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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850423
Report Date: 07/28/2026
Date Signed: 07/28/2026 12:11:27 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
07/01/2026 and conducted by Evaluator Sandra Urena
COMPLAINT CONTROL NUMBER: 29-AS-20260701152144
FACILITY NAME:IVY PARK AT WOODLAND HILLSFACILITY NUMBER:
195850423
ADMINISTRATOR:LILIT MNATSAKANYANFACILITY TYPE:
740
ADDRESS:20461 VENTURA BLVD.TELEPHONE:
(818) 346-9046
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY:127CENSUS: 90DATE:
07/28/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:LILIT MNATSAKANYANTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Unlawful eviction
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Sandra Urena conducted an unannounced subsequent visit to deliver the findings for the for the allegation listed above. LPA Urena met with the Executive Director (ED) Lilit Mnatsakanyan and explained the reason for the visit.
On 07/09/2028 Licensing Program Analyst (LPA) Quoc Huynh conducted an initial complaint visit for the above allegation. The LPA arrived at 9:48AM and met with Executive Director (ED) Lilit Mnatsakanyan. The LPA met with Executive Director (ED) Lilit Mnatsakanyan. On 07/08/2026, the ED provided the LPA with pertinent documents, however requested an extension for the remainder of the documents. The ED agreed to provide the LPA with the remainder of the requested documents which include the resident’s care plans conducted while residing at the facility, medication records, and any supporting documentation pertaining to their eviction notice. The documents will be provided to the LPA via email no later than close of business today, 07/09/2026. Continued on LIC 9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2026
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 3
Control Number 29-AS-20260701152144
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: IVY PARK AT WOODLAND HILLS
FACILITY NUMBER: 195850423
VISIT DATE: 07/28/2026
NARRATIVE
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Unlawful eviction.
It was alleged that facility issued an unlawful eviction notice to Resident #1 (R1); the concern of the Reporting Party (RP) is that the facility is trying to evict R1 as part of retaliatory measures for the facility being reported to the regulatory agency (Community Care Licensing Department). LPA Huynh conducted an initial visit and requested documents pertinent to the investigation. LPA Urena conducted record review of the copy of the Admission Agreement and House Rules and the eviction notice given to R1. Furthermore, LPA Urena asked the ED and the RP pertinent questions via email.

LPA Urena reviewed the Eviction Notice, which states in the opening paragraph: “Over the past weeks we have had numerous discussions... a summary of the incidents that have been observed and documented”. Per the ED, the incidents were discussed in person with R1, however the ED did not provide written documentation to the LPAs about the discussions that took place with R1, other than the Eviction Notice. Furthermore, after LPA Urena reviewed the Admission Agreement (page #14, paragraph #20.) which discusses the Meet and Conference/Mediation process states the following: MEET AND CONFER/MEDIATION: You(resident) and Ivy Park agree that in the event of any dispute arising out of or related to this Residence and Services Agreement including but not limited to contract disputes or personal injury claims, the parties, before taking any legal action, will first meet and confer informally in good faith to try to resolve any such dispute. In the event that the parties are unable to resolve their dispute(s) through such informal meeting, the parties agree that they then will submit the dispute to formal non-binding mediation to be conducted by a qualified, neutral mediator agreed to by the parties. The fees and expenses relating to such mediation shall be borne equally by You and Ivy Park, except that each party shall pay its own attorneys' fees and expenses. LPA Urena asked the ED via email if this mediation process was offered to R1, and the ED, replied, “Yes, a meeting between the Ivy’s (ED and VPO) and R1’s family member, on behalf of R1, was conducted via phone on 7/10/2026. This was informal and without any legal presence.” The LPA record’s review identified R1 as being responsible for themselves. Furthermore, when LPA Urena interviewed the RP via email about R1 being offered a mediation meeting, the RP reported that the mediation meeting was not offered to R1.


Based on the information obtained through record review and interviews, the facility staff did not follow their own Admission Agreement rules, consequently the facility did not give R1 to opportunity to resolve the disputes described in the Eviction Notice served to R1 on July 1, 2026 through the mediadtion process. Therefore, the allegation of Unlawful Eviction is deemed Substantiated at this time. Pursuant to CCR, Title 22, Division 6, Chapter 8, the following deficiencies are cited (Refer to LIC 9099-D). Exit interview conducted. Citation issued. A copy of the report and Appeal Rights was issued
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 29-AS-20260701152144
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: IVY PARK AT WOODLAND HILLS
FACILITY NUMBER: 195850423
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/31/2026
Section Cited
CCR
87224(a)(3)
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(a)The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). (3)Failure …said general policies must be in writing, must be for the purpose of making it possible for residents to live together and must be made part of the admission agreement. This requirement was not met as evidenced by:
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The Executive Director has agreed to read, review the facility's Admission Agreement and submit a statement of understanding on Regulation 87224 Eviction Procedures and submit to CCLD.
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Based on record review, the licensee did not comply with the section cited above as the facility did not follow the facility’s Admission Agreement policy of providing the resident with the opportunity for the mediation process, which poses a potential health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2026
LIC9099 (FAS) - (06/04)
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