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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610162
Report Date: 12/07/2023
Date Signed: 12/07/2023 12:24:59 PM


Document Has Been Signed on 12/07/2023 12:24 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364



FACILITY NAME:LOVE & CARE SENIOR LIVING, INC.FACILITY NUMBER:
197610162
ADMINISTRATOR:PASCO, DINAH RFACILITY TYPE:
740
ADDRESS:17710 MARTHA STREETTELEPHONE:
(818) 585-0063
CITY:ENCINOSTATE: CAZIP CODE:
91316
CAPACITY:6CENSUS: 5DATE:
12/07/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Nat and Ramon BarronTIME COMPLETED:
12:30 PM
NARRATIVE
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At 10:45 a.m. on 12/07/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with Staff #1 (S1) and Staff #2 (S2) and disclosed the reason for the visit.

Prior to this visit the Department conducted a review of the facility history and noted issues that require immediate attention. Based on licensing records, Licensee Davit Hakobyan informed LPA Melissa Ruiz that the facility was sold during a phone call at approximately 12:45 p.m. on 08/08/2023. Record review at 10:00 a.m. on 12/04/2023 revealed the licensee Love & Care Senior Living, Inc. underwent a corporate structure change on 04/10/2023 with Lurdes Laus becoming the CEO, CFO, and Secretary. The new owner has been operating under the old license for the duration of this time. The Department has not received a new application for a license. Since the sale of the facility, the Department conducted numerous Licensing visits and the facility was cited on 08/08/2023 and 09/21/2023 for the deficiencies posing and immediate and potential health and safety hazard to clients in care.

Today, LPA toured the facility at approximately 11:00 a.m., interviewed S1 and S2 at 11:15 a.m., and reviewed records at 11:45 a.m.

Based on the information revealed prior to and during this visit, the facility is operating without a current and valid license. LPA issued the Notice of Operating in Violation of the Law (NOVL) letter. LPA disclosed the possibility of civil penalties and civil and/or criminal action being taken pursuant to Health and Safety Code Sections 1520.3, 1550.5, 1568.065, 1569.16, 1569.50, 1596.851, or 1596.885. Deficiency for operating without a license issued. LPA left a voicemail for the licensee at 11:48 a.m. today notifying of today's report and NOVL letter.

Exit interview conducted. Appeal rights discussed. Copy of report provided.
SUPERVISOR'S NAME: Naira MargaryanTELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Nicholas ReedTELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 12/07/2023 12:24 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364


FACILITY NAME: LOVE & CARE SENIOR LIVING, INC.
FACILITY NUMBER: 197610162

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/08/2023
Section Cited
HSC
1569.19(a)

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ยง1569.19 A license shall be forfeited by operation of law prior to its expiration date when one of the following occurs:
(a) The licensee sells or otherwise transfers the facility or facility property.
This requirement is not met as evidenced by:
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Licensee was informed of NOVL letter. Staff notified that civil penalties may occur if unlicensed operations continue. LPA advised staff to notify the new buyer to call the Regional Office to submit an application. LPA stated the Department would return within fifteen (15) days to ensure operations cease.
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Based on interviews, the property was sold in April 2023 and from then until December 2023 no Change of Ownership Application was submitted. The facility was was operating unlicensed from April 2023. This poses an immediate health and safety or personal rights 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.
SUPERVISOR'S NAME: Naira MargaryanTELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Nicholas ReedTELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2