197610499-7-7-2026-31-AS-TAGD-DWNN3G-20260805100620

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610499
Report Date: 07/07/2026
Date Signed: 07/07/2026 02:31:58 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
02/25/2026 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20260225163351

FACILITY NAME:	LOS ANGELES BOARD AND CARE		FACILITY NUMBER:	197610499
ADMINISTRATOR:	ARZUMANYAN, ANUSH		FACILITY TYPE:	740
ADDRESS:	15214 CHATSWORTH STREET		TELEPHONE:	(424) 666-5666
CITY:	MISSION HILLS	STATE: CA	ZIP CODE:	91345
CAPACITY:	6	CENSUS: 6	DATE:	07/07/2026
		UNANNOUNCED	TIME BEGAN:	09:13 AM
MET WITH:	Anush Arzumanyan - Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff mishandle a resident's medications

Staff hit the residents

INVESTIGATION FINDINGS:

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

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

LPA conducted a physical plant tour at 9:20 AM, requested copies of facility documents relevant to the investigation at 9:51 AM, reviewed records between 10:00 AM to 11:00 AM and interviewed residents and staff between 11:00 AM to 1:00 PM. Regarding the allegation that Staff mishandle a resident's medications, it was alleged that Resident #1 (R1) is on medication and R1 did not always take medication as needed. based on what the staff has reported about the client. LPA's record review today between 10:00 AM to 11:00 AM revealed that R1 was being given by the staff medication as prescribed, it was noted on R1's Medication Administration Records (MAR) however that there were times that R1 refused medication. Further review and interview with staff also revealed that there were times that R1's pharmacy did not deliver R1's medication due to Insurance issues. (continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

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-20260225163351

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: LOS ANGELES BOARD AND CARE	FACILITY NUMBER: 197610499
	VISIT DATE: 07/07/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

(continued from LIC 9099)

LPA's interview with staff on 03/06/26 between 10:45 AM to 1:00 PM confirmed that R1 at times refused to take some of R1's medication and there were times that the pharmacy did not deliver R1's medication due to insurance issues despite numerous follow up. Further, the facility staff were the ones who called the social worker to inform and asked for assistance to obtain R1's medication.

Regarding the allegation that Staff hit the residents, it was alleged that resident has seen other residents get hit by the staff. LPA's interview with five (5) staff during prior visit on 03/06/26 between 10:45 AM to 1:00 PM, revealed that five (5) out of five (5) did not experience being hit by any staff nor witness any one being hit by any staff at any time.

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: 07/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2