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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608986
Report Date: 02/11/2026
Date Signed: 02/11/2026 02:25:58 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
06/11/2025 and conducted by Evaluator Brian Balisi
COMPLAINT CONTROL NUMBER: 29-AS-20250611092348
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:0CENSUS: 0DATE:
02/11/2026
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:TIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Resident sustained unexplained injuries while in care.
Staff left resident on floor for an extended period of time.
Staff does not ensure resident's urinary drainage bag is being properly disposed
Staff did not seek medical attention to resident.
Staff does not ensure resident's bathing needs are being met.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Brian Balisi conducted a subsequent unannounced complaint visit to deliver findings. Due to facility license revocation, facility was closed effective 01/16/2026. LPA contacted former Licensee Sarkis Dovlatyan, who stated they will review report via email / and mail.

On 06/06/2025, from 09:30 a.m. to 12:00 p.m., LPA Balisi 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, and reviewed and obtained copies of pertinent documentation relevant to the investigation. On 07/10/2025, from 09:45 a.m. to 03:00 p.m. LPA conducted interviews with residents and staff while onsite for a separate investigation.
On 09/04/2025, from 09:30 a.m. to 05:15 p.m. LPA conducted physical plant tour, interviewed staff and residents while onsite for a separate investigation. On 10/16/2025, from 09:30 a.m. to 03:30 p.m. LPA conducted physical plant tour, interviews with residents and staff while onsite for a separate investigation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026
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 5
Control Number 29-AS-20250611092348
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: 02/11/2026
NARRATIVE
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Continued from 9099
On 10/22/2025, LPA conducted physical plant tour, interviewed staff and resident with residents and staff while onsite for a separate investigation. On 10/31/2025, from 09:40 a.m. to 01:30 p.m. LPA conducted physical plant tour, interviewed staff and residents while on site for a separate investigation. On 01/16/2026, LPA received and reviewed hospital records for Resident #1 (R1).
It was reported that “Resident sustained unexplained injuries while in care” as it was alleged that Resident #1 (R1) was admitted to a local hospital after bruising and/or red markings were observed on the body. Interviews and a review of available records indicated that on 06/09/2025, a family member visited R1 at the facility and found R1 on the floor. Facility staff were unable to explain the circumstances under which R1 was found on the floor or to identify what actions, if any, were taken following the incident. The family member contacted 911, and R1 was transported to and admitted to a local hospital. Interviews with the Administrator, Lala Soghomonyan, Staff #1 (S1), and the Owner, Sarkis Dovlatyan, indicated that they were not aware of the circumstances that led to R1 being found on the floor. Photographs reviewed at the regional office depicted multiple markings on R1’s arms and face that appeared consistent with bruising. At the time of the site visit, no records for R1 were available for review at the facility. Additionally, interviews and observations conducted during the investigation revealed that Resident #2 (R2) was admitted to a local hospital on 06/27/2025 due to changes in mental status. Upon hospital admission, R2 was assessed and documented as having two wounds: one on a lower extremity and one on the posterior thigh. Based on information gathered during the investigation, the department has sufficient evidence to confirm these allegations occurred Therefore, the allegation that “Resident sustained unexplained injuries while in care”” have been Substantiated at this time.
It was reported that “Staff left resident on floor for an extended period of time” and “Staff did not seek medical attention to resident” as it was alleged that R1 was observed on the floor and staff did not call Emergency Medical Services (EMS). Interviews conducted and records review reflected that on 06/09/2025, a family member visited Resident #1 (R1) at the facility and found R1 on the floor. Facility staff were unable to explain how R1 fell or what actions, if any, were taken after R1 was observed on the floor. The family member contacted 911, and R1 was transported and admitted to a local hospital. Interviews with the Administrator, Lala Soghomonyan, S1, and the Owner, Sarkis Dovlatyan, revealed they did not have knowledge of the circumstances that resulted in R1 being found on the floor. Additionally, during the course of the investigation, it was revealed that Resident #3 (R3) also experienced a fall while in the facility and was not provided with first aid or care in a timely manner. Based on information gathered during the investigation, the department has sufficient evidence to confirm these allegations occurred.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 29-AS-20250611092348
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: 02/11/2026
NARRATIVE
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Continued from 9099-C
Therefore, the allegation that “Staff left resident on floor for an extended period of time” and “Staff did not seek medical attention to resident” have been Substantiated at this time.
It was reported that “Staff does not ensure resident's urinary drainage bag is being properly disposed” as it was alleged that R1’s urinary drainage bag was observed to be overflowing. Interviews conducted and records review reflected that on 06/07/2025, a family member visited R1 and observed R1’s urinary drainage bag to be overflowing. The family member changed the urinary drainage bag without staff assistance. Additionally, during the course of the investigation, it was revealed that Resident #4 (R4) also did not have their urinary drainage bag changed in a timely manner on multiple occasions. Interviews conducted two residents confirmed they had observed R4’s urinary drainage bag overflowing on multiple occasions. Based on information gathered during the investigation, the department has sufficient evidence to confirm these allegations occurred. Therefore, the allegation that “Staff does not ensure resident's urinary drainage bag is being properly disposed” has been Substantiated at this time.
It was reported that “Staff does not ensure resident's bathing needs are being met,” as it was alleged that R1 was not showered for at least four (4) days. Interviews conducted and records review reflected that on 06/09/2025, a family member visited R1 at the facility and observed R1 wearing the same clothing that R1 had been wearing during a prior visit on 06/07/2025. Facility staff were unable to state whether or when R1 had last received a shower. Interviews and observations conducted during the course of the investigation further revealed that R4 had not received a shower for an extended period while residing at the facility. Additionally, four residents interviewed during the investigation reported concerns regarding the availability of personal hygiene supplies, including soap, shampoo, and laundry detergent. Based on information gathered during the investigation, the department has sufficient evidence to confirm this allegation occurred. Therefore, the allegation that “Staff does not ensure resident's bathing needs are being met,” has been Substantiated at this time.
Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 9099-D.)

Due to the facility closure on 01/16/2026, a copy of this report and the appeals rights (LIC 9058 1/16) will be sent via email to Sarkis Dovlatyan and another certified copy vis USPS Sarkis Dovlatyan at their last known address. Former licensee / delegate should review, sign the report with a wet signature, and email the report back to CCLASCOWoodlandHillRO@dss.ca.gov or mail the report directly back to the LPA listed on the report at 21731 Ventura Blvd, Suite 250, Woodland Hills CA 91364
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 29-AS-20250611092348
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: 02/11/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/11/2026
Section Cited
CCR
87468.2(a)(4)
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To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by:
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No POC can be provided as this facility closed on 01/16/2026.
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Based on interviews the licensee did not comply with the section cited above as R1 and R2 were observed with unexplained injuries, which posed an immediate health, safety or personal rights risk to residents in care.
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Type A
02/11/2026
Section Cited
CCR
87465(g)
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The licensee shall immediately telephone 9-1-1 if an injury or other circumstance... apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement is not met as evidenced by:
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No POC can be provided as this facility closed on 01/16/2026.
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Based on interviews and records review, the licensee did not comply with the section cited above as, S1 did not attempt to call 911 or the Administrator after R1 had a fall, which posed an immediate health and safety risk to residents in care.
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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: 02/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20250611092348
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: 02/11/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/11/2026
Section Cited
CCR
87623(b)(3)
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Ensuring that waste materials shall be disposed of as specified in Section 87303(f)(1). This requirement was not met as evidenced by:
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No POC can be provided as this facility closed on 01/16/2026.
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Based on interviews and records review, the licensee did not comply with the section cited above as, urinary drainage bags for R1 and R4 were not changed in a timely manner, which posed a potential health and safety risk to residents in care.
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Type B
02/11/2026
Section Cited
CCR
87464(f)(4)
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Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal...as specified in Section 87608, Postural Supports. This requirement was not met as evidence by:
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No POC can be provided as this facility closed on 01/16/2026.
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Based on interviews and observations, the licensee did not comply as R1 was observed multiple times without clothing and with toenails unkept. R1 / R2 were also not showered in a timely manner, which posed a potential health, safety or personal rights risk to residents in care.
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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: 02/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5