197610356-6-30-2026-31-AS-MGFS-DW6L6Y-20260720082929

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610356
Report Date: 06/30/2026
Date Signed: 06/30/2026 03:05:06 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
06/22/2026 and conducted by Evaluator Leslie Ngo-Castaneda

COMPLAINT CONTROL NUMBER: 31-AS-20260622145838

FACILITY NAME:	BELOVED LIVING		FACILITY NUMBER:	197610356
ADMINISTRATOR:	YEGISHYAN, VREJ		FACILITY TYPE:	740
ADDRESS:	15842 ACRE ST		TELEPHONE:	(818) 726-2805
CITY:	NORTH HILLS	STATE: CA	ZIP CODE:	91343
CAPACITY:	6	CENSUS: 3	DATE:	06/30/2026
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Vache Mkrchyan- administrator		TIME COMPLETED:	03:33 PM

ALLEGATION(S):

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Staff spoke to the residents inappropriately.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Leslie Ngo-Castaneda and Nadia Shahbazian conducted an unannounced initial complaint visit to the facility to investigate the above allegation. LPA met with the facility staff, Tyler Grant and explained the reason for the visit. Licensee Anush Badalayan arrived at 9:30 AM and administrator Vahe Mkrchyan arrived at 10:30 AM, both were explained the reason for the visit.

LPAs took a tour of the physical plant at 9:10 AM. LPAs reviewed facility staff roster (LIC 500), resident roster (LIC 9020), physician report, admission agreement, personal rights training for staff #3 (S3) was received on 12.6.2024 and personal rights training for staff #2 (S2) on 3.6.2026, and other documents pertaining to the investigation. Between 9:12 AM to 10:45 AM, LPAs interview facility staff and three (3) residents.

Allegation: Staff spoke to the residents inappropriately.

Continue to LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

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 5

Control Number 31-AS-20260622145838

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: BELOVED LIVING	FACILITY NUMBER: 197610356
	VISIT DATE: 06/30/2026

NARRATIVE

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It was alleged that staff spoke to the residents inappropriately. LPAs interviewed facility staff and revealed that they would never speak to the residents inappropriately. LPAs interview with residents revealed that they are happy living at the facility and staff treat them with respect and dignity. During the course of the investigation LPA Ngo-Castaneda received video evidence which shows staff #3 (S3) observing resident #1(R1) in the floor and saying “Shut-up!” more than once.

Based on LPAs observations, interviews which were conducted, and record review(s), there is sufficient evidence to substantiate. Therefore, the allegation is deemed SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099-D.

Exit interview was conducted with licensee a copy of this report, LIC 9099-D, and appeal rights were

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 31-AS-20260622145838

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: BELOVED LIVING	FACILITY NUMBER: 197610356
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/30/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/01/2026 Section Cited CCR 87468.1(a)(3)	1 2 3 4 5 6 7	Personal Rights of Residents in All Facilities: (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature,… This requirement is not met as evidence by:	1 2 3 4 5 6 7	Licensee will provide in-service training to all staff regarding resident’s personal rights, de-escalation of behaviors, and will provide a copy to the department of training material, sign in sheet with time, date, and duration of training, and will certify in writing that will ensure the health and safety of each resident in care by POC due date: 7/1/26.
	8 9 10 11 12 13 14	Based on interviews and record review conducted licensee did not ensure S3 treats residents in care with dignity and respect which poses an immediate safety, health, and personal rights to the persons 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: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 31-AS-20260622145838

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: BELOVED LIVING	FACILITY NUMBER: 197610356
	VISIT DATE: 06/30/2026

NARRATIVE

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Allegation: Staff hits residents.

It is alleged that staff hit residents in care. LPAs interview with facility staff revealed that they do not hit the residents. LPAs interviews with residents revealed that they are happy and safe at the facility. Residents have not experience or witness staff hitting them. Upon review of facility records there was no information to support the allegation. LPAs observed residents in care well with out visible bruises.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit Interview conducted, and a copy of this report was given to the licensee.

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

LIC9099 (FAS) - (06/04)

Page: 5 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
06/22/2026 and conducted by Evaluator Leslie Ngo-Castaneda

COMPLAINT CONTROL NUMBER: 31-AS-20260622145838

FACILITY NAME:	BELOVED LIVING		FACILITY NUMBER:	197610356
ADMINISTRATOR:	YEGISHYAN, VREJ		FACILITY TYPE:	740
ADDRESS:	15842 ACRE ST		TELEPHONE:	(818) 726-2805
CITY:	NORTH HILLS	STATE:CA	ZIP CODE:	91343
CAPACITY:	6	CENSUS: 3	DATE:	06/30/2026
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Vache Mkrchyan- Administrator		TIME COMPLETED:	03:33 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff hits residents.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analysts (LPAs) Leslie Ngo-Castaneda and Nadia Shahbazian conducted an unannounced initial complaint visit to the facility to investigate the above allegation. LPA met with the facility staff, Tyler Grant and explained the reason for the visit. Licensee Anush Badalayan arrived at 9:30 AM and administrator Vache Mkrchyan arrived at 10:30 AM, both were explained the reason for the visit.

LPAs took a tour of the physical plant at 9:10 AM. LPAs reviewed facility staff roster (LIC 500), resident roster (LIC 9020), physician report, medication list, admission agreement, and other documents pertaining to the investigation. Between 9:12 AM to 10:45 AM, LPAs interview facility staff and three (3) residents.

Continue LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 5