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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609604
Report Date: 12/26/2025
Date Signed: 12/26/2025 04:27:59 PM

Substantiated


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
01/02/2025 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20250102112138
FACILITY NAME:HM SWEET HOMEFACILITY NUMBER:
197609604
ADMINISTRATOR:NADRIAN, ASMIKFACILITY TYPE:
740
ADDRESS:6215 BLUEBELL AVENUETELEPHONE:
(818) 903-6302
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY:0CENSUS: 0DATE:
12/26/2025
UNANNOUNCEDTIME BEGAN:
01:28 PM
MET WITH:Asmik Nadrian TIME COMPLETED:
01:29 PM
ALLEGATION(S):
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Staff did not properly bathe a resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Emily Peraldi conducted a subsequent telephonic complaint visit for the purpose of delivering findings. At 1:28 p.m., LPA Peraldi spoke with Licensee, Asmik Nadrian and explained the reason for the phone call.

During the initial visit conducted on 01/06/2025 between 9:30 a.m. and 2:30 p.m., LPAs Emily Peraldi and Angela Barutyan conducted a physical plant tour and interviews with the Administrator, two (2) staff and four (4) residents. The LPAs also requested and obtained copies of pertinent documents.

Continued on LIC 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2025
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 5
Control Number 29-AS-20250102112138
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: HM SWEET HOME
FACILITY NUMBER: 197609604
VISIT DATE: 12/26/2025
NARRATIVE
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Regarding the allegations: Staff did not properly bathe a resident in care. It was alleged that staff were not properly bathing residents and would only sprinkle water on the residents. Per interviews with residents, it was revealed that if residents were not on hospice, facility staff would bathe them; residents described facility staff bathing them as “wiping them down.” Based on the information provided by interviews, the preponderance of evidence standard has been met, therefore the above allegation is deemed Substantiated at this time.

Pursuant to Title 22, California Code of Regulations, the following deficiency will be cited (refer to LIC 9009-D).

Exit interview conducted. Appeal rights provided. A copy of the report was issued to the former licensee mail for signature.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
01/02/2025 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20250102112138

FACILITY NAME:HM SWEET HOMEFACILITY NUMBER:
197609604
ADMINISTRATOR:NADRIAN, ASMIKFACILITY TYPE:
740
ADDRESS:6215 BLUEBELL AVENUETELEPHONE:
(818) 903-6302
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY:0CENSUS: 0DATE:
12/26/2025
UNANNOUNCEDTIME BEGAN:
01:28 PM
MET WITH:Asmik Nadrian TIME COMPLETED:
01:29 PM
ALLEGATION(S):
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Staff did not prevent a resident from developing pressure injuries while in care.
Staff are unable to effectively communicate with a resident in care.
Meals do not consist of an appropriate variety of foods.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Emily Peraldi conducted a subsequent telephonic complaint visit for the purpose of delivering findings. At 1:28 p.m., LPA Peraldi spoke with Licensee, Asmik Nadrian and explained the reason for the phone call.

During the initial visit conducted on 01/06/2025 between 9:30 a.m. and 2:30 p.m., LPAs Emily Peraldi and Angela Barutyan conducted a physical plant tour and interviews with the Administrator, two (2) staff and four (4) residents. The LPAs also requested and obtained copies of pertinent documents.

Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 29-AS-20250102112138
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: HM SWEET HOME
FACILITY NUMBER: 197609604
VISIT DATE: 12/26/2025
NARRATIVE
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1.) Staff did not prevent a resident from developing pressure injuries while in care. It was alleged that Resident #1 (R1) developed four (4) stage two (2) pressure injuries while in care. Per record review and interviews, R1 was admitted to the facility on 12/05/2024 and resided at the facility for two (2) weeks. Per record review, R1 resided at a Skilled Nursing Facility (SNF) from 10/29/2024 to 12/05/2024. SNF documents noted R1 will be receiving “Wound/Treatment Plans” however no further details regarding R1’s wound were documented. Per R1’s physician report, dated 11/21/2024 and appraisal/ needs and service plan dated 12/05/2024 no wounds/ pressure injuries were documented. Per R1’s physician report, under “History of skin condition or breakdown” it was checked off “No.” Interview with the Administrator, Elena Kordonskiy stated that R1 only resided in the facility for two (2) weeks and was on hospice services. The Administrator stated that R1 was admitted to the facility with wounds but could not describe what stage the wounds were or if the wounds were being treated by staff or hospice. On 1/08/2025, LPA Peraldi contacted R1’s hospice agency to request R1’s care plan, however the hospice agency indicated that R1 was not their patient. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. 2.) Staff are unable to effectively communicate with a resident in care. It was alleged that facility staff do not speak English. Interviews with the Administrator explained that care staff are able to communicate with residents with the English they do speak and if care staff need assistance, they call her to translate. Interviews with residents did not express any concern regarding how staff communicate. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. 3.) Meals do not consist of an appropriate variety of foods. It was alleged that staff were serving the resident's sandwiches with soup every day for dinner. Interviews with four (4) out of four (4) residents revealed that staff serve them the same variety of food every day, which included soup. Three (3) out of four (4) residents stated that they enjoy the food being served and did not express concerns. One (1) out of four (4) residents expressed disliking the food served. Staff interviewed explained that they serve the residents chicken, French fries, salads, soup and fruits. During the physical plant tour, the LPAs observed a variety of nonperishable and perishable food. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.Exit interview conducted. A copy of the report was issued to the former licensee mail for signature.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20250102112138
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: HM SWEET HOME
FACILITY NUMBER: 197609604
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/26/2025
Section Cited
CCR
87464(f)(4)
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(f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident...indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance... This requirement is not met as evidenced by:
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No POC can be provided as this facility closed on 11/07/2025.
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Based on interviews, licensee did not comply with the above section by not providing residents basic services such as bathing which poses a 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: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5