197610895-9-23-2026-31-AS-NMAN-DYCUYK-20260928160003

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610895
Report Date: 09/23/2026
Date Signed: 09/23/2026 04:17:36 PM

Unsubstantiated

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
08/03/2026 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20260803112842

FACILITY NAME:	ABUNDANT WELLNESS RESIDENCE		FACILITY NUMBER:	197610895
ADMINISTRATOR:	NAHAPETYAN,ELLEN		FACILITY TYPE:	740
ADDRESS:	22737 HAMLIN ST		TELEPHONE:	(818) 854-1178
CITY:	WEST HILLS	STATE: CA	ZIP CODE:	91307
CAPACITY:	6	CENSUS: 2	DATE:	09/23/2026
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Celia Orellana		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff does not respond to resident's call button in a timely manner due to inadequate staffing.
Staff yell at resident.
Staff cannot communicate with resident due to language barrier.
Staff does not ensure resident receives packages.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

At approximately 2:30 p.m. on 09/23/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with Staff #1 (S1) and disclosed the reason for the visit.

To investigate the allegations above, LPA conducted an initial visit on 08/06/26 and toured the facility inside and out at 2:40 p.m., interviewed staff and four (04) out of four (04) residents between 2:45 p.m. and 3:30 p.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 3:40 p.m. At 11:00 a.m. on 09/10/26, LPA conducted a telephonic interview with the licensee. Today, LPA telephonically interviewed a witness, Witness #1 (W1) at 1:45 p.m., toured the facility inside and out at 2:45 p.m., and tested six (06) out of six (06) call buttons at 3:00 p.m.

Regarding the allegation "Staff does not respond to resident's call button in a timely manner due to inadequate staffing" it was alleged Resident #1 (R1) waited hours for staff assistance after using the call

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

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 31-AS-20260803112842

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: ABUNDANT WELLNESS RESIDENCE	FACILITY NUMBER: 197610895
	VISIT DATE: 09/23/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

button. Interviews with three (03) out of four (04) residents revealed they have no issue receiving staff assistance or using their call buttons. The call button test conducted today revealed six (06) out of six (06) call buttons were operational. LPA also tested the call button of R1 at 3:23 p.m. on 08/06/26, and staff arrived within one (01) minute. Interview with S1 revealed they respond to all call button requests within ”seconds, not minutes”. Interview with the licensee revealed all call buttons have been operational. Based on interviews and call button tests, it was concluded that although the allegation may have occurred, there is no measurable and verifiable information to confirm validity of the complaint. Hence the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation "Staff yell at resident" it was alleged Staff #1 (S1) has yelled at R1 multiple times. Interviews with three (03) out of four (04) residents revealed staff have never yelled at them. Interview with S1 at 2:45 p.m. on 08/06/26 revealed they have never yelled at R1. R1 yells at S1 instead. Interview with W1 revealed staff treat R1 with respect and are very nice to them. Interview with the licensee revealed they have not heard staff yelling at residents. During the initial visit on 08/06/26 and today, LPA did not hear S1 yelling at residents. LPA observed S1 treating residents respectfully. Record review revealed no pertinent information. Based on interviews, record review, and observations, it was concluded that although the allegation may have occurred, there is no measurable and verifiable information to confirm validity of the complaint. Hence the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation "Staff cannot communicate with resident due to language barrier" it was alleged S1 has a thick accent which residents cannot understand. Interviews with three (03) out of four (04) residents revealed they have no issue communicating with S1. Interview with W1 revealed they had no issue understanding S1. Interview with the licensee revealed no residents have had issues communicating with S1. Interview with S1 revealed they have effectively communicated with all residents and visitors. Based on interviews and record review, it was concluded that although the allegation may have occurred, there is no measurable and verifiable information to confirm validity of the complaint. Hence the allegation is UNSUBSTANTIATED at this time.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 31-AS-20260803112842

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: ABUNDANT WELLNESS RESIDENCE	FACILITY NUMBER: 197610895
	VISIT DATE: 09/23/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Regarding the allegation "Staff does not ensure resident receives packages" it was alleged R1 was sent packages which they never received. Interview with R1 could not confirm if they received the packages. Interviews with three (03) out of four (04) residents revealed they have had no issues with receiving mail. Interviews with the licensee and S1 revealed R1 and all other residents have received all of their mail. Record review and observations provided no pertinent information to the investigation. Based on interviews and record review, it was concluded that although the allegation may have occurred, there is no measurable and verifiable information to confirm validity of the complaint. Hence the allegation is UNSUBSTANTIATED at this time.

No immediate health or safety concerns observed during today’s visit.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3