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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850684
Report Date: 05/01/2026
Date Signed: 05/01/2026 02:58:29 PM

Substantiated


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
04/24/2026 and conducted by Evaluator Trevor Byrne
COMPLAINT CONTROL NUMBER: 29-AS-20260424152434
FACILITY NAME:A BEAUTIFUL CHATEAU, INCFACILITY NUMBER:
195850684
ADMINISTRATOR:MAKICHYAN, ELIZAFACILITY TYPE:
740
ADDRESS:7631 1/2 BEN AVENUETELEPHONE:
(323) 818-0000
CITY:N. HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY:6CENSUS: 5DATE:
05/01/2026
UNANNOUNCEDTIME BEGAN:
09:47 AM
MET WITH:Marine KhachatryanTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff mismanage residents medication
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced complaint investigation visit at the facility at 09:47 AM. LPA met with facility staff who contacted the Administrator Anahit Markaryan and Licensee Representative Marine Khachatryan. The Licensee Representative arrived at approximately 10:15 AM and the Administrator arrived shortly after. Entrance interview was conducted and the reason for the visit was explained.

During today’s visit LPA conducted a physical plant tour, reviewed five (5) resident files, conducted a medication audit for two (2) residents, collected copies of pertinant documentation, and conducted interviews with the Administrator, Licensee Representative, one (1) staff member, and two (2) residents between 10:05 AM and 02:00 PM.

Continued on LIC-9099C.
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
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-20260424152434
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: A BEAUTIFUL CHATEAU, INC
FACILITY NUMBER: 195850684
VISIT DATE: 05/01/2026
NARRATIVE
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The allegation of “Staff mismanage residents medication” alleges that the facility mismanaged Resident #1’s (R1) Medication #1 (M1) which led R1 to running out of M1 and suffering a seizure and hospitalization as a result of missed M1 administration. LPA interviewed the Licensee Representative and Staff #1 (S1) who confirmed that R1 was hospitalized on 04/21/2026 due to R1 suffering seizure like symptoms. S1 stated that R1 had run out of M1 the day prior (04/20/2026). S1 and the Licensee Representative stated that they contacted R1’s primary care physician (PCP) when R1 had run out of medication but were informed by the PCP that they were unable to prescribe more M1 due to the length of time it had been since they evaluated R1. LPA reviewed R1’s hospital discharge paperwork from when R1 was originally discharged to the facility. LPA observed that R1 was discharged with a 30-day supply of M1 with administration beginning on 03/18/2026. LPA informed S1 and the Licensee Representative that based on administration instructions R1 should have run out of their initial prescription of M1 on 04/17/2026 if M1 was administered as prescribed. S1 and Licensee Representative were unable to provide an explanation as to why M1 ran out on 04/20/2026 instead of 04/17/2026. LPA conducted a medication review for R1 and one (1) additional resident. LPA observed that ten (10) medications across these two (2) residents had inaccurate pill counts based on the dates started. Additionally, LPA observed that six (6) medications did not have their start dates, date filled, and/or expiration dates properly logged on their respective Centrally Stored Medication and Destruction Record Sheets. Based on the information obtained during interviews and file review there is sufficient evidence to support the allegation of “Staff mismanage residents medication.” Therefore, the allegation is deemed Substantiated at this time.

The following deficiencies were cited (refer to LIC 9099D). A copy of the report was printed, appeal rights were provided, and exit interview was conducted.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20260424152434
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: A BEAUTIFUL CHATEAU, INC
FACILITY NUMBER: 195850684
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2026
Section Cited
CCR
87465(a)(4)
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87465 Incidental Medical and Dental Care
(a)... by compliance with the following:
(4) The licensee shall assist residents with self-administered medications as needed.
This requirement is not met as evidenced by:
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Licensee representative agreed to submit their plan on how they will ensure that refills of medications are ordered in a timely manner to prevent lapses in medication administration. Licensee representative agreed to submit their plan to CCLD no later than POC due date.
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Based on interview and record review the licensee did not comply with the section cited above as R1 missed the administration of M1 and was hospitalized as a result which poses a potential health risk to clients in care.
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Type B
05/15/2026
Section Cited
CCR
87465(h)(6)
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87465 Incidental Medical and Dental Care
(h) The following requirements shall apply..
(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications...and includes:
This requirement is not met as evidenced by:
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Licensee representative agreed to conduct an audit of all CSMDRs at the facility and to appropriately log all medications on their respective CSMDRs. Licensee representative agreed to submit completed copies of the CSMDRs to CCLD no later than POC due date.
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Based on record review the licensee did not comply with the section cited above as six medications did not have their start dates, date filled, and/or expiration dates properly logged on their respective CSMDRs which poses a potential health 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.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3