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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610499
Report Date: 09/08/2026
Date Signed: 09/08/2026 02:22:41 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 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
09/04/2026 and conducted by Evaluator Jose Gary Tan
COMPLAINT CONTROL NUMBER: 31-AS-20260904144304
FACILITY NAME:LOS ANGELES BOARD AND CAREFACILITY NUMBER:
197610499
ADMINISTRATOR:ARZUMANYAN, ANUSHFACILITY TYPE:
740
ADDRESS:15214 CHATSWORTH STREETTELEPHONE:
(424) 666-5666
CITY:MISSION HILLSSTATE: CAZIP CODE:
91345
CAPACITY:6CENSUS: 6DATE:
09/08/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Anush Arzumanyan - AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure resident was provided meals while in care
Staff did not ensure residents incontinence care needs were met
Resident developed a pressure wound due to staff neglect
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jose Tan conducted an unannounced initial complaint visit at this facility to investigate the above allegations. LPA met with the Administrator Amush Arzumanyan and explained the reason for the visit.

LPA conducted physical plant tour at 1:35 PM, requested copies of facility documents relevant to the investigation at 1:45 PM, reviewed records between 1:45 PM to 2:10 PM and interviewed the Administrator at 2:15 PM. Based on LPA's record review and interview with the Administrator, Resident #1 (R1) was never a resident of this facility. R1 was a resident of LA Board & Care (197610796) which is a sister facility of this facility. These allegations therefore are 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. Copy of this report issued.

Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2026
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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