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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609659
Report Date: 08/28/2025
Date Signed: 08/28/2025 05:05:47 PM

Unfounded


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
08/27/2025 and conducted by Evaluator Quoc Huynh
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20250827093311
FACILITY NAME:SWEET HOME SENIOR LIVING 2FACILITY NUMBER:
197609659
ADMINISTRATOR:SRMIKYAN, LUSINEFACILITY TYPE:
740
ADDRESS:6460 VARNA AVETELEPHONE:
(818) 616-4103
CITY:VAN NUYSSTATE: CAZIP CODE:
91401
CAPACITY:6CENSUS: 4DATE:
08/28/2025
UNANNOUNCEDTIME BEGAN:
10:04 AM
MET WITH:Lusine Srmikyan - LicenseeTIME COMPLETED:
05:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not ensure required posters are placed in the facility
Staff do not ensure facility has scheduled activities for residents
Facility does not ensure residents receive 3 meals per day
Licensee does not ensure staff are able to communicate with residents
Staff do not ensure residents are provided clean linens
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Quoc Huynh conducted an initial complaint visit for the above allegations. LPA arrived at 10:04AM and met with the Licensee Lusine Srmikyan and Coordinating Manager (CM) Marine Bekyan and explained the reason for the visit. Entrance interview conducted.

The LPA and Licensee conducted a safety check tour beginning at 10:09AM. No immediate concerns were observed. Between 10:09AM and 10:32AM, the LPA interviewed two (2) residents, the CM, and the Licensee. Record review at 11:05AM revealed that the complaint was created under the wrong facility address as Resident #1 (R1) resided in the Licensee's neighboring facility.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025
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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