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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608986
Report Date: 10/16/2025
Date Signed: 10/16/2025 03:23:09 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/13/2025 and conducted by Evaluator Brian Balisi
COMPLAINT CONTROL NUMBER: 29-AS-20251013092407
FACILITY NAME:AGE WELL ASSISTED LIVING FACILITYFACILITY NUMBER:
197608986
ADMINISTRATOR:LALA SOGHOMONYANFACILITY TYPE:
740
ADDRESS:15149 SYLVAN STREETTELEPHONE:
(818) 666-1665
CITY:VAN NUYSSTATE: CAZIP CODE:
91411
CAPACITY:6CENSUS: 2DATE:
10/16/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Lala SoghomonyanTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facility staff financially abusing resident
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA's) Brian Balisi and Martha Arroyo conducted a subsequent complaint visit to investigate the allegation list above. During today’s visit, LPA met with staff and explained the reason for the visit. Administrator Lala Soghomonyan was contacted and arrived at approximately 11:11a.m.

On 09/02/2025, from 09:40 a.m. to 03:00 p.m., LPA’s Balisi and Arroyo conducted an initial 10-day complaint visit to investigate the allegations listed above. At approximately 09:50 a.m., the LPA conducted a physical plant tour, interviewed staff, resident and reviewed and obtained copies of pertinent documentation relevant to the investigation.

It was reported that “Facility staff is financially abusing resident”, as it was alleged that Resident #1 (R1), gave their EBT card to the Administrator to use to purchase food and other items for the facility. Interviews conducted with Administrator and R1 revealed a several months ago, R1 provided the Administrator with lists of grocery items to purchase. The Administrator agreed to use R1’s EBT card to make the purchases.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
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-20251013092407
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: AGE WELL ASSISTED LIVING FACILITY
FACILITY NUMBER: 197608986
VISIT DATE: 10/16/2025
NARRATIVE
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However, R1 reported that they have not received all of the requested items. R1 was unable to recall the specific items from the list and declined to further discuss the matter. Additionally, R1 stated before they provided the card to the Administrator, their card had a balance of approximately $900. On 10/16/2025, R1 confirmed the card balance was $0.00. The most recent transaction on the card occurred on 09/15/2025, in the amount of $107.00. The Administrator stated in an interview that they recently attempted to make purchases for R1 but were unable to complete the transaction due to the card being declined. The Administrator then returned the card to R1. Furthermore, Administrator stated the card was only used to make purchases for R1, however there were no records of receipts or documentation on site for LPAs to review. Based on information gathered during the investigation, the department has sufficient evidence to confirm these allegations occurred. Therefore, the allegations that “Facility staff is financially abusing resident” has been deemed Substantiated at this time.

Administrator left during the visit to attend to a personal matter and stated they would not be able to return to the visit. Licensee was contacted and stated they are unable to be onsite.

Exit interview conducted with Staff and Licensee, appeal rights discussed, and a copy of this report issued
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20251013092407
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: AGE WELL ASSISTED LIVING FACILITY
FACILITY NUMBER: 197608986
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/17/2025
Section Cited
CCR
87468.2(a)(8)
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To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement is not met as evidenced by:
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Licensee agreed to review reg cited and submit a statement of understanding, along with a written plan on how they will ensure future compliance then send to LPA via email by COB 10/17/2025.
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Based on interviews and records, the licensee failed to comply with the section cited. R1 gave the Administrator their EBT card for purchases but did not receive requested items, and the card now has a zero balance, posing an immediate personal rights risk to residents.
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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: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3