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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850239
Report Date: 01/07/2026
Date Signed: 01/07/2026 01:45:37 PM

Document Has Been Signed on 01/07/2026 01:45 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:SILVER LIGHT CAREFACILITY NUMBER:
195850239
ADMINISTRATOR/
DIRECTOR:		KHACHATRYAN, ELBAFACILITY TYPE:
740
ADDRESS:8201 VANTAGE AVENUETELEPHONE:
(747) 228-4111
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY: 0CENSUS: 0DATE:
01/07/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:35 PM
MET WITH:NoneTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Trevor Byrne created this Case Management-Deficiencies report to address an incident that occurred at Silver Light Care 195850665 on 08/04/2025 at approximately 09:30 PM. The facility Silver Light Care 195850239 was closed effective 08/01/2025 due to a Temporary Suspension Order (TSO) issued on 08/01/2025. LPA attempted to contact the former licensee via telephone call on 01/07/2026 between 01:35 PM and 01:37 PM to review this report. LPA was unable to make contact with the former licensee at either phone number available. A copy of this report will be emailed to the former licensee and mailed to the former licensee’s mailing address for signature.

On 08/04/2025 at 10:45 PM Community Care Licensing Division (CCLD) received a report from the Temporary Manager (TM) of Silver Light Care 195850665. TM informed CCLD that on 08/04/2025 former Administrator of Silver Light Care 195850239, Elba Khachatryan, arrived at the facility unannounced at approximately 9:30 PM and forcefully entered the facility. TM reported the following events. The former Administrator claimed they had instructions from Resident #1 (R1)’s and Resident #2 (R2)’s Power of Attorney (POAs) to remove them from the facility. However, the former Administrator was unable to make contact with the POAs via telephone for confirmation. The Former Administrator entered Resident #3 (R3)’s bedroom and demanded payment from R3 for rent for the month of August. R3 declined to pay the Former Administrator who left R3’s room and then entered R1’s bedroom. The Former Administrator stated, “you’re coming with me. Your family is waiting for you” to R1.

Continued on LIC 809C.

NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Trevor Byrne
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: SILVER LIGHT CARE
FACILITY NUMBER: 195850239
VISIT DATE: 01/07/2026
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Continued from LIC 809. The Former Administrator then grabbed R1 by the hand and attempted to remove R1 from the facility despite R1’s visible confusion and fatigue. The Former Administrator then entered R2’s bedroom and physically lifted R2 off of the bed from their elbow. The former Administrator then forced shoes into R2’s hands and pulled R1 and R2 towards the facility entrance in an attempt to escort the residents out of the home. While the former Administrator attempted to usher R1 and R2 down the front steps of the facility R2 appeared unsteady and nearly fell. Facility staff intervened and assisted R2 to a seated position and then assisted R1 to a seated position for the safety of the residents. TM reported that law enforcement was contacted and responded to the home. Law enforcement attempted to contact the families of the residents but were unable to make contact. TM stated that law enforcement instructed the former Administrator that they would not be permitted to remove any residents that evening and that any transfer must occur during appropriate hours with verified family consent.

R3 also reported receiving a text message approximately 30 minutes after the former Administrator left their room from Staff #1 (S1) requesting payment.

On 08/05/2025 at 07:42 AM CCLD received a second report from TM of Silver Light Care 195850665. TM informed CCLD that on 08/05/2025 at 12:30 AM the former Administrator returned to the facility in another attempt to remove R3 from the facility. Facility staff immediately contacted law enforcement who arrived on scene. Facility staff and the former Administrator spoke with the responding officer who did not permit the former Administrator to remove any residents. Law enforcement instructed the former Administrator to leave the premises and the former Administrator left at approximately 01:00 AM. On 08/05/2023 R3 continued to receive phone calls and text messages from the former Administrator and S1 threatening to involve R3 in a lawsuit and to send them to collections for not paying August rent. R3 reported concerns and distress to the facility staff over the ongoing attempts to extract payment through threats and harassment by S1 and the former Administrator.

On 08/06/2025, during a Case Management visit, R3 shared with LPA Bryne and LPM Lopez a text message and voicemail message from the former Administrator and S1 requesting rent for the month of August.

During another CCLD investigation at Silver Light Care 195850239, Investigator Padilla attempted to interview the former Administrator and S1, but on 10/15/2025 was advised by their attorney that they did not wish to provide a statement therefore no interviews were attempted to be obtained for this investigation. Continued on LIC 809C.

NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Trevor Byrne
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: SILVER LIGHT CARE
FACILITY NUMBER: 195850239
VISIT DATE: 01/07/2026
NARRATIVE
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Continued from LIC 809C.

The actions of the Administrator and S1 on the evening of 08/04/2025 and on 08/05/2025 were inimical to the health, morals, welfare, and safety of the residents in care and posed immediate risks to the personal rights of the residents in care.

The following deficiencies were cited. (refer to LIC 9099D). A copy of this report and appeal rights will be emailed and mailed to the former licensee SILVER LIGHT CARE, INC., for signature.

NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Trevor Byrne
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/07/2026 01:45 PM - It Cannot Be Edited


Created By: Trevor Byrne On 01/07/2026 at 11:06 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: SILVER LIGHT CARE
FACILITY NUMBER: 195850239

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/07/2026
Section Cited
CCR
87468.1(a)(2)

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87468.1 Personal Rights of Residents...
(a) Residents...shall have all of the following personal rights:
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
This requirement is not met as evidenced by:
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The facility Silver Light Care 195850239 was closed effective August 1, 2025 due to a Temporary Suspension Order (TSO) issued on August 1, 2025. There is no POC for this citation.
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Based on interviews the licensee did not comply with the section cited above as the Administrator created an unsafe environment for the facility residents on 08/04/2025 by attempting to remove residents from the facility which posed an immediate safety and personal rights risk to the clients in care.
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Type A
01/07/2026
Section Cited
CCR87468.1(a)(3)

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87468.1 Personal Rights of Residents...
(a) Residents...shall have all of the following personal rights:
(3) To be free from...intimidation... or other actions of a punitive nature...
This requirement is not met as evidenced by:
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The facility Silver Light Care 195850239 was closed effective August 1, 2025 due to a Temporary Suspension Order (TSO) issued on August 1, 2025. There is no POC for this citation.
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Based on observation and interviews the licensee did not comply with the section cited above as the Administrator and S1 harassed and attempted to intimidate R3 into issuing payment to them which posed an immediate personal rights risk to the clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Kasandra Lopez
NAME OF LICENSING PROGRAM MANAGER:
Trevor Byrne
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/07/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/07/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/07/2026 01:45 PM - It Cannot Be Edited


Created By: Trevor Byrne On 01/07/2026 at 11:23 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: SILVER LIGHT CARE
FACILITY NUMBER: 195850239

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/07/2026
Section Cited
CCR
87408(a)(6)

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87408...Revocation of a Certificate
(a) The Department may...revoke any administrator certificate...
(6) The certificate holder engaged in conduct which is inimical to the... welfare, or safety of...an individual in...the facility...
This requirement is not met as evidenced by:
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The facility Silver Light Care 195850239 was closed effective August 1, 2025 due to a Temporary Suspension Order (TSO) issued on August 1, 2025. There is no POC for this citation.
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Based on observation and interviews the licensee did not comply with the section cited above as the Administrator's actions on 08/04/2025 were inimical to the welfare and safety of the residents in care which posed an immediate safety and personal rights risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Kasandra Lopez
NAME OF LICENSING PROGRAM MANAGER:
Trevor Byrne
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/07/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/07/2026


LIC809 (FAS) - (06/04)
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