197608986-12-19-2025-29-AS-DPEA-DPUV7N-20251230151124

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608986
Report Date: 12/19/2025
Date Signed: 12/19/2025 01:32:16 PM

Unfounded

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
06/20/2025 and conducted by Evaluator Brian Balisi

COMPLAINT CONTROL NUMBER: 29-AS-20250620153333

FACILITY NAME:	AGE WELL ASSISTED LIVING FACILITY		FACILITY NUMBER:	197608986
ADMINISTRATOR:	LALA SOGHOMONYAN		FACILITY TYPE:	740
ADDRESS:	15149 SYLVAN STREET		TELEPHONE:	(818) 666-1665
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91411
CAPACITY:	6	CENSUS: 2	DATE:	12/19/2025
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Administrator Arshalouis Manoukian		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Questionable Death

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Brian Balisi and Martha Arroyo conducted a subsequent complaint visit to deliver final findings for the allegation listed above. Upon arrival, LPAs met with staff and explained the reason for the visit. LPA's contacted Licensee Sarkis Dovlatyan who stated they will contact their Administrator Arshalouis Manoukian. Manoukian arrived shortly after.

On 06/20/2025, the Department received a complaint alleging questionable death of Resident #1 (R1) due to staff neglect on 06/18/2025. It was reported that R1 was found deceased for a prolonged period of time. However, staff reported that R1 was checked approximately 10 minutes prior.

On 06/23/2025 between approx. 10:10 a.m. – 04:40 p.m. LPA Martha Arroyo conducted an unannounced initial complaint inspection. During the visit, LPA met with licensee representative, Sarkis Dovlatyan. During the visit, between 10:15 a.m. and 2:00 p.m., LPA conducted a tour of the physical plant to ensure there was no immediate Health & Safety (H&S) concerns.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025

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 29-AS-20250620153333

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: 12/19/2025

NARRATIVE

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Additionally, LPA also conducted interviews with one staff and a resident. The case was referred to Community Care Licensing Division’s (CCLD) Investigations Branch (IB) and assigned to Investigator Michele Salant.

On 09/15/2025, the RO obtained copies of Emergency Medical Service (EMS) reports along with 9-1-1 Audio Recordings and transcripts for the facility dating back to six (6) months. On 09/17/2025, Investigator Salant attempted to obtain reports from the Los Angeles County Medical Examiner’s Office for R1, however, was informed that there were no records for R1. On 09/22/2025, Investigator Salant conducted a visit to the facility and conducted interviews with residents and staff.

On 09/24/2025, at approx. 10:00 a.m., Investigator Salant, attempted to contact Licensee Representative, Sarkis Dovlatyan, but was unsuccessful. Investigator left a voice mail requesting a call back in order to set an interview time. However, at approx. 10:30 p.m., Dovlatyan emailed Investigator Salant with a PDF attachment containing staff member roster, admissions record, medications list for R1 and Resident #2 (R2) along with Hospice records and Physician's report for R2. Dovlatyan also stated he will be out of town (for an undisclosed amount of time) and will not be able to meet Investigator Salant for an interview but stated Administrator Lala Soghomonyan would contact them to schedule a meeting. On 09/30/2025, Investigator Salant interviewed Administrator Lala Soghomonyan at Age Well Assisted Living Facility.

Information gathered during the course of the investigation reflected that R1 was alive and relocated to a different facility. On 10/02/2025, Investigator conducted a visit to Dignity Health and observed R1 alive and well. It was revealed that facility on 06/18/2025, Los Angeles Fire Department (LAFD) arrived and found a deceased individual who was identified as R1 by the staff. However, based on information gathered facility staff disclosed the incorrect information to LAFD. Therefore, the above allegation, “Questionable Death” of R1 is deemed UNFOUNDED at this time.

Deficiencies observed during the course of the investigation that is not related to the complaint will be cited on a separate Case Management – Deficiency.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025

LIC9099 (FAS) - (06/04)

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