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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610769
Report Date: 06/12/2026
Date Signed: 06/12/2026 02:39:15 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/08/2026 and conducted by Evaluator Tihesha Smith
COMPLAINT CONTROL NUMBER: 31-AS-20260608115714
FACILITY NAME:SAINT MARIAM'S CARE CENTER INCFACILITY NUMBER:
197610769
ADMINISTRATOR:VARDANYAN, ANAHITFACILITY TYPE:
740
ADDRESS:15649 CHASE STREETTELEPHONE:
(747) 313-1040
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:6CENSUS: 3DATE:
06/12/2026
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Ofelya MkrtchyanTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff is financially abusing resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tihesha Smith made a 10-day complaint visit to this facility. LPA Smith was greeted by staff and disclosed the purpose of the visit.

Staff is financially abusing resident.
It is alleged that staff are financially abusing resident #1 (R1). To investigate the allegation, LPA Smith requested copies of facility documents relevant to the investigation at 10:48 am, interviewed resident and staff at 10:55am -11:17 am, and toured facility at 11:18 am. The licensee revealed the following:the licensee became R1’s Power of Attorney (POA) and opened a joint bank account with the resident and initiated transactions on the joint account.
Based on the information obtained during the investigation, the allegation above is substantiated at this time. Deficiencies on 9099D
Exit interview conducted/copy of report given.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/08/2026 and conducted by Evaluator Tihesha Smith
COMPLAINT CONTROL NUMBER: 31-AS-20260608115714

FACILITY NAME:SAINT MARIAM'S CARE CENTER INCFACILITY NUMBER:
197610769
ADMINISTRATOR:VARDANYAN, ANAHITFACILITY TYPE:
740
ADDRESS:15649 CHASE STREETTELEPHONE:
(747) 313-1040
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:6CENSUS: 3DATE:
06/12/2026
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Ofelya MkrtchyanTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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9
Staff hit resident in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tihesha Smith made a 10-day complaint visit to this facility. LPA Smith was greeted by staff and disclosed the purpose of the visit.
Staff hit resident in care
It is alleged that staff punched and slapped resident #1 (R1). To investigate the allegation, LPA Smith requested copies of facility documents relevant to the investigation at 10:48 am, interviewed resident and staff at 10:55am -11:17 am, and toured facility at 11:18 am. Interview with one (1) of three (3) residents reveal staff has not hit or punched them, and has not witnessed any staff hittng or punching any resident. Interview with licensee and staff reveal has never hit or punch a resident and has not witnessed any staff hittinng or punching a resident. Licensee revealed R1 very aggressive and has hit staff at hospital and nursing home. R1 is not currently residing at the facility and other residents not available or refuse interview. Based on information obtained the allegation above is Unsubstantiated at this time. Exit interview conducted/copy of report given.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20260608115714
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SAINT MARIAM'S CARE CENTER INC
FACILITY NUMBER: 197610769
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/22/2026
Section Cited
CCR
87217(d)(4)
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[...] No Licensee or employee of a facility shall:
become the joint holder on any account [...] with a resident which pose a potentia Health, Safety, or Personal risk to residents in care.
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The Licensee shall provide written statement and/or documentation that they are not and will not be listed on any resident deposit accounts.
POC: 06/15/2026
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This requirement was not met as Licensee admitted that they are listed on deposit account specified in Section 87217(h) with a resident
which pose a potential Health, Safety, or Personal risk to residents in care.
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Type A
06/22/2026
Section Cited
CCR
87468.2(a)26(c)
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[...] a licensee, or a spouse, domestic partner, relative, or employee of a licensee, shall not do any of the following:
Serve as an agent for a resident under any general or special power of attorney.
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The Licensee shall provide written statement and documentation that they are not will not be listed on a Power of Attorney (POA) for any resident in care.
POC: 06/15/2026
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This requirement was not met as Licensee admitted that they are the POA for R1
which pose a potential Health, Safety, or Personal risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 31-AS-20260608115714
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SAINT MARIAM'S CARE CENTER INC
FACILITY NUMBER: 197610769
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/15/2026
Section Cited
HSC
1546.58(a)(5)
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Persons prohibited from being a licensee, owning beneficial interest in licensed facility. The department may prohibit persons from being a licensee, [...] and may further prohibit any licensee from employing, or continuing the employment of, [...], any employee, […] who has done any of the following:
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The Licensee shall provide banking information that they have been removed from R1s account and will register for vendor training for residents personal rights, property management for safeguarding cash
POC: 06/15/2026
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improper use or embezzlement of client moneys. This requirement is not met as evidenced by: Based on Licensee admited to:becoming joint tenant/POA for R1 and improperly use of R1’s finances. This possesses an immediate health and safety risk to resident(s) in care.


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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4