197610437-6-3-2026-31-AS-TAGD-DWNMPU-20260805094744

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610437
Report Date: 06/03/2026
Date Signed: 06/03/2026 01:59:12 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
02/06/2026 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20260206130132

FACILITY NAME:	SYLMAR BOARD & CARE		FACILITY NUMBER:	197610437
ADMINISTRATOR:	OVAKIMYAN, ANI		FACILITY TYPE:	740
ADDRESS:	13100 FELLOWS AVE		TELEPHONE:	(818) 665-9631
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	6	CENSUS: 6	DATE:	06/03/2026
		UNANNOUNCED	TIME BEGAN:	09:11 AM
MET WITH:	Andy Terner - Administrator		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff does not ensure resident does not have access to drugs.

Staff does not provide a safe environment for resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jose Tan an unannounced subsequent complaint visit to this facility to further investigate the above allegations. LPA met with Andy Terner and explained the reason for the visit.

LPA conducted a physical plant tour at 9:18 AM, requested copies of facility documents at 9:44 AM, reviewed records between 9:45 AM to 10:45 AM and interviewed staff and residents between 12:00 PM to 1:00 PM. Regarding the allegation that Staff does not ensure resident does not have access to drugs, it was alleged that Resident #1 (R1)’s roommate or Resident #2 (R2) is using drugs and keeps R1 up all hours of the night. LPA’s record review today at 9:45 AM revealed that R2 had a medical condition wherein R2 has a limited mobility and is unable to physically move at a normal pace. LPA’s interview with R2 on prior visit on 02/13/26 at around 11:00 AM, revealed that R2 denied using any illegal drugs and all R2’s medication are kept by the staff and given to R2 as prescribed. LPA’s interview with five (5) other residents on prior visit between 10:30 AM to 1:00 PM also revealed that five (5) out of five (5) residents stated that they did not witness any other resident at the facility using illegal drugs. (continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026

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-20260206130132

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: SYLMAR BOARD & CARE	FACILITY NUMBER: 197610437
	VISIT DATE: 06/03/2026

NARRATIVE

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(continued from LIC 9099)

Regarding the allegation that Staff do not provide a safe environment for residents in care, it was alleged that R2 hit R1 in the stomach while sleeping resulting in a bruise in R1’s arm. LPA’s record review today at 9:45 AM revealed that R2 had a medical condition wherein R2 has a limited mobility and is unable to physically move at a normal pace. LPA’s observation during this and prior visit revealed that R2 was unable to move and drag half of R2’s body and seems improbable to be physically aggressive with anyone. LPA’s interview with R2 revealed that R2 did not have any altercation, physical or verbal with R1 and denied even touching R1. Further, R2 was told by R1 that R1 wanted to be alone in their room many times. LPA attempted to interview R1 but per the Administrator, R1 moved out of the facility on_____

Based on the information gathered during this and prior visit, these allegations are deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026

LIC9099 (FAS) - (06/04)

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