Senior Care Records.

Facility Evaluation Report

My Elderly Home, North Hollywood04/14/2026Licence 195850611

Capacity6
Census5
Date signed04/14/2026 04:09:52 PM
Name of licensing program analystTrevor Byrne
Name of licensing program managerKasandra Lopez
The inspector’s account

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 09:45 AM. LPA met with facility staff who contacted the facility Administrator Diana Tavmasyan. The Administrator arrived to the facility at 09:55 AM. Entrance interview was conducted and the reason for the visit was explained.

Beginning at 09:56 AM the LPA, along with the facility Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed the kitchen to contain secured drawers which contained knives and other sharp objects. Additionally, LPA observed secured cabinets and a secured minifridge which contained resident medications.

COMMON AREAS : This includes the entryway, hallway, and Administrator’s office. LPA observed the entryway to contain adequate seating, a dining table, a television, and activities for resident use. LPA observed the hallway to contain secured storage which contained staff personal items, a washer and dryer, cleaning supplies, laundry supplies, extra linens, and additional activities. LPA observed the hallway to contain a wall mounted fire extinguisher to be fully charged and last serviced on 01/10/2025 which is outside of the range required by regulation. LPA informed the Administrator who agreed to have the extinguisher serviced. LPA observed the Administrator’s office to contain resident, staff, and facility files. The Administrator’s office was observed to be secured from residents in care. CONTINUED ON LIC 809C.

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