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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610177
Report Date: 07/16/2025
Date Signed: 07/16/2025 03:51:25 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: 5DATE:
07/16/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Anna ArmenyanTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff did not seek timely medical attention for resident
Staff did not provide adequate hygiene care to resident
INVESTIGATION FINDINGS:
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At approximately 9:30 a.m. on 07/16/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and later the administrator and disclosed the reason for the visit.

To investigate the allegations above, LPA conducted an initial visit on 05/22/25 and interviewed the administrator, one (01) staff, and six (06) out of six (06) residents between 9:15 a.m. and 11:00 a.m., 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 did not seek timely medical attention for resident" it was alleged R1 had sores on their leg which were not reported to their medical staff. Interview with R1 at 10:00 a.m. on 05/22/25 revealed they found an insect in their sock about one (01) week ago.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025
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 2
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: 07/16/2025
NARRATIVE
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R1 noted the insect bit or stung them several times, and they had some red sores from it. R1 stated their foot swelled because they are allergic to bees. R1 noted the sores were painful at times, but the pain went away after a while. Interview with S1 at 10:45 a.m. on 05/22/25 revealed they brought R1 to a clinic within 24 hours of noticing the bites. Interview with the administrator at 11:00 a.m. on 05/22/25 confirmed that S1 took R1 to the clinic the day after discovering their leg sores. The administrator also noted that R1 had a history of leg swelling and edema, however the clinic staff noted R1’s sores were not an edema or swelling. Record review of R1’s clinical notes revealed R1 went to the clinic on 05/15/25 for assessment of their leg. Records indicated that no follow-up was necessary. R1 also disclosed that a nurse at the clinic said the sores were likely bug bites. Based on interviews and record review, staff sought medical treatment for R1 within a day of discovering R1’s sores. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff did not provide adequate hygiene care to resident" it was alleged R1 was not bathed in over a week and had fecal matter near their urethra. Interview with S1 revealed that the facility does not record logs for bathing and incontinence care. S1 noted that four (04) out of six (06) residents receive assistance with bathing and incontinence care. S1 checks those residents every two (02) hours and changes them if needed. S1 approximated that each resident is assisted with incontinence needs “three (03) to four (04) times” per shift. S1 stated that they change R1 every time before leaving the facility to ensure their hygiene is maintained. Interview with the administrator confirmed that residents are checked for incontinence needs every two (02) hours, and R1 was checked more frequently due to a history of incontinence issues. Interview with Staff #2 (S2) at 1:15 p.m. on 06/05/25 confirmed that residents are checked for incontinence needs at least every two (02) hours and bathed at least two (02) times per week. Interview with R1 revealed S1 was “a sweetheart” and changed and bathed R1 regularly. R1 had no issues with their care. Interview with Resident #2 (R2) at 9:15 a.m. on 05/22/25 revealed they had no issues with their incontinence and bathing care and had no irritation. Interview with Resident #3 (R3) at 9:35 a.m. on 05/22/25 revealed that staff were “very strict” about incontinence and bathing care and assisted R3 with bathing and toileting more frequently than R3 felt necessary. Based on interviews and record review, although the allegation is valid, there is no evidence to suggest that the staff did not provide adequate hygiene care. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health or safety concerns 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: 07/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2