197610340-5-12-2023-31-AS-TAGD-CWWRVU-20231024132209

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610340
Report Date: 05/12/2023
Date Signed: 05/12/2023 02:50:47 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:	0	CENSUS: 0	DATE:	05/12/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:			TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Unlicensed Care

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Mariana Agban and Michael Cava conducted a subsequent complaint visit to the facility to follow up on an Unlicensed Care Complaint. On 04/27/23, LPM Margaryan, and LPAs Ruiz and Cava made the initial visit and Substantiated the complaint. A Notice of Violation of Law (NOVL) was also issued. Unlicensed care operators, Yulia Barseghian and Caroline Avakian were advised to cease operation. They admitted to comply. On 05/01/23, the Regional Office (RO) received notification from Central Applications Bureau (CAB) stating that the Unlicensed Care Operator's application will be Withdrawn by 05/08/23. The purpose of today's visit is to insure operation has ceased. During arrival at the facility, LPAs rang the front doorbell and waited for approximately 15 mins. There was no answer. LPAs called the facility number listed, and there was also no answer. LPAs did not observe any cars parked at the front of the home. LPAs also looked through the window at the front of the home, and didn't observe any activity going on in the inside of the home. The complaint to remain Substantiaed. Based on the LPA's observation, the Unlicensed Care operators appears to have ceased operation. There was no representative present during visit. Report will be issued and sent to the applicant's email on file.

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: 05/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

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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