<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610625
Report Date: 03/13/2026
Date Signed: 03/13/2026 02:54:46 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
11/06/2025 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20251106161948
FACILITY NAME:GUARDIAN ANGELS BOARD AND CAREFACILITY NUMBER:
197610625
ADMINISTRATOR:GOR KHURSHUDYANFACILITY TYPE:
740
ADDRESS:11786 ENCINO AVETELEPHONE:
(818) 217-9444
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 3DATE:
03/13/2026
UNANNOUNCEDTIME BEGAN:
08:05 AM
MET WITH:Flora KerobyanTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not ensure that resident's incontinence needs are met
Facility smelled malodorous
Staff did not assist resident with bathing
Staff did not assist resident with grooming
Staff do not assist residents with obtaining medical care
Staff do not assist resident with ambulating
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 conclude the investigation regarding the above allegations. LPA met with the administrator, Flora Kerobyan, and advised her of the complaint. The initial ten day visit was made by LPA Cava on 11/13/25. At that time, LPA interviewed the administrator, staff and six (6) residents. LPA also conducted a physical plant inspection and record review. Today's visit consisted of additional interviews with the administrator and staff, that was held between 8:30am to 9:30am, interviews with three residents, that was held between 9:30am to 10:30am, a physical plant inspection, that was held between 10:30am to 12:00pm, and reviewing and obtaining copes of resident records, that held between 12:00pm to 1:30pm.

Staff do not ensure that resident's incontinence needs are met/Staff did not assist resident with bathing/
Staff did not assist resident with grooming:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026
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 3
Control Number 31-AS-20251106161948
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: GUARDIAN ANGELS BOARD AND CARE
FACILITY NUMBER: 197610625
VISIT DATE: 03/13/2026
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
Staff do not assist residents with obtaining medical care:
In regards to the allegation, it was reported that another female resident, who was unidentified to the complaint, is not receiving physical therapy (PT). Reporter was unable to provide a name to the resident, only stating this resident needs physical therapy. Interviews with the administrator and staff deny the allegation stating their current residents do not require physical therapy at this time. Administrator did state that facility did have residents that required PT, but that was ordered by the resident's doctor, and facility complied by allowing PT to be given at facility. During ten day visit, interviews were made with residents, who could not corroborate with the allegation. Today interviews made with three (3) residents, who's interviews still do not corroborate with the allegation. Based on the information obtained, it could not be proven that staff do not assist residents with obtaining medical care. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff do not assist resident with ambulating:
In regards to the allegation, it was reported that R1 has pain when they ambulate and can't bend their legs. Moreover, staff is not repositioning R1. Interviews with administrator and staff deny the allegation. Administrator acknowledged that R1 is non-ambulatory, but did not require assistance with repositioning. R1 required and was given physical therapy (PT) at the convalescent home they stayed at prior to admission to this facility, but wasn't given an order for PT at admission. Moreover, both administrator and staff stated that they assist R1 to and from the wheelchair, and on to the dining room and common areas. During the visit on 11/13/25, R1 confirmed staff assists them with ambulating and expressed no complaints or concerns about not getting assistance. R1 indicated their needs were being met. During today's visit, review of R1's medical assessment and appraisals reveal R1 is non-ambulatory requires the use of a wheelchair, and has limited mobility. LPA unable to interview R1 during this visit, as R1 passed away on 12/15/25. Interviews held with three residents during today's visit was inconsistent with the allegations, as these residents stated their needs are met, and receives help when they need assistance with ambulating about the facility.

Based on the information obtained, it could not be proven that staff do not assist resident with ambulating. Therefore, the allegation is deemed Unsubstantiated at this time.
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 31-AS-20251106161948
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: GUARDIAN ANGELS BOARD AND CARE
FACILITY NUMBER: 197610625
VISIT DATE: 03/13/2026
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
In regards to the allegations from the previous page, it was reported that Resident 1 (R1) was observed in a soiled diaper, and smelled of urine and feces. It appeared that R1's face had not been washed and there was food all over R1's clothes. In addition, R1 was not properly clothed as R1 was lying under a sheet with only a diaper on. There were no witneses provided to corroborate with these allegations. During the initial ten (10) day visit made by LPA Cava, LPA had the opportunity to interview R1, who had no complaints or concerns to report regarding the facility. R1 stated their needs are met. Staff assists with bathing, going to the bathroom for toileting needs, getting in and out of bed, going on and off their wheelchair, and change of clothes. R1 gave no indication of neglect, and was satisfied with needs provided. During the interiew, LPA observed R1 to be appropriately cared for. Today, LPA conducted interviews with administrator and staff, who both deny the allegation of neglecting R1 or any other of the residents in care. LPA also interviewed three (3) of three residents between 9:30am to 10:30am. Interviews made with these residents do not corroborate with these allegations. LPA conducted a record review of R1's Medical Assessment, Appraisals, and Functional Capabilities. These records do confirm that R1 require assistance with bathing, grooming and toileting needs.

Although there is information that reveal R1 requires some assistance with her Activities of Daily Living (ADL), there is insufficient evidence to prove that Staff do not ensure that resident's incontinence needs are met, Staff did not assist resident with bathing, and Staff did not assist resident with grooming. Therefore, allegations are deemed Unsubstantiated at this time.

Facility smelled malodorous:
In regards to the allegation, it was reported that facility and R1's room smelled of urine and feces during a visit to the home on or around 11/05/25. No witnesses were provided to confirm the allegation. During LPA's ten day visit, made on 11/13/25, a physical plant inspection was made. LPA did not notice a smell of urine and feces during that visit. Interviews with administrator, staff and residents made shared no complaints or concerns, denying the facility smelled malodorous. LPA conducted another physical plant inspection today, 03/13/26, and did not notice facility smelling of urine or feces. Interviews with the three residents, who were present during this visit, had no complaints regarding the physical plant ever smelling malodorous. Based on the information obtained, there was not enough evidence to confirm the above allegation. Therefore, the allegation is deemed Unsubstantiated at this time.
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3