197609097-4-27-2026-29-AS-KHEN-DVHU2D-20260629151145

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609097
Report Date: 04/27/2026
Date Signed: 04/27/2026 03:28:37 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
04/22/2026 and conducted by Evaluator Christine Yee

COMPLAINT CONTROL NUMBER: 29-AS-20260422085154

FACILITY NAME:	THREE C'S CARE HOME		FACILITY NUMBER:	197609097
ADMINISTRATOR:	LOPEZ, MILAGROS		FACILITY TYPE:	740
ADDRESS:	6447 BABCOCK AVENUE		TELEPHONE:	(818) 747-2212
CITY:	NORTH HOLLYWOOD	STATE: CA	ZIP CODE:	91606
CAPACITY:	6	CENSUS: 4	DATE:	04/27/2026
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Ani Palezyan, New owner		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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1. Licensee does not ensure staff has ability to communicate with residents
2. Licensee does not ensure staff is in good physical health to perform assigned tasks

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christine Yee conducted an unannounced complaint visit to investigate the above allegations and discovered that the facilty was sold and being operated by the new buyer, Ani Palezyan. Per telephone conversation with the Operator no application has been submitted to the Department for consideration and the previous owner is out of town for a family function. The new buyer was advised that they are operating unlicensed and was referred to Licensing Program Manager Kristin Heffernan. During today's visit, a health and safety check was included to ensure that there were no immediate safety concerns observed. Ani arrived at 1:27pm to conducted the visit. Also participating in today's visit was Elmira Tsaturyan, Staff. The reason for today's visit was provided again in person.

During today's visit, LPA Yee conducted a tour of the three bedrooms, 2 residents were observed in

continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026

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-20260422085154

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: THREE C'S CARE HOME	FACILITY NUMBER: 197609097
	VISIT DATE: 04/27/2026

NARRATIVE

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bedroom #1 (front left), 1 resident in bedroom #2(back) and 1 resident in bedroom #3(front right). All four residents were visually observed to be doing well. Food supply was reviewed and utilities were observed to be in use. No visually obvious health and safety concerns were observed during the visit

Interviews were conducted with Staff # 1:25pm, Ani Palezyan, New owner at 1:25pm, Staff #2 at 1:39pm. Food supply was reviewed at 1:55pm.

Per information received from interviews conducted regarding, allegation #1 - Licensee does not ensure staff has ability to communicate with residents, the investigation revealed that Staff #1 does not speak English but she does not work alone. Per Ani, she and her husband are always at the facility or are in and out of the facility and are always available via telephone if translation is needed. Staff #2, who just started today, will also be working together with Staff #1, speaks and comprehends English sufficiently to understand the requests of the residents. Based on the information received from interviews conducted, there is insufficient evidence to support the allegation that the Licensee does not ensure staff has ability to communicate with residents, therefore the allegation is unsubstantiated at this time.

Per interviews conducted regarding allegation #2 - Licensee does not ensure staff is in good physical health to perform assigned tasks, the staff from the previous ownership was not retained by the new operator. Per the Operator, staff do not have files at this time and no physicians reports were available for staff. Per visual observation of the current staffing, there is no seventy (70) year old staff who can barely walk and taking small steps when providing care to the residents as described in the complaint was observed working at the home. Based on the visit and interviews conducted, there is insufficient evidence to support the allegation that the Licensee does not ensure staff is in good physical health to perform assigned tasks, therefore the allegation is deemed to be unsubstantiated at this time. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.

The New Operator, Ani Palezyan, was reminded to ensure that all staff get a criminal record clearance and be associated to the facility prior to being present at the facility.

Exit interview was conducted and a copy of the report was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026

LIC9099 (FAS) - (06/04)

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