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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610444
Report Date: 02/05/2026
Date Signed: 02/05/2026 09:50:36 AM

Unsubstantiated


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
04/15/2025 and conducted by Evaluator Leslie Ngo-Castaneda
COMPLAINT CONTROL NUMBER: 31-AS-20250415121049
FACILITY NAME:SUN VALLEY RESIDENTIAL CAREFACILITY NUMBER:
197610444
ADMINISTRATOR:VARDUHI AGHAJANYANFACILITY TYPE:
740
ADDRESS:8667 HERRICK AVETELEPHONE:
(818) 404-0290
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY:6CENSUS: 1DATE:
02/05/2026
UNANNOUNCEDTIME BEGAN:
09:12 AM
MET WITH:Rebeka Durgaryan- DesigneeTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Facility staff did not dispense medications as prescribed
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Leslie Ngo-Castaneda conducted a subsequent complaint visit to the facility to investigate the above allegation. LPA met with the licensee, Rebeka Durgaryan, and advised them about the visit.

An entrance interview was conducted.

To investigate the allegation on 11.17.2025 at 10:00 AM, LPA conducted a physical plant tour to ensure the health and safety of the clients in care. LPA interviewed one (1) out of one (01) residents and three (3) staff (including the licensee) from 11:53 AM- 12:20 PM, LPA received and reviewed copies of documents related to the investigation, including the staff and resident roster, resident #1 (R1) physician report, identification and emergency information, Appraisal needs and service plan, medication administration records and other relevant documents.
Continue to LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
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 2
Control Number 31-AS-20250415121049
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: SUN VALLEY RESIDENTIAL CARE
FACILITY NUMBER: 197610444
VISIT DATE: 02/05/2026
NARRATIVE
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Allegation: Facility staff did not dispense medications as prescribed

It was alleged that facility staff were over medicating R1 to keep them asleep all day. LPA interview with a resident present at the facility stated that they have no issues with medication. Interviews with staff revealed that they follow the prescription and dispense medication as indicated by the prescribing physician. LPA reviewed R1 Centrally Stored Medication and Destruction Records (CSMDR). Records indicated the name and quantity of medication when R1 arrived at the facility. Based on LPA observation, medication was accounted for all the residents on CSMDR and medication in the facility. Based on interviews, observation and review of medication records, there is not enough information and/or evidence to conclude that R1 is over medicated. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted, and a copy of the report given to the administrator.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2