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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608986
Report Date: 03/30/2026
Date Signed: 03/30/2026 12:08:10 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
08/29/2025 and conducted by Evaluator Brian Balisi
COMPLAINT CONTROL NUMBER: 29-AS-20250829154344
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: DATE:
03/30/2026
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:TIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Illegal Eviction
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Brian Balisi conducted a subsequent unannounced complaint visit to deliver findings. Due to the closure of the facility license effective 01/16/2026, today’s visit was conducted telephonically with former Licensee Sarkis Dovlatyan.
On 09/02/2025, from 011:29 a.m. to 05:15 p.m., LPA Conway conducted an initial 10-day complaint visit to investigate the allegations listed above. At approximately 11:28 a.m., LPA conducted a physical plant tour, interviewed staff, residents and reviewed and obtained copies of pertinent documentation relevant to the investigation. On 09/04/2025, from 09:30 a.m. to 05:15 p.m. LPA Balisi conducted physical plant tour, interviewed staff and residents while onsite for a separate investigation. On 10/27/2025, from 10:00 a.m. to 03:00 p.m. LPA Balisi initiated a subsequent complaint visit. At approx. 10:02 a.m. LPA conducted physical plant tour, interviewed staff, residents and families / responsible parties and reviewed and obtained additional copies of pertinent documentation relevant to the investigation. On 10/21/2025, 10/27/2025, 02/04/2026, and 03/23/2026, LPA attempted to contact R1’s Social Worker however, these attempts were unsuccessful.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2026
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-20250829154344
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: 03/30/2026
NARRATIVE
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It was reported that there was an "illegal eviction" as It was alleged that Resident #1 (R1) was relocated to another facility without proper notice to the responsible party. Interviews and record review revealed that on 08/14/2025, R1 was admitted to this facility following discharge from a local hospital. The responsible party attempted to contact the facility but was unable to reach anyone until 08/16/2025, when they spoke with former Administrator Lala Soghomonyan. At that time, they were informed that R1 had been relocated to an unlicensed facility located at 41509 51st West Court, Lancaster, CA 93536. The responsible party was not provided prior notice of the relocation. On 08/21/2025, the responsible party removed R1 from the unlicensed facility. Based on information gathered during the investigation, the department has sufficient evidence to confirm these allegations occurred Therefore, the allegation of "Illegal eviction” 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: 03/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 29-AS-20250829154344
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: 03/30/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/30/2026
Section Cited
CCR
87224(c)
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The licensee shall, in addition to either serving the required thirty (30) days notice...and service three (3) days notice on the resident, notify or mail a copy of the notice to quit to the resident's responsible person. 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 when they issued a verbal eviction for R1 to be removed from the facility, 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: 03/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
08/29/2025 and conducted by Evaluator Brian Balisi
COMPLAINT CONTROL NUMBER: 29-AS-20250829154344

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: DATE:
03/30/2026
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:TIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident inappropriately touched other resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Brian Balisi conducted a subsequent unannounced complaint visit to deliver findings. Due to the closure of the facility license effective 01/16/2026, today’s visit was conducted telephonically with former Licensee Sarkis Dovlatyan.
On 09/02/2025, from 011:29 a.m. to 05:15 p.m., LPA Conway conducted an initial 10-day complaint visit to investigate the allegations listed above. At approximately 11:28 a.m., LPA conducted a physical plant tour, interviewed staff, residents and reviewed and obtained copies of pertinent documentation relevant to the investigation. . On 09/04/2025, from 09:30 a.m. to 05:15 p.m. LPA Balisi conducted physical plant, interviewed staff and residents while onsite for a separate investigation. On 10/27/2025, from 10:00 a.m. to 03:00 p.m. LPA Balisi initiated a subsequent complaint visit. At approx. 10:02 a.m. LPA conducted physical plant, interviewed staff, residents and families / responsible parties and reviewed and obtained additional copies of pertinent documentation relevant to the investigation. On 10/21/2025, 10/27/2025, 02/04/2026, and 03/23/2026, LPA attempted to contact a caseworker from Kaiser who was reported to have knowledge relevant to the allegations under investigation; however, these attempts were unsuccessful
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20250829154344
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: 03/30/2026
NARRATIVE
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Continued from 9099

It was reported that "Resident inappropriately touched other resident" as It was alleged that Resident #1 (R1) inappropriately touched another resident. . Interviews conducted and records review reflected that on 09/04/2025 from 09:30 a.m. to 05:15 p.m , while on site for a separate investigation, LPA’s interview with four (4) residents reported that they did not recall R1 and have not witnessed any resident inappropriately touching another resident in care. Additionally, no residents expressed concerns about being inappropriately touched by another resident at this time. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation “Resident inappropriately touched other resident” is deemed Unsubstantiated at this time.

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: 03/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5