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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850549
Report Date: 07/28/2026
Date Signed: 07/28/2026 01:03:48 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
05/13/2026 and conducted by Evaluator Quoc Huynh
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20260513131334
FACILITY NAME:VALLEY PARADISE BOARDING CAREFACILITY NUMBER:
195850549
ADMINISTRATOR:NIKOYAN, NAIRAFACILITY TYPE:
740
ADDRESS:12200 HATTERAS STTELEPHONE:
(818) 853-7278
CITY:VALLEY VILLAGESTATE: CAZIP CODE:
91607
CAPACITY:6CENSUS: 5DATE:
07/28/2026
UNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Naira Nikoyan - LicenseeTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Staff do not ensure resident receives their mail 
Staff did not ensure resident participated in the planning of their care
Staff are not adhering to admission agreement
Staff do not ensure resident is provided copies of records
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Quoc Huynh conducted a subsequent complaint visit to deliver findings for the above allegations. The LPA arrived at 12:05PM and met with the Licensee Naira Nikoyan. Entrance interview conducted.

On 05/20/2026, the LPA conducted an initial visit. Between 10:17PM and 1:56PM the LPA conducted a physical plant tour, interviewed two (2) residents and the Licensee, attempted two (2) resident interviews, and reviewed and obtained pertinent documents.

During today’s visit at 12:10PM, the LPA and Licensee conducted a physical plant tour, and no immediate concerns were observed. The following was then determined:

Report Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026
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-20260513131334
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: VALLEY PARADISE BOARDING CARE
FACILITY NUMBER: 195850549
VISIT DATE: 07/28/2026
NARRATIVE
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The Licensee reported resident payment methods vary by preference, and R1 preferred to write checks and provide them on the 1st. The Licensee stated their bank is far from the facility and they planned to deposit R1’s check on a day when travel would be convenient. R1 then requested the Licensee deposit the check as soon as possible. The Licensee stated they suggested R1 rewrite the check addressed to the Licensee personally so it could be deposited online, which would be immediate, but ultimately deposited the original check at the bank on April 28th.

Based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time.

Allegation: “Staff do not ensure resident is provided copies of records”

It was reported that the Licensee requested residents to sign documents without providing copies. Interviews did not reveal any concerns. R1 had facility-related documents at their bedside and stated they received copies of all applicable paperwork. R2 stated they do not wish to keep copies but were confident the Licensee would provide them upon request. A resident’s Power of Attorney (POA) also stated they did not want copies but confirmed the Licensee offered them and had no issues obtaining documents when needed.

Based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 29-AS-20260513131334
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: VALLEY PARADISE BOARDING CARE
FACILITY NUMBER: 195850549
VISIT DATE: 07/28/2026
NARRATIVE
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Allegation: “Staff did not ensure resident participated in the planning of their care”

It was reported that the Licensee overstepped their role during R1’s doctor’s appointment. Interview with R1 revealed that after their hospice agency unexpectedly discharged them, the Licensee advised residents to obtain updated assessments and medication orders from their physicians. R1 stated the Licensee assisted with transportation and accompanied them to the appointment. R1 alleged that the Licensee asked the doctor whether R1 had dementia, which the doctor denied.

The Licensee denied overstepping and stated they initially scheduled the appointment without R1’s consent but apologized and offered to cancel it; R1 chose to proceed. The Licensee stated they accompanied R1 to explain the hospice discharge and answer questions. After introductions and providing needed information, the Licensee reported that they left the room to allow R1 privacy with the physician. The Licensee acknowledged that R1 does not have dementia and is alert and oriented.

Interview with Resident #2 (R2) revealed no concerns. R2 stated the Licensee maintains appropriate communication regarding their care and denied any incident of overstepping.

Based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time.

Allegation: “Staff are not adhering to admission agreement”

It was reported that the facility did not follow the admission agreement by requesting R1 to change the payee’s name on their monthly checks. R1 stated they provide checks payable to the facility on the 1st each month. R1 observed that their April check was not cashed until April 28th and expressed frustration that the funds remained in their account for an extended period.

Report Continued on LIC 9099-C
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3