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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609003
Report Date: 06/20/2025
Date Signed: 06/20/2025 02:23:29 PM

Unsubstantiated


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., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/28/2025 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20250228093142
FACILITY NAME:ABEL&DAVIT HAYRAPETYAN'S COMMUNITY CARE FACILITYFACILITY NUMBER:
197609003
ADMINISTRATOR:GHAZARYAN, YERANUHIFACILITY TYPE:
735
ADDRESS:10185 SHARP AVETELEPHONE:
(323) 219-5454
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY:4CENSUS: 4DATE:
06/20/2025
UNANNOUNCEDTIME BEGAN:
11:07 AM
MET WITH:Emmanuel KangalaTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff spoke to resident(s) in an inappropriate manner.
Staff did not provide resident with adequate food services.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to this facility to investigate the above allegations. LPA met with Emmanuel Kangala and explained the reason for the visit.

--- Staff spoke to resident(s) in an inappropriate manner.

It was alleged that Staff #1 (S1) put a lighter in front of a resident’s face and asked them “Who is stupid”? To investigate the allegation, on 03/06/2025 LPA interviewed one (01) staff from around 1:45p.m. - 2:15p.m. and two (02) out of four (04) residents from around 2:15p.m. - 2:45p.m. On 06/20/2025, LPA interviewed one (01) additional resident and one (01) additional staff. During interviews with staff, all staff stated they treat residents with respect and dignity. Staff #1 (S1) added they have never called a resident stupid or held a lighter to any resident’s face.
(CONT on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
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 2
Control Number 31-AS-20250228093142
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., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: ABEL&DAVIT HAYRAPETYAN'S COMMUNITY CARE FACILITY
FACILITY NUMBER: 197609003
VISIT DATE: 06/20/2025
NARRATIVE
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During interviews with residents, two (02) out of four (04) stated staff treat them with dignity and respect and one (01) out of four (04) residents stated S1 held a lighter to their face and asked called them stupid and is very rude but added that no one has ever physically abused them. LPA was unable to interview one (01) out of four (04) residents as they were out in the community during both visits.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Staff did not provide resident with adequate food services.

It was alleged that residents do not like the food being served and staff say, “you eat what I make.” To investigate the allegation, on 03/06/2025 LPA conducted a physical plant tour at around 1:00p.m., requested pertinent documents at around 1:30p.m., interviewed one (01) staff from around 1:45p.m. - 2:15p.m. and two (02) out of four (04) residents from around 2:15p.m. - 2:45p.m. On 06/20/2025, LPA interviewed one (01) additional resident and one (01) additional staff from 11:00a.m. – 12:00p.m. During the physical plant tour, LPA observed a variety of fresh and frozen foods available for consumption. A review of the facility menu shows that a variety of well-balanced meals are served for breakfast, lunch and dinner. During interviews with staff, all staff stated they try their best to incorporate what they like, but it does not always work out because they sometimes argue and make demands. We try our best, but we meet our obligations as far as providing a nutritious meal. You can see from our menu that we offer a variety, but unfortunately, we cannot make separate meals for each client. During interviews with residents, two (02) out of four (04) residents stated although breakfast, lunch and dinner are served, they are not please with the amount of carbohydrates that are included at dinner time such as rice and pasta. One (01) out of four (01) stated the food is adequate. LPA was unable to interview one (01) out of four (04) residents as they were out in the community during both visits.

Based on observations, record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards noted during the visit.
Exit interview conducted and a copy of the report was issued.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2