197610705-6-11-2026-31-AS-TAGD-DVJNTJ-20260630104448

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610705
Report Date: 06/11/2026
Date Signed: 06/11/2026 01:58:06 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
12/31/2025 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20251231132353

FACILITY NAME:	HEALTHY RESIDENTS LIVING CENTER		FACILITY NUMBER:	197610705
ADMINISTRATOR:	NSHANIAN,HERMINE		FACILITY TYPE:	740
ADDRESS:	13125 BEAVER STREET		TELEPHONE:	(818) 515-5811
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	6	CENSUS: 6	DATE:	06/11/2026
		UNANNOUNCED	TIME BEGAN:	08:58 AM
MET WITH:	Hermine Nshanian - Co Administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff confine residents to facility
Staff did not provide a safe environment for resident
Staff are not allowing resident access to personal belongings
Staff did not communicate with resident regarding care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jose Tan conducted an unannounced subsequent complaint visit to the facility to further investigate the above allegations. LPA met with Administrator Hermine Nshanian and explained the purpose of the visit.

LPA conducted a physical plant tour at 9:15 a.m., requested copies of facility documents relevant to the investigation at 9:40 a.m., reviewed records between 10:00 a.m. and 11:00 a.m., and interviewed residents and staff between 11:00 a.m. and 1:00 p.m. Regarding the allegation that staff confined residents to the facility, it was alleged that staff attempted to prevent Resident #1 (R1) from leaving the facility with an individual who was not R1’s responsible party or Power of Attorney (POA), but rather a volunteer advocate for individuals with disabilities. LPA’s interview with staff on 01/08/2026 at 11:00 a.m. revealed that the individual did not present any documentation authorizing them to remove R1 from the facility. Staff reported that law enforcement was contacted and determined that if R1 wished to leave, the facility should allow R1 to do so. The facility complied with that direction. (continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026

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

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20251231132353

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: HEALTHY RESIDENTS LIVING CENTER	FACILITY NUMBER: 197610705
	VISIT DATE: 06/11/2026

NARRATIVE

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(continue from LIC 9099)

Regarding the allegation that staff did not provide a safe environment for residents, it was alleged that while staff were attempting to prevent R1 from leaving the facility, a staff member pulled R1’s arm, causing R1 to be pushed down and roll onto the pavement. LPA’s interview with staff on 01/08/2026 revealed that the volunteer advocate was the individual pulling R1 away from staff and was reportedly yelling and physically striking staff during the incident.

Regarding the allegation that staff denied R1 access to personal belongings, it was alleged that staff refused to provide R1 with medication and personal belongings. LPA’s interview with staff on 01/08/2026 revealed that R1 arrived at and was admitted to the facility from a Skilled Nursing Facility with only the clothing R1 was wearing. Staff reported that the facility obtained the additional belongings that R1 possessed when leaving the facility. LPA’s interview with the Administrator today at 11:36 a.m. further revealed that although the Administrator was not physically present at the facility during the incident, she remained on the phone with staff throughout the event and confirmed that all of R1’s belongings and medications were provided to R1 upon departure.

Regarding the allegation that staff did not communicate with R1 regarding care, it was alleged that staff moved R1 to another room without first consulting R1. LPA’s interview with staff on 01/08/2026 revealed that R1 had requested the room change in order to share a room with Resident #2 (R2). LPA’s interview with R2 today at 12:13 p.m. confirmed that R1 had requested to room with R2. Further interview with R2 revealed that R1 appeared happy while residing at the facility and later told R2, when R2 encountered R1 near the facility, that R1 would have preferred to remain at the facility. According to R2, the issue was that R1 was unable to consume alcohol at the facility, unlike at R1’s current residence.

Based on the information gathered during this and prior visit, these allegations are deemed unsubstantiated.

An exit interview was conducted and a copy of this report was given.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026

LIC9099 (FAS) - (06/04)

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