Complaint Investigation Report

197609659-8-28-2025-29-AS-KHEN-DLYV6U-20250929161007

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

08/27/2025 and conducted by Evaluator Quoc Huynh

COMPLAINT CONTROL NUMBER: 29-AS-20250827093311

Staff do not ensure required posters are placed in the facility

Staff do not ensure facility has scheduled activities for residents

Facility does not ensure residents receive 3 meals per day

Licensee does not ensure staff are able to communicate with residents

Staff do not ensure residents are provided clean linens

Licensing Program Analyst (LPA) Quoc Huynh conducted an initial complaint visit for the above allegations. LPA arrived at 10:04AM and met with the Licensee Lusine Srmikyan and Coordinating Manager (CM) Marine Bekyan and explained the reason for the visit. Entrance interview conducted.

The LPA and Licensee conducted a safety check tour beginning at 10:09AM. No immediate concerns were observed. Between 10:09AM and 10:32AM, the LPA interviewed two (2) residents, the CM, and the Licensee. Record review at 11:05AM revealed that the complaint was created under the wrong facility address as Resident #1 (R1) resided in the Licensee's neighboring facility.

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