197610649-5-8-2026-31-AS-TAGD-DVYRHW-20260714130302

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610649
Report Date: 05/08/2026
Date Signed: 05/08/2026 04:49:04 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
12/10/2025 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20251210095605

FACILITY NAME:	HAPPY RESIDENTS LIVING CENTER		FACILITY NUMBER:	197610649
ADMINISTRATOR:	NSHANIAN, HAKOP		FACILITY TYPE:	740
ADDRESS:	13127 BEAVER ST		TELEPHONE:	(818) 426-1413
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	6	CENSUS: 6	DATE:	05/08/2026
		UNANNOUNCED	TIME BEGAN:	08:59 AM
MET WITH:	Hermine Nshanian - Co Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff does not ensure food is nutritious and well-balanced for residents
Staff did not ensure residents personal belongings were safely secured
Staff does not allow resident to leave the facility unassisted
Staff threatened resident with eviction
Staff does not assist resident with arranging medical care
Staff does not assist resident with self administered medications
Licensee does not ensure staff are able to communicate with residents in care
Staff does not ensure residents receive prompt responses to requests for assistance

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 Co Administrator Hermine Nshanian and explained the reason for the visit.

LPA conducted physical plant tour at 9:13 AM, requested copies of facility documents relevant to the investigation at 9:38 AM, reviewed records between 9:45 AM to 10:45 AM and interviewed staff and residents between 10:45 AM to 1:00 PM. Regarding the allegation that Staff does not ensure food is nutritious and well-balanced for residents, it was alleged that the food provided is not well-balanced and is of poor quality, LPA's record review between 9:45 AM to 10:45 AM revealed that the facility menu provides well balanced meal which includes fruit, vegetable and yogurt. LPA's interview with six (6) current residents between 10:45 AM to 1:00 PM revealed that six (6) out of six (6) residents interviewed believe that the food is good, nutritious and of good quality. (continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

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 5

Control Number 31-AS-20251210095605

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: HAPPY RESIDENTS LIVING CENTER	FACILITY NUMBER: 197610649
	VISIT DATE: 05/08/2026

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)

Regarding the allegation that Staff did not ensure residents personal belongings were safely secured, it was alleged that staff took R1's black socks. LPA record review revealed that there were no black socks declared on R1's Personal belongings inventory list. LPA's interview with staff also revealed that no one among the staff took anything from any resident at any time.

Regarding the allegation that Staff does not allow resident to leave the facility unassisted, it was alleged that staff do not allow R1 to go out on R1's own. LPA's interview with the Administrator and staff today revealed that R1 attends intervention meeting 2x a week and R1 calls own Access transportation and picked R1 up. LPA interview with a resident who is a former friend of R1 confirmed that R1 called own transportation and always go on R1's own all the time and did not need any assistance from anyone. LPA's interview with six (6) current residents revealed that no staff stopped them from leaving the facility and they can go out anytime they wanted to.

Regarding the allegation that Staff threatened residents with eviction, it was alleged that the Administrator verbally threatened to evict R1 for using curse words in the home. LPA's record review of video footage taken by the Administrator revealed that R1 seemed to be always angry and cursing staff and other residents at the facility. LPA's interview with Administrator revealed that the Administrator did not threaten R1 at any time but reminded R1 to watch R1's language because it was upsetting other residents.

Regarding the allegation that Staff does not assist resident with arranging medical care, it was alleged that staff are not assisting R1 with scheduling physical therapy appointments. LPA's record review today revealed that R1 was not on Home Health services nor in any kind of therapy. LPA's interview with the Administrator also revealed that the Administrator was not aware that R1 needed physical therapy at any time R1 was at the facility.

Regarding the allegation that Staff does not assist resident with self-administered medications, it was alleged that staff do not check R1's blood sugar levels, LPA's interview with staff revealed that R1 had patch type (Free style Libre) sugar monitoring system that could only be looked up on R1's own phone and for privacy purposes no staff can look at it unless R1 allowed the staff. (continued on LIC 9099-C2)

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 5

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
12/10/2025 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20251210095605

FACILITY NAME:	HAPPY RESIDENTS LIVING CENTER		FACILITY NUMBER:	197610649
ADMINISTRATOR:	NSHANIAN, HAKOP		FACILITY TYPE:	740
ADDRESS:	13127 BEAVER ST		TELEPHONE:	(818) 426-1413
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	6	CENSUS: 6	DATE:	05/08/2026
		UNANNOUNCED	TIME BEGAN:	08:59 AM
MET WITH:	Hermine Nshanian - Co Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are not ensuring that resident's are receiving their funds as necessary
Staff did not ensure resident received a signed copy of the admission agreement
Staff provided resident with another residents prescribed medications

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 Co Administrator Hermine Nshanian and explained the reason for the visit.

LPA conducted physical plant tour at 9:13 AM, requested copies of facility documents relevant to the investigation at 9:38 AM, reviewed records between 9:45 AM to 10:45 AM and interviewed staff and residents between 10:45 AM to 1:00 PM. Regarding the allegation that Staff are not ensuring that residents are receiving their funds as necessary, it was alleged that Residents are not getting their Personal and Incidental (P & I) allowance. LPA's record review revealed that R1 was receiving R1's own SSI payment through own bank account and just pay the facility upon cash withdrawal. LPA's interview with two (2) other residents who are also recipient of SSI revealed that they receive their SSI payment and just pay the facility upon receipt of their payment.(continued on LIC 9099A-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 31-AS-20251210095605

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: HAPPY RESIDENTS LIVING CENTER	FACILITY NUMBER: 197610649
	VISIT DATE: 05/08/2026

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 9099A-C)

Regarding the allegation that Staff did not ensure resident received a signed copy of the admission agreement, it was alleged that Resident #1 (R1) does not recall signing an admission agreement upon moving in and is unaware of her monthly rent amount. LPA's record review today revealed that R1 had a signed admission agreement at the facility and it clearly stated the amount and condition of stay at the facility. LPA's interview with six (6) current resident at the facility revealed that all six (6) of them received a copy of their admission agreement from the Administrator.

Regarding the allegation that Staff provided resident with another residents prescribed medications, it was alleged that R1 was given a prescribed medication that was not prescribed to R1 but to another person. LPA's record review today revealed that all six (6) current residents and two (2) discharged residents and another six (6) current residents and one (1) former resident from the attached sister facility revealed that no one among those residents both Medication Administration Record (MAR) and actual medication did not have the prescribed medication R1 alleged. LPA's interview with the Administrator and staff also revealed that they have no way of obtaining that prescribed medication and it was R1 who insisted to own Physician to issue the alleged prescribed medication.

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: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 31-AS-20251210095605

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: HAPPY RESIDENTS LIVING CENTER	FACILITY NUMBER: 197610649
	VISIT DATE: 05/08/2026

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 9099C-C)

Regarding the allegation that Licensee does not ensure staff are able to communicate with residents in care, it was alleged that R1 does not have her own personal phone and relies on the facility phone for communication. LPA tested the land line phone at the facility and observed to be working. LPA's interview with staff also revealed that it was actually R1 who used the land line a lot when R1 was still living at the facility.

Regarding the allegation that Staff does not ensure residents receive prompt responses to requests for assistance, it was alleged that Resident #2 (R2) has fallen out of own bed and wheelchair multiple times and yelling for help before staff assist R2). LPA's interview with R2 today revealed that R2 does not recall falling in bed and or wheelchair and yelling for help. Further, R2 stated that staff always look out and take good care of R2. LPA's interview with five (5) other residents revealed that all of them did hear or witness R2 falling or yelling for help.

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: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

LIC9099 (FAS) - (06/04)

Page: 5 of 5