197610340-4-27-2023-31-AS-TAGD-CWWRVV-20231024132209

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610340
Report Date: 04/27/2023
Date Signed: 04/27/2023 12:31:59 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
04/27/2023 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20230427105743

FACILITY NAME:	COMFORT CARE ASSISTANT LIVING		FACILITY NUMBER:	197610340
ADMINISTRATOR:	BARSEGHIAN, YULIA		FACILITY TYPE:	740
ADDRESS:	19431 ENADIA WAY		TELEPHONE:	(818) 578-5184
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY:	6	CENSUS: 4	DATE:	04/27/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Yulia Barseghian, Caroline Avakian		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Unlicensed Care

INVESTIGATION FINDINGS:

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In conjunction to complaint control numbers 31-AS-20230419161743 and 31-AS-20230213131435, Licensing Program Analysts (LPAs) Melissa Ruiz and Michael Cava, along with Licensing Program Manager (LPM) Naira Margaryan conducted an Unlicensed complaint visit to the facility. During the course of the investigation pertaining to the mentioned control numbers, it was revealed that on or around December 2021, the property at the above address was purchased by the applicant, but no lease back agreement was made. Once the previous licensee, of Better Days Assisted Living sold the property, they ceased operation, no longer overseeing the operation, leaving the applicant for Comfort Care Assistant Living in charge of operation. Pursuant to Health and Safety Code 1569.11, a license is not transferable. Therefore, based on the information obtained, the allegation is Substantiated. Citation issued on the 9099D and a Notice of Violation of Law (NOVL) issued. Exit interview conducted. The applicant was advised to cease operation and not to admit any more residents. Applicant was also advised that continued operation without a license could result in civil and/or criminal action.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

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-20230427105743

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: COMFORT CARE ASSISTANT LIVING	FACILITY NUMBER: 197610340
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/27/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/27/2023 Section Cited HSC 1569.10	1 2 3 4 5 6 7	RCFE; license or permit; necessity : No person, firm, partnership, association, or corporation within the state and no state or local public agency shall operate, establish, manage, conduct, or maintain a residential facility for the elderly in this state without a	1 2 3 4 5 6 7	As POC, the licensee representative agrees to cease operation. They were also advised that continued operation, pending the process of their application is a violation of law, subject to civil penalties and could result in civil and/or criminal action being taken against them.
	8 9 10 11 12 13 14	current valid special permit therefor, as provided in this chapter. This requirement was not met as evidenced by the applicant failing to obtain a lease back agreement from the previous licensee. This poses an immediate health & safety risk to the residents in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

LIC9099 (FAS) - (06/04)

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