565850158-5-15-2026-29-AS-DPEA-DUK7G4-20260529213831

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850158
Report Date: 05/15/2026
Date Signed: 05/15/2026 05:12:01 PM

Unsubstantiated

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. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/30/2026 and conducted by Evaluator Kelly Dulek

COMPLAINT CONTROL NUMBER: 29-AS-20260430153502

FACILITY NAME:	AASTA ASSISTED LIVING		FACILITY NUMBER:	565850158
ADMINISTRATOR:	DENISE GILROY		FACILITY TYPE:	740
ADDRESS:	903 CARMEN DRIVE		TELEPHONE:	(805) 586-4191
CITY:	CAMARILLO	STATE: CA	ZIP CODE:	93010
CAPACITY:	130	CENSUS: 57	DATE:	05/15/2026
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Narinder Kumar, Licensee representative		TIME COMPLETED:	04:55 PM

ALLEGATION(S):

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Staff did not treat resident(s) with dignity and respect

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Kelly Dulek and Valeria Conway conducted an unannounced subsequent complaint visit regarding the above noted allegation. LPAs initially met with staff. Licensee represenative was contacted via telephone and arrived at 02:45 p.m. Entrance interview conducted.

During today’s visit, LPAs reviewed relevant documents and toured the facility at 04:15 p.m. During a subsequent visit conducted on 05/09/2026, the LPA interviewed two (2) staff, toured the facility at 08:40 a.m., the LPA reviewed and obtained copies of relevant documents, and LPA interviewed facility designee at 10:00 a.m. During the initial visit conducted on 05/05/2026, the LPAs interviewed the designee at 10:30AM, conducted a telephonic interview with the licensee at 11:25AM, toured the facility with designee at 12:22PM, conducted interviews with three (3) staff and six (6) residents from 01:22PM to 03:45PM, and the LPAs reviewed and obtained copies of relevant documents. The following was then determined:
Report Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

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 29-AS-20260430153502

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. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: AASTA ASSISTED LIVING	FACILITY NUMBER: 565850158
	VISIT DATE: 05/15/2026

NARRATIVE

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It was alleged that a licensee representative was yelling at residents and harassing residents for their rent money. LPAs interviewed six (6) residents, including those listed in the complaint, related to the allegation. All residents stated that the licensee representative, Ashley, has never yelled or acted inappropriately at the facility. Residents stated Ashley has never been rude and is always nice to the residents. Some residents interviewed stated they are unsure if their rent was paid for the month of May since a family member handles their payments. One resident indicated the former designee, Agnes Gazaryan had informed them rent would be paid under a new company. However, most residents stated they made their checks to Aasta and paid as usual without issue. No staff nor resident interviewed reported any misconduct by the licensee representative. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation is deemed UNSUBSTANTIATED at this time.

No citations issued. Exit interview was conducted. A copy of the report was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

LIC9099 (FAS) - (06/04)

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