<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610177
Report Date: 05/22/2025
Date Signed: 05/22/2025 03:42:24 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 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
05/16/2025 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20250516113423
FACILITY NAME:ANNA'S HOME & PARADISEFACILITY NUMBER:
197610177
ADMINISTRATOR:ARMENYAN, ANNAFACILITY TYPE:
740
ADDRESS:23463 HAYNES STTELEPHONE:
(323) 660-0001
CITY:WEST HILLSSTATE: CAZIP CODE:
91307
CAPACITY:6CENSUS: 6DATE:
05/22/2025
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Sona HakobyanTIME COMPLETED:
03:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff physically abused resident
Staff threatened resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At approximately 9:05 a.m. on 05/22/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit.

To investigate the allegations above, LPA interviewed the administrator, one (01) staff, and six (06) out of six (06) residents between 9:15 a.m. and 11:00 a.m. today, toured the facility inside and out at 9:30 a.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 11:30 a.m.

Regarding the allegation "Staff physically abused resident" it was alleged Staff #1 (S1) hit Resident #1 (R1) four (04) times. Interview with R1 at 10:00 a.m. today revealed they have not been abused or witnessed abuse in the home and denied ever being hit by staff. Interviews with five (05) out of five (05) other residents confirmed that there is no physical abuse in the home. Interviews with S1 at 10:45 a.m. and the administrator at 11:00 a.m. today confirmed staff have not physically abused any residents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
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 3
Control Number 31-AS-20250516113423
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: ANNA'S HOME & PARADISE
FACILITY NUMBER: 197610177
VISIT DATE: 05/22/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
 LPA did not observe any indications of physical abuse during the facility tour. Based on observations and interviews, there were no signs of staff physically abusing residents. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff threatened resident" it was alleged S1 physically and verbally threatened R1. Interview with R1 revealed they debate with and occasionally yell at S1. R1 noted they were not verbally abused or threatened by S1 or any staff. Interview with Resident #2 (R2) at 9:35 a.m. today revealed they were R1’s roommate for the past year. R2 never witnessed physical abuse, verbal abuse, or threats from S1 or other staff towards R1. Interviews with four (04) out of four (04) other residents confirmed that they have experienced or heard threats or verbal abuse from S1 or any staff. Interviews with S1 and the administrator confirmed S1 and other staff have not threatened or verbally abused residents. LPA did not hear any threats or verbal abuse during the facility tour. Based on observations and interviews, there were no signs of staff threatening or verbally abusing residents. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health or safety risks were observed during today's visit.

Exit interview conducted. Copy of report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3