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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608152
Report Date: 04/07/2023
Date Signed: 04/07/2023 03:05:01 PM

Document Has Been Signed on 04/07/2023 03:05 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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:SUNNYSIDE RES. ASSIST. LIVING FOR THE ELDERLY, LLCFACILITY NUMBER:
197608152
ADMINISTRATOR:LILIT MANUKYANFACILITY TYPE:
740
ADDRESS:9200 HADDON AVENUETELEPHONE:
(818) 767-1976
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY: 6CENSUS: 0DATE:
04/07/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Lilit ManukyanTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Tuesday Cabiness met with former Licensee Lilit Manukyan to conduct a case management to initiate an official facility closure for the facility. According to the Licensee, the facility had ceased operation on February 14, 2023. At that time, the facility had (3) residents. Licensee informed LPA that the (3) residents relocated to another facility in Woodland Hills. LPA obtained resident information and location.

LPA Troy Agard conducted previous case management pertaining to facility closure. LPA was not successful in connecting with the Licensee. Licensee contacted LPA T. Cabiness on 04/06/2023 inquiring if the facility was officially closed and the letter that was sent to the Licensee by LPA T. Agard.

During today's visit, LPA conducted a physical plant tour, and observed the facility to be empty with no residents. The facility has (3) bedrooms, and (2) bathrooms. According to the Licensee, the property has been sold and would like to immediately cease operation. Licensee was instructed by LPA T. Agard to surrender facility license, via email. Licensee reported to LPA that the license was sent to the Woodland Hills RO. LPA will follow up on the licensee and the relocation of the residents. Facility will be closed during next office day, by LPA T. Cabiness.

Exit interview and copy of report provided.
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE: DATE: 04/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2023
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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