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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850731
Report Date: 09/17/2026
Date Signed: 09/17/2026 03:09:13 PM

Document Has Been Signed on 09/17/2026 03:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:VALLEY VISTA SENIOR LIVINGFACILITY NUMBER:
195850731
ADMINISTRATOR/
DIRECTOR:		MNOYAN, MAYAFACILITY TYPE:
740
ADDRESS:7040 VAN NUYS BLVD.TELEPHONE:
(818) 850-6530
CITY:VAN NUYSSTATE: CAZIP CODE:
91405
CAPACITY: 264CENSUS: 137DATE:
09/17/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Maya MnoyanTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Brian Balisi and Erica Mosley conducted a Pre-licensing visit and met with the Applicants  Maya Mnoyan. This is a Change of Ownership (CHOW) application for a Residential Facility for the Elderly (RCFE) for (135) ambulatory, (95) non-ambulatory residents; (84) of which may be a bedridden resident(s). Fire Clearance was approved on 08/14/2026. LPAs, and the Applicant toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility will be following Title 22 Regulations. The facility is a five story building.  Facility has 3 working elevators and 2 stairwells. Roof is accessible through the stairwells. 

LPA's conducted physical plant at approx 09:05 a.m. Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. LPAs observed sufficient perishable and non-perishable foods to meet the minimum two-day and seven-day supply of food and water.  Refrigerator and food pantry were checked for proper labels and expiration dates. LPAs observed an adequate amount of emergency food and water; properly stored. Food is prepared in the main kitchen and delivered to the dining area and Memory Care Unit. Facility uses Sysco Foods for food deliveries. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F.  The supply of nonperishable food is adequate. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional at the time of the visit. Trash cans had tight fitting lids. No flies or other vermin were observed in the area.

All rooms for Assisted Living residents are both studio and one bedrooms, and are equipped with a refrigerator and sink.  The Generations Memory Care, which is located on the third floor has no appliances.
All resident rooms are set up with beds, night stands, lamps, chests of drawers, chairs and closet space. 
Desaree Perera
Brian Balisi
DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VALLEY VISTA SENIOR LIVING
FACILITY NUMBER: 195850731
VISIT DATE: 09/17/2026
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The beds are furnished with comfortable mattress and clean linen, which includes, a mattress pad, top and bottom linens, pillowcases, blanket and a bedspread. Lighting in the rooms appeared adequate.  In addition, no bedroom was used as a passageway to another room, bath or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair. The hot water temperature was tested in the bathrooms and was found to be within the range of 105 and 120 degrees Fahrenheit. 

The fifth floor and fourth floor are identical and contains a resident lounge and 33 rooms consisting of 26 studios and 8 one bedrooms. The third floor contains 23 studio bedrooms; 8 shared bedrooms. The 2nd floor contains a total of 33 rooms; 8 singles and 25 studios.  The 1st floor contains the management offices, fitness center, dining/kitchen area, and beauty salon. The common areas were appropriately furnished, and the lighting was adequate.  There was sufficient space to accommodate both indoor and outdoor activities. There are functioning telephone on the premises.  No obstructions were observed inside or out. LPAs observed common areas to be clean and in good condition. There are games and/or activity supplies in the activity rooms. Night lights were maintained in hallways and passageways.  The facility maintained a comfortable temperature throughout the community. LPAs observed several fireplaces throughout the facility; adequately covered. Required postings were observed throughout the common space.  The LPAs observed stairwells to have emergency evacuation chairs. Emergency exiting plans/sketch are posted throughout the facility. There were no obstructions and/or tripping hazards throughout the facility. Medications for the facility are kept on the 2nd floor and 3rd floor.

There are cameras/video surveillance throughout the interior and exterior of the building. The are no cameras in resident rooms. There is a laundry room for resident use  on floors 5,4 and 2. The laundry room on the third floor Memory Care is locked and the main/commercial Laundry room is on the first floor.

The emergency telephone numbers, and other required postings are posted by the elevators. The smoke detector and carbon monoxide detectors are hard wired, at approx 08:55 a.m. fire alarm devices were observed functioning properly during the time of visit. Fire extinguishers were observed fully charged and last serviced on February 02, 2026.
NAME OF LICENSING PROGRAM MANAGER: Desaree Perera
NAME OF LICENSING PROGRAM ANALYST: Brian Balisi
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VALLEY VISTA SENIOR LIVING
FACILITY NUMBER: 195850731
VISIT DATE: 09/17/2026
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The LPAs observed common areas to be clean, clear of obstructions/hazards, and furniture was in good condition with patios/courtyards providing shade for residents. Required postings were observed by the elevators on the first floor. There were no bodies of water observed during today’s visit. There were fire extinguishers throughout the facility, which were serviced on 02/02/2026. There is no bodies of water observed at this time.

Infection control / Emergency Disaster plan: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills will be conducted quarterly. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan will be reviewed/updated annually by the facility’s administrator.

Component III was conducted in conjunction with the visit.

This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your new license has been approved by the CAB Analyst. Failure to comply could affect approval of your new license.

No corrections required at this time. Exit interview conducted. Report issued and provided to Administrator.
NAME OF LICENSING PROGRAM MANAGER: Desaree Perera
NAME OF LICENSING PROGRAM ANALYST: Brian Balisi
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026
LIC809 (FAS) - (06/04)
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