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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608066
Report Date: 02/20/2025
Date Signed: 02/20/2025 01:53:07 PM

Document Has Been Signed on 02/20/2025 01:53 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:FAMILY CARE MANORFACILITY NUMBER:
197608066
ADMINISTRATOR/
DIRECTOR:		HASMIK SUKIASYANFACILITY TYPE:
740
ADDRESS:14127 TIARA STREETTELEPHONE:
(818) 988-4557
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91401
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/20/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Co-Administrator - Arman Sukiasyan TIME VISIT/
INSPECTION COMPLETED:
01:55 PM
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Licensing Program Analyst (LPA) Erica Mosley conducted an unannounced Case Management – Other inspection at the facility today due to the closure of the licensed facility. Today, February 20, 2025, at 1:30 p.m. LPA met with Arman Sukiasyan and informed him of the reason for the visit.

On January 4th, 2024, the Department received a call from the Administrator, Hasmik Sukiasyan that the facility had no residents and will undergo construction. On 03/27/2024 LPA Emily Peraldi conducted an attempted annual visit to this facility. The facility appeared empty, and no one answered the door. On 02/13/2025 the Administrator informed LPA Mosley that they are no longer operating and have not operated since 12/20/2023.

Today’s inspection is to ensure that there are no longer any elements of care or supervision of a licensed facility being provided at this location and to officially close the facility. At 1:41 p.m., LPA Mosley conducted a brief tour of the home. During the inspection, the LPA found no evidence to support that the home is being operated as a licensed facility. The license will be forfeited and mailed to the Woodland Hills Regional Office.

Exit interview conducted and a copy of the report was provided.
Kasandra LopezTELEPHONE: (818) 596-4343
Erica MosleyTELEPHONE: (747) 230-3909
DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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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