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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610293
Report Date: 07/08/2026
Date Signed: 07/08/2026 02:38:56 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/06/2026 and conducted by Evaluator Angela Panushkina
COMPLAINT CONTROL NUMBER: 31-AS-20260706150401
FACILITY NAME:SUNRISE AT LINDLEY IFACILITY NUMBER:
197610293
ADMINISTRATOR:MELIKSETYAN, LUSINEFACILITY TYPE:
740
ADDRESS:9955 LINDLEY AVETELEPHONE:
(747) 218-9141
CITY:NORTHRIDGESTATE: CAZIP CODE:
91325
CAPACITY:6CENSUS: 6DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Lusine Meliksetyan, Administrator TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff are not providing resident's authorized representative with a refund
INVESTIGATION FINDINGS:
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At 12:00pm, Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced visit in response to the above-mentioned allegation. LPA met with the Staff 1 (S1), who granted access to facility. The Administrator, Lusine Meliksetyan, arrived shotly after and LPA explained the reason for the visit.

At 12:05pm, LPA requested resident and staff roster. At 12:10pm, requested copies of pertinent information which include, but not limited to facility's Admission Agreement, Copy of Invoice/Check, etc. relevant to the investigation. At approximately 12:20pm, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 12:30pm - 1:00pm, LPA conducted an interview with the Administrator, one (1) staff and conducted review of facility Admission Agreement.

Continue on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
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-20260706150401
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: SUNRISE AT LINDLEY I
FACILITY NUMBER: 197610293
VISIT DATE: 07/08/2026
NARRATIVE
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Allegation: Staff are not providing resident's authorized representative with a refund

The Administrator, Lusine Meliksetyan, accepted a $1,000 deposit check for R1 on February 13, 2026. R1’s representative planned for R1 to move into this facility on March 1, 2026, but R1 passed away on February 21, 2026 before the move. No belongings were brought in and no admission contract was signed, yet the representative did not receive a refund. Between April 10 and June 10, the representative repeatedly attempted to contact the Administrator by phone and text with no response. During the investigation, the Administrator stated that personal and medical issues prevented her from addressing the matter but said she was willing to issue the refund. LPA conducted review of the facility’s Admission Agreement and observed Refund/Proration Policy section on page 6 indicating the following: Fees paid in advance must be refunded within 15 days... Therefore, based on interviews and facility Admission Agreement review, this allegation is Substantiated.

Deficiency will be issued on LIC9099-D.
Exit interview conducted. Appeal rights explained and copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20260706150401
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SUNRISE AT LINDLEY I
FACILITY NUMBER: 197610293
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/15/2026
Section Cited
CCR
87507(g)(5)(E)(1)(a)
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Admission Agreement: (g) Admission agreements shall specify the following: (5) Refund conditions. (E) Preadmission fees shall be refunded... 1. A 100 percent refund... shall be provided to an applicant or the applicant’s representative if: a. The applicant decides not to enter the facility...
This requirement was not met as evidicence by:
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The Administrator agreed to Zelle $1000.00 to RP's authorized representative. During today's visit the transaction was complete and LPA obtained copy of proof.
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Based on interviews licensee did not comply with the section cited above by failing to refund $1000 to R1's authorized representive after R1 passed away. This poses a potential health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3