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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850261
Report Date: 05/17/2026
Date Signed: 05/17/2026 10:00:33 PM

Unfounded


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
05/06/2026 and conducted by Evaluator Zabel Chochian
COMPLAINT CONTROL NUMBER: 29-AS-20260506092313
FACILITY NAME:ABOVE AND BEYOND HOME CAREFACILITY NUMBER:
565850261
ADMINISTRATOR:CERVANTES, ANALYNFACILITY TYPE:
740
ADDRESS:6217 ANASTASIA STTELEPHONE:
(747) 210-1660
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:6CENSUS: 5DATE:
05/17/2026
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Reynante Cervantes, StaffTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee moved residents to a unlicensed location
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding. Upon arrival LPA met with Staff Reynante Cervantes. The reason for the visit was At approximately 11:45A.M., LPA and staff toured the facility and observed five residents at the facility with two staff on duty.

Following is the summary of the allegation and investigation finding:

On 05/06/2026, Community Care Licensing Division received information regarding the above allegation. On 05/08/2026, LPA Chochian conducted a complaint visit to the facility. LPA and Administrator toured the facility at approximately 5pm. During the tour LPA met with and interviewed all residents. LPA requested copies of records relevant to case.

Regarding allegation: “Licensee moved residents to an unlicensed location”: (Continue to Lic9099c)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2026
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 2
Control Number 29-AS-20260506092313
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: ABOVE AND BEYOND HOME CARE
FACILITY NUMBER: 565850261
VISIT DATE: 05/17/2026
NARRATIVE
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 Information was received that all residents of this facility were moved to another location (unlicensed). Interview conducted with the reporting party, staff and residents revealed that residents of this facility never moved to another location. Residents denied ever moving to another location. Administrator reported that they never moved any resident to another location. Administrator stated that the licensee is in the process of submitting a relocation application since they have decided not to renew the lease for this property which will end in 11/2026. Administrator stated that the new property is secured and they are currently working on submitting a relocation application for the new location and once approved the residents will then relocate. Residents interviewed confirmed having been notified about the anticipated relocation to another property.
Interview with the reporting party revealed that the allegation was not correct and the information provided was that the facility is anticipating on moving resident to another location not that they have been moved.

Based on the information obtained, the allegation is deemed UNFOUNDED at this time. A finding of unfounded means that the allegation is either false, could not have happened, and/or is without a reasonable basis.

Exit interview conducted. A copy of the report was provided.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2