Complaint Investigation Report

197610044-10-1-2025-29-AS-KHEN-DMWVT3-20251029164227

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

WOODLAND HILLS N.ASC , 21731 VENTURA BLVD. #250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/23/2025 and conducted by Evaluator Quoc Huynh

COMPLAINT CONTROL NUMBER: 29-AS-20250923091622

Staff do not meet a resident's hygiene needs

Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced initial complaint visit for the above allegations. LPA arrived at 9:33AM and met with the Administrator Mary Petikyan, who arrived at 10AM. Entrance interview conducted.

Beginning at 10:03AM, the LPA and Administrator conducted a brief tour to ensure the health and safety of the residents in care, and no immediate concerns were observed. Record review at 10:07AM revealed that the complaint was created under the wrong facility address as Resident #1 (R1) resided in another facility licensed by the same Licensee.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.