Senior Care Records.

Facility Evaluation Report

My Elderly Home, North Hollywood03/26/2025Licence 195850618

Capacity6
Date signed03/26/2025 02:39:22 PM
Name of licensing program analystTracy Thompson
Name of licensing program managerHao Nguyen
The inspector’s account

COMP II Participants: Diana Tavmasyan, Admin and Applicant

On 2/18/25, applicant/administrator participated in COMP II. Identification of the

applicant and administrator was verified through interview questions based on

photo ID and other identifying personal information. During COMP II, applicant

and administrator confirmed that they have read and understand community care

facility licensing laws included in the Health and Safety Codes and the California

Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been

During COMP II, CAB analyst Starla Currin confirmed Applicant/Administrator’s

1. Facility operation: License type, client/resident populations, and program

4. Restrictive/Prohibited Health Conditions

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction