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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603605
Report Date: 08/26/2025
Date Signed: 08/26/2025 03:48:37 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
08/22/2025 and conducted by Evaluator Leslie Ngo-Castaneda
COMPLAINT CONTROL NUMBER: 31-AS-20250822155313
FACILITY NAME:ARARAT GARDENSFACILITY NUMBER:
198603605
ADMINISTRATOR:KESHISHYAN, VARSENIKFACILITY TYPE:
741
ADDRESS:1230 EAST WINDSOR ROADTELEPHONE:
(818) 244-7219
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:175CENSUS: 78DATE:
08/26/2025
UNANNOUNCEDTIME BEGAN:
09:22 AM
MET WITH:KESHISHYAN, VARSENIK- executive directorTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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9
Resident receiving additional incidental medical care unrelated to their health condition.
Facility staff bully resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced initial visit for the above allegation.  LPA met with Executive Director Varsenik Keshishyan and explained the reason for the visit.

Allegation #1: Resident receiving additional incidental medical care unrelated to their health condition.

It is alleged that Resident#1 (R1) was given a medical referral to the specialist for medical care unrelated to their health condition. To investigate the allegation, With the assistance of the administrator at 10:00AM, LPA took a tour of the physical plant. At 9:30 AM, LPA interviewed the executive director (S1) and four (4) other staff members.

Continue to LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
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 3
Control Number 31-AS-20250822155313
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: ARARAT GARDENS
FACILITY NUMBER: 198603605
VISIT DATE: 08/26/2025
NARRATIVE
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At 10:22 AM, LPA interviewed a total of ten (10) residents, including R1. At 9:45AM LPA conducted a records review of R1's file, as well as other relevant documents, including the physician's report, admission agreement, LIC 500, resident roster, appraisal needs and services, intake sheet, and other pertinent documents. Staff , revealed,  that residents are referred to the medical specialist to get incidental medical care based on their health conditions or other related information warranting additional referrals to the skilled professionals. Nine (9) out of ten (10) residents, stated that facility staff always offer them assistance that is related to their medical care based on available information, overall assessment, and changes in their condition. A review of medical record revealed that the R1 was referred to the skilled professional due to the information they received from the 3rd party who provided assistance to the R1 outside of facility.

Based on observation, interviews and record review, although this allegation may have occurred, there is not sufficient information to verify validity of the complaint. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Allegation #2: Facility staff bully resident.

It was alleged that resident #1 (R1) spoke inappropriately and was bullied by staff #2 (S2). To investigate the allegation, LPA conducted a physical plant tour at around 10:00 AM. From 9:30AM to 2:00 PM, LPA interviewed the executive director (S1), four (04) staff,  and ten (10) residents. At 10:15 AM, LPA interviewed a total of ten (10) residents, including R1. At 2:10 PM LPA conducted a records review of R1's file, as well as other relevant documents, including the physician's report, admission agreement, LIC 500, resident roster, appraisal needs and services, intake sheet, and other pertinent documents, including internal incident log.

Staff revealed that they have never bullied or speak inappropriately to a resident and treats all residents with dignity and respect. Interview with nine (9) out of ten (10) residents revealed that they are happy living at the facility and that the overall staff are nice to them. No residents addressed any issues and concerns regarding S2. Residents also stated that S2 knows how to communicate with them and at time S2 may be firm if needed.

Continue to LIC 9099-C 
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20250822155313
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: ARARAT GARDENS
FACILITY NUMBER: 198603605
VISIT DATE: 08/26/2025
NARRATIVE
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Based on interviews and review of facility records did not reveal any information to support the allegation.
Therefore, based on interviews, observation and record review, the allegation is deemed UNSUBSTANTIATED at this time.

No health and safety issues were noted at the time of this visit. An exit interview was conducted, and a copy of the report was issued to the ED.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3