197608349-6-4-2026-31-AS-MGFS-DVUUVK-20260710155516

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608349
Report Date: 06/04/2026
Date Signed: 06/04/2026 02:17:57 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/28/2026 and conducted by Evaluator Mariana Agban

COMPLAINT CONTROL NUMBER: 31-AS-20260528114046

FACILITY NAME:	ABBEY ROAD VILLA		FACILITY NUMBER:	197608349
ADMINISTRATOR:	MARINE KARAPETIAN		FACILITY TYPE:	740
ADDRESS:	14132 HUBBARD STREET		TELEPHONE:	(818) 837-0077
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	78	CENSUS: 57	DATE:	06/04/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Marine Karapetian- Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff did not keep the facility free of pests
Staff did not provide proper food service to residents in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced initial complaint visit to investigate the above stated allegations. Upon arrival, LPA was greeted by the receptionist and met with the Assistant Administrator Lily Mantizyanand, shortly thereafter, the Administrator Marine Karapetian. LPA explained the purpose of the visit and requested copies of pertinent documents, including the Staff Roster, Resident Roster, Food Menus, and other records relevant to the investigation. Today's investigation consisted of interviews with five staff members and five residents.

Regarding the allegation: Staff did not keep the facility free of pests
It is alleged that the facility was infested with roaches and that roaches had been observed climbing on tables. The Administrator denied the allegation and stated that the facility contracts with a pest control company that provides services at least once per month and on an as-needed basis. The Administrator explained that these services are preventative in nature and not the result of any known pest infestation within the facility. (Continue on 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260528114046

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: ABBEY ROAD VILLA	FACILITY NUMBER: 197608349
	VISIT DATE: 06/04/2026

NARRATIVE

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LPA interviewed five staff members and four residents, none of whom corroborated the allegation. LPA also conducted a physical plant inspection, including Rooms #405, #407, #101, #106, and #108, as well as the common bathrooms, dining room, kitchen, kitchen pantry, and medication room. No insects or signs of pest activity were observed during the inspection. The Administrator provided copies of the pest control company's invoices for the previous three service visits. Based on interviews, observations, and documentation reviewed, there was insufficient evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time.

Regarding the allegation: Staff did not provide proper food service to residents in care

It is alleged that meals served to residents consisted only of salad and bread with mayonnaise or, at times, plain bread without additional food items. Interview with the Administrator denied the allegation and stated that the facility's dietitian develops monthly menus to ensure that residents receive balanced and nutritious meals that meet their dietary needs. The Administrator provided copies of the facility's menus for the previous three weeks. LPA reviewed the menus and observed that they reflected balanced meals consisting of a variety of food groups. LPA reviewed the dietitian's monthly food service inspection report dated 05/28/26, which indicated no deficiencies. Additionally, interviews conducted with five residents and five staff members did not corroborate the allegation. At approximately 1:00 PM, LPA observed the lunch service. Residents were served chicken quesadillas, French fries, green pea soup, salad, fruit, and juice. Based on interviews, observations, and records reviewed, there was insufficient evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time.

Exit interview conducted; copy of this report signed and delivered.

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

LIC9099 (FAS) - (06/04)

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