197610177-8-19-2025-31-AS-NMAN-DMWVSC-20251029164118

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610177
Report Date: 08/19/2025
Date Signed: 08/19/2025 04:05:33 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
08/15/2025 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20250815151717

FACILITY NAME:	ANNA'S HOME & PARADISE		FACILITY NUMBER:	197610177
ADMINISTRATOR:	ARMENYAN, ANNA		FACILITY TYPE:	740
ADDRESS:	23463 HAYNES ST		TELEPHONE:	(323) 660-0001
CITY:	WEST HILLS	STATE: CA	ZIP CODE:	91307
CAPACITY:	6	CENSUS: 5	DATE:	08/19/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Sona Hakobyan		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff do not treat resident with respect
Staff hit resident

INVESTIGATION FINDINGS:

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At approximately 10:00 a.m. on 08/19/25 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 toured the facility inside and out at 10:00 a.m., interviewed staff and residents between 10:15 a.m. and 3:00 p.m. today, and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, and care plan at 11:15 a.m.

Regarding the allegation "Staff do not treat resident with respect" it was alleged Staff #1 (S1) screamed and cursed at Resident #1 (R1). Interviews with four (04) out of five (05) residents today confirmed that S1 and other staff have not yelled at them or any other residents. Interview with R1 confirmed that S1 and another staff, Staff #2 (S2) yell at them. Interview with the administrator at approximately 11:00 a.m. today revealed no staff have yelled at residents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025

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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Control Number 31-AS-20250815151717

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: 08/19/2025

NARRATIVE

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Interview with S1 at approximately 12:00 p.m. today revealed they have not yelled at any residents. S1 noted that they occasionally speak at a loud volume for residents with difficulty hearing. Interview with S2 at approximately 12:30 p.m. today revealed they have not yelled at residents. S2 also confirmed that S1 does not yell at R1 or any other residents. Record review did not reveal any pertinent information to this allegation. LPA observed both S1 and S2 acting with respect and dignity towards all residents during today’s visit. Based on observations and interviews, there is no evidence suggesting staff do not treat residents with respect. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff hit resident" it was alleged S1 twisted R1’s arms and legs which left bruises. R1 showed LPA bruises on both hands and arms today at approximately 11:30 a.m. R1 had about ten (10) dark purple-colored blotchy bruises on their knuckles, wrists, and lower arms which were about 1 cm x 1 cm. Interview with R1 at 11:30 a.m. revealed S2 hits them when nobody is around. R1 also said S1 hits them, and R1 occasionally sees a man in their room at night who wants to kill R1. Interviews with four (04) out of five (05) other residents revealed they have not been hit by staff nor have they heard or witnessed staff hit R1. Interviews with S1 and S2 revealed they have never hit R1, twisted R1’s arm, or inflicted any other kind of physical abuse towards R1 or any other residents. Interview with the administrator revealed no staff have hit residents. Review of R1’s file revealed R1 had assessments performed by their physician on (07/09/25) and their social worker on 08/15/25. Neither assessment revealed any pertinent information about R1’s bruising. Based on observations, record review, and interviews, there is insufficient evidence to verify the allegation is true. 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: 08/19/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025

LIC9099 (FAS) - (06/04)

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