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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850528
Report Date: 02/06/2026
Date Signed: 02/06/2026 05:36:45 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/02/2026 and conducted by Evaluator Christine Yee
COMPLAINT CONTROL NUMBER: 29-AS-20260202192809
FACILITY NAME:GRACEFUL ADULT CAREFACILITY NUMBER:
195850528
ADMINISTRATOR:TOROSYAN, GAYANEFACILITY TYPE:
735
ADDRESS:7314 CANTALOUPE AVETELEPHONE:
(323) 449-0944
CITY:VAN NUYSSTATE: CAZIP CODE:
91405
CAPACITY:6CENSUS: 4DATE:
02/06/2026
UNANNOUNCEDTIME BEGAN:
10:57 AM
MET WITH:Anna Armenyan, LicenseeTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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1. Staff do not prevent a client from being physically abused while in care
2. Staff do not provide adequate care and supervision for a client
INVESTIGATION FINDINGS:
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Licensing Program Analyst(LPA) Christine Yee conducted an unannounced complaint visit to investigate the above allegations and met with Anna Armenyan, Licensee. The reason for today's visit was explained.

During today's visit, interviews were conducted with the Licensee at 11:19am, Witness #1 at 12:54pm, Client #2 at 1:20pm, Client #3 at 1:28pm, Clent #1 at 1:43pm and Client #4 at 3:04pm. Facility files were reviewed and copies were obtained throughout the visit.

Per information received on today's visit, Client #1 was away at the dialysis center on 1/29/26 when the resident indicated that they were not feeling well. Client #1 was taken to the hospital to be assessed. Later in the day, around 5pm, the dialysis center called to inform the licensee that Client #1 was

continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 29-AS-20260202192809
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: GRACEFUL ADULT CARE
FACILITY NUMBER: 195850528
VISIT DATE: 02/06/2026
NARRATIVE
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Page 2

hospitalized. The following day the hospital pharmacist contacted the Licensee for Client #1's medication list and since the the resident's physician was in the process of reviewing and adjusting the client's medication, the Licensee referred the pharmacist to the resident's physician for an accurate list. Later that day, the Licensee contacted the hospital to see how the client was doing and was transferred to a emergency room nurse. Licensee was told that the client was still in the recovery room. On 2/2/26 the hospital social worker called the licensee to see if the client could return to the home and the Licensee stated "yes". As of this call there was no discharge plan. The social worker also indicated that they would have to speak with the client again since the resident did not want to come back to the home. No reason was given.

Per information received regarding allegation #1 - Staff do not prevent a client from being physically abused while in care, interviews with the Administrator and clients there is no physical abuse at the facility by staff or clients. Per interview with Witness #1, they conduct monthly visits with Resident #1 and they have never seen any bruises, injuries or been told about any abuse at the home by the resident. Per Witness #1, Client #1 had a long stay at the hospital and did not want to be discharged and did not want to be here. They had to go to the hospital to get Client #1 discharged. Client #1 does not like following rules. Client #1 does things that they should not be doing, like smoking inside. Per Witness #1 and the Administrator, they have not observed any signs of physical abuse to warrant staff intervention. Based on information received on today's visit, there is insufficient evidence to support the allegation that Staff do not prevent a client from being physically abused while in care, therefore the allegation is unsubstantiated at this time. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.

Regarding allegation #2 - Staff do not provide adequate care and supervision for a client, the information received from interviews conducted with the residents, staff are very nice, accommodating and attentive. On today's visit there were 2 caregivers and the Licensee observed in the morning until a caregiver left for a medical appointment. Generally there are 2 staff per shift - morning and night. The clients currently at the home do not require a lot of care and supervision. Based on the information received on today's visit, there is

Continued on LIC9099-C
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20260202192809
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: GRACEFUL ADULT CARE
FACILITY NUMBER: 195850528
VISIT DATE: 02/06/2026
NARRATIVE
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Page 3.

insufficient evidence to support the allegation that Staff do not provide adequate care and supervision for a client, therefore the allegation is unsubstantiated at this time. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.


Exit interview was conducted and a copy of the report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3