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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609496
Report Date: 08/24/2026
Date Signed: 08/24/2026 01:12:03 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
08/21/2026 and conducted by Evaluator Tihesha Smith
COMPLAINT CONTROL NUMBER: 31-AS-20260821081655
FACILITY NAME:ENCINO TERRACE SENIOR LIVINGFACILITY NUMBER:
197609496
ADMINISTRATOR:ROSE YOUSEFIANFACILITY TYPE:
740
ADDRESS:16025 VENTURA BLVDTELEPHONE:
(818) 986-8466
CITY:ENCINOSTATE: CAZIP CODE:
91436
CAPACITY:85CENSUS: 70DATE:
08/24/2026
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Maria Galvan-AdministratorTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Facility kitchen is in disrepair

INVESTIGATION FINDINGS:
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Licensing program analyst (LPA) Tihesha Smith made an unannounced 10-day complaint visit to this facility to investigate the above allegations. LPA met with executive director and disclosed the reason for the visit.

Facility kitchen is in disrepair

It was alleged that the facility kitchen has ongoing leaks. To investigate the allegation LPA Smith interviewed the executive director at 9:38 am, requested documents relevant to the investigation at 9:45 am, conducted a tour of the facility to include but not limited the facility and common areas at approximately10:35 am and interviewed four (4) residents at approximately 10:30 am. Interview with the executive director revealed no issues with the facility kitchen and LPA Smith observed the facility kitchen to be clean and in good condition at the time of visit with dry floors and no leaks observed.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2026
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 3
Control Number 31-AS-20260821081655
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: ENCINO TERRACE SENIOR LIVING
FACILITY NUMBER: 197609496
VISIT DATE: 08/24/2026
NARRATIVE
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(Cont from 9099)

Based on observation and interview there is not enough information to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time

No hazards observed in common areas at time of visit

Exit interview conducted/copy of report given
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3