197610867-5-11-2026-31-AS-TAGD-DXAPC4-20260825111119

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610867
Report Date: 05/11/2026
Date Signed: 05/11/2026 01:58:50 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
05/01/2026 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20260501144201

FACILITY NAME:	ASE BLESSED COMFORT HOME		FACILITY NUMBER:	197610867
ADMINISTRATOR:	PARSADANYAN, EVELINA EDIKI		FACILITY TYPE:	740
ADDRESS:	9560 LEV AVE		TELEPHONE:	(818) 739-2556
CITY:	ARLETA	STATE: CA	ZIP CODE:	91331
CAPACITY:	6	CENSUS: 5	DATE:	05/11/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:			TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff mismanaged resident medication.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced initial complaint visit to this facility to investigate the above allegation. LPA met with administrator, Evelina Parsadanyan, and explained the reason for the visit.

--- Staff mismanaged resident medication

It was alleged that facility staff had been mismanaging Resident #1’s (R1) blood pressure medication, noting that R1’s blood pressure was elevated upon arrival to hospital. To investigate the allegation, LPA requested documents at 10:00a.m., interviewed two (2) staff from 11:00a.m. to 11:30p.m. and four (4) out of five (5) residents. LPA was unable to interview R1 as they were transferred to a skilled nursing facility. LPA attempted to contact R1 and their Responsible Party by phone but to no avail.

(CONT on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2026

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-20260501144201

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: ASE BLESSED COMFORT HOME	FACILITY NUMBER: 197610867
	VISIT DATE: 05/11/2026

NARRATIVE

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R1’s Physician’s Report states they are able to communicate and follow instructions. It also states that R1 is unable to store and administer own medications. A review of R1’s Hospice and Palliative Services Medication List states resident is taking Amlodipine Besylate once a day and to hold if blood pressure is less than one hundred ten (110) and Midodrine Hydrochloride three (3) times a day as needed and to hold if blood pressure is above one hundred (100). The Centrally Stored and Destruction records states medications were filled March 1, 2026. A review of staff schedule shows there is always at least one (1) caregiver and one (1) back-up such as an administrator and/or licensee present. A review of the Department’s records shows that facility submitted an incident report stating R1 had a change in condition, that hospice was notified and R1 was transported to hospital and subsequently transferred to a skilled nursing facility. During interviews, Staff #1 (S1) stated all residents are given their medications as prescribed and checked on every hour or more if needed. Staff #2 (S2) added R1’s blood pressure was checked every morning, afternoon and evening and medications were given accordingly. S2 stated R1 rarely fell below the blood pressure threshold. During interviews, all residents stated they are being given their medications as prescribed and feel there is sufficient staffing.

Based on interviews and record review, there is not enough information to verify the allegations, therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards noted during the visit.

Exit interview conducted. Copy of this report issued.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2026

LIC9099 (FAS) - (06/04)

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