197610574-10-10-2025-31-AS-NMAN-DMWVYA-20251029165050

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610574
Report Date: 10/10/2025
Date Signed: 10/10/2025 03:52:30 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.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
07/08/2025 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20250708130713

FACILITY NAME:	BLESSED PARADISE		FACILITY NUMBER:	197610574
ADMINISTRATOR:	SARKISIAN, LOUSINE		FACILITY TYPE:	740
ADDRESS:	17438 TULSA STREET		TELEPHONE:	(818) 263-4677
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	6	CENSUS: 3	DATE:	10/10/2025
		UNANNOUNCED	TIME BEGAN:	09:03 AM
MET WITH:	Hachet Kachataryan		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not comply with reporting requirements
Staff did not assist in arranging transportation to and from medical treatment
Staff did not provide necessary supervision to a resident in the community.
Staff did not respond to communications involving resident’s health & safety.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. The initial complaint visit was made by LPA Cava on 07/10/25. Today, LPA met with staff, Hachat Kachataryan and advised her of the complaint. The administrator, Gohar Ambartsumyan was notified over the telephone.

In regards to the above allegations, it’s being reported that on or around 06/30/25, Resident 1 (R1) was experiencing pain and difficulty breathing. Although paramedics were called and found no distress and R1’s oxygen saturation was normal, R1 insisted on being taken to the hospital. Licensee made arrangements to transport R1 to the hospital, but left R1 at the hospital with no supervision or any source of identification. As a result of this miscommunication and licensee’s failure to comply with reporting requirements, R1’s conservator did not know R1’s whereabouts. Conservator also never received a call or written notification from the licensee regarding R1's hospitalization.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025

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 3

Control Number 31-AS-20250708130713

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: BLESSED PARADISE	FACILITY NUMBER: 197610574
	VISIT DATE: 10/10/2025

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

During the initial visit made by LPA Cava on 07/10/25, interviews with the administrator and one (1) of one staff state that R1 was never a resident of this facility. They do not know who R1 is. Interview with two (2) of two residents state R2 is not a resident of this facility. Both residents also state they do not know who R1 is.
Also, on 07/10/25, LPA Cava spoke with R1’s Conservator, Hospital Staff and staff from the transportation company who transported R1 from hospital to facility. All three confirmed this facility’s address.

On 07/15/25. LPA Cava was provided with Discharge/Transportation paperwork, indicating address to where R1 was transported to.

On 07/28/25, LPA spoke with hospital social worker to confirm facility address that R1 was transported to. LPA also called back the transportation company, to confirm whether or not staff assisted R1 in entering facility, and or to confirm if R1 actually entered the facility. Transportation staff could not confirm if R1 actually entered facility doors as they just brought, or dropped R1 off at the curb and left.

On 08/12/25, conservator confirms R1 is at another institution. Conservator indicated that R1 is capable of making own decisions and does not have dementia or cognitive impairment. R1 also doesn’t require any supervision when out in the community.

On 08/18/25, LPA spoke with a Fire Captain from the Los Angeles Fire Department (LAFD) to confirm any emergency activities and calls for service at facility address. The Fire Captain confirmed two service calls made for this address on 05/13/25 and 06/11/25. Neither of these service calls are related to R1. Fire Captain identified a resident names, who is not R1.

On 10/10/25, at approximately 9:15am – 10:15am, LPA held an interview with the administrator who’s statements remain consistent with the interview held on 07/10/25. LPA interviewed Staff 2 (S2), who is new and just recently started. She does not know who R1 is. Administrator adds that law enforcement conducted a check, and were also advised that R1 never resided here. From 10:15am – 11:30am, LPA conducted a physical plant inspection. From 11:30am – 12:30pm, LPA conducted a file review. Review of facility roster and records on file show no evidence that R1 resided here.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 31-AS-20250708130713

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: BLESSED PARADISE	FACILITY NUMBER: 197610574
	VISIT DATE: 10/10/2025

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

Between 12:30pm to 1:30pm, LPA interviewed three (3) of three residents, who all confirm they do not know who R1 is.

Based on the information obtained, the allegations made of staff not complying with reporting requirements, not assisting R1 in arranging transportation for medical treatment, not providing necessary care and supervision and not responding to communication involving R1’s health and safety could not be proven as there was no evidence that R1 was a resident of this facility. Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3