/2 SAN JOSE STREET		TELEPHONE:	(818) 403-1803
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	6	CENSUS: 5	DATE:	10/22/2024
		UNANNOUNCED	TIME BEGAN:	11:27 AM
MET WITH:	Nazar "Nick" Yegeyan		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility did not refund prepaid monthly fee to resident
Staff yelled at resident

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Gary Tan and Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPAs met with the administrator, Nazar "Nick" Yegeyan, and advised him of the complaint. Today's investigation consisted of interviews with the administrator, staff, residents, record review, and a physical plant inspection to insure the health and safety of the residents in care.

Facility did not refund prepaid monthly fee to resident:
In regards to the allegation, it was reported that Resident 1 (R1) moved out of the facility on 9/17/24 and removed all of their belongings. Two weeks prior to moving out R1 was advised by the owner that they would receive a refund for one half of the month (Sept 2024). R1’s monthly rent was $3,750.00 and was expecting a refund in the prorated amount of $1,875.00, however, the owner refused to issue a refund. Interviews with administrator denies the allegation of ever refusing a refund stating so long as it complies with the facility admission agreement, a refund will be issued. R1 moved into the facility on 07/15/24, and moved out

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

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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Control Number 31-AS-20241017161441

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: 10/22/2024

NARRATIVE

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on 08/19/24. R1 moved out of the facility voluntarily, without giving the administrator a thirty (30) day notice. Moreover, R1 only paid for the month of July, leaving three days in August unaccounted for and overdue. A review of R1's admission agreement, signed by R1 on 07/15/24, reveal that their monthly rate is $3,500. Further review of the admission agreement state that "If the Resident leaves the facility for other than a medical condition, a thirty (30) day notice to the facility is required. If the required notice is not provided, the full month's rate is due".

Based on the information obtained, there was insufficient evidence to prove that the facility did not refund a prepaid monthly fee to R1. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff yelled at resident:
In regards to the allegation, it was reported that when the administrator refused to provide R1 with a refund, the administrator also yelled at R1. No witnesses were identified to corroborate with the allegation. Interview with the administrator and staff deny the allegation of administrator ever yelling at R1. Interviews with five (5) of five residents also deny that administrator has ever yelled at them. These residents also could not confirm if the administrator has ever yelled at R1. Based on the information obtained, there was insufficient evidence to prove that staff yelled at R1. Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

LIC9099 (FAS) - (06/04)

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