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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610176
Report Date: 02/21/2024
Date Signed: 02/21/2024 03:18:23 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
02/14/2024 and conducted by Evaluator Rosaura Valenzuela
COMPLAINT CONTROL NUMBER: 31-AS-20240214092554
FACILITY NAME:ESSENTIAL CARE ASSISTED LIVINGFACILITY NUMBER:
197610176
ADMINISTRATOR:KHACHATRYAN, VERZHINEFACILITY TYPE:
740
ADDRESS:3132 WAVERLY DR.TELEPHONE:
(818) 284-7607
CITY:LOS ANGELESSTATE: CAZIP CODE:
90027
CAPACITY:6CENSUS: 2DATE:
02/21/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Caren Hairpetian, Assistant AdministratorTIME COMPLETED:
03:31 PM
ALLEGATION(S):
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Facility did not allow the Ombudsman entrance into the facility.

Facility administrator was not available on several occasions.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit for the above noted allegations. LPA met with Assistant Administrator Caren Hairpetian and explained the reason for the visit.

It was reported that facility did not allow the Ombudsman entrance into the facility. To investigate this allegation on 02/21/2024, between 12:30pm and 1:00pm, staff interviews were initiated. Interviews revealed that no one ever saw or spoke to any Ombudsman. Staff deny not allowing the Ombudsman entrance into the facility because there is a ringer, camaras, a land line phone, and in the day time the facility gate is always open. On this day of the visit, LPA did not have any trouble accessing the faciility. LPA met the Licensee, the Assistant Administrator and caregivers. LPA was allowed entry into the facility. LPA did not observe any health or safety issues.

Based on interviews and observation there is not sufficient information to verify this allegation. Therefore, this allegation is UNSUBSTANTIATED at this time.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
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-20240214092554
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: ESSENTIAL CARE ASSISTED LIVING
FACILITY NUMBER: 197610176
VISIT DATE: 02/21/2024
NARRATIVE
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It was alleged that facility administrator was not available on several occasions. To investigate this allegation between 12:30pm and 1:00pm, staff interviews were initiated. Interviews revealed that Licensee/Administrator had a baby on Nov. 29, 2023. The Administrator does come to the facility for at least 20 hours a week, but is not present full-time. The Assistant Administrator and live in caregivers are present all the time. Between 2:27pm and 3:00pm, LPA conducted a physical plant tour. LPA verified that staff have their own room.

Based on interviews and observation, there is not sufficient information to verify this allegation. Thus, the allegation is UNSUBSTANTIATED at this time.

Exit interview conducted and a copy of the report was issued.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2