197610839-1-22-2026-31-AS-NGID-DTRSBT-20260504134422

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610839
Report Date: 01/22/2026
Date Signed: 01/22/2026 03:19:00 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
12/24/2025 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20251224094842

FACILITY NAME:	SUNNARA GOLD INC		FACILITY NUMBER:	197610839
ADMINISTRATOR:	HOVHANNISYAN, HRACH		FACILITY TYPE:	740
ADDRESS:	14907 HUBBARD STREET		TELEPHONE:	(818) 934-7783
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	6	CENSUS: 5	DATE:	01/22/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Alexandra Vetoshkina, Staff		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Unlicensed care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angela Panushkina conducted a subsequent complaint visit to this house to follow up on an Unlicensed Care Complaint. LPA was greeted by Staff #1, who granted access to this home. LPA contacted Irina Raskopina and explained the reason for the visit. Staff #1 was assigned to sign this report.

On 12/30/25, a visit was conducted and interviews with Mrs. Raskopina and staff revealed that five (5) out of five (5) individuals residing in this home required and were receiving elements of care and supervision. Although the pre-licensing visit was conducted on 11/13/25, the license was still under the pending status. LPA informed Mrs. Raskopina that Fire Clearance (dated 10/22/2025) was approved for five (5) ambulatory residents ONLY. Notice of Violation of Law (NOVL) was issued, and Mrs. Raskopina was advised to cease the operation and/or request a new Fire Clearance.

Continue on LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026

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-20251224094842

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: SUNNARA GOLD INC	FACILITY NUMBER: 197610839
	VISIT DATE: 01/22/2026

NARRATIVE

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During today’s visit, LPA was informed that request for a new Fire Clearance for five (5) Non-ambulatory and one (1) bedridden resident was already submitted to Sacramento Community Care Licensing Division (CCLD) on 01/14/2026. Although the Plan of Correction (POC) was submitted and cleared, based on complaint reviews, the Substantiated findings shall remain the same.

LPA reminded Mrs. Raskopina that the application for Residential Care Facility for the Elderly (RCFE) license for this location is currently pending, and no new residents shall be admitted at this time.

Exit interview conducted, appeal rights explained and copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026

LIC9099 (FAS) - (06/04)

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