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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610911
Report Date: 09/09/2026
Date Signed: 09/09/2026 12:58:10 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.RO, 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
09/03/2026 and conducted by Evaluator Leslie Ngo-Castaneda
COMPLAINT CONTROL NUMBER: 31-AS-20260903104240
FACILITY NAME:HEALING PINES SENIOR LIVING LLCFACILITY NUMBER:
197610911
ADMINISTRATOR:GHUKASYAN, KRISTINEFACILITY TYPE:
740
ADDRESS:19733 HEMMINGWAY STTELEPHONE:
(747) 352-2385
CITY:WINNETKASTATE: CAZIP CODE:
91306
CAPACITY:6CENSUS: 5DATE:
09/09/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Liana Gafikyan- Staff designeeTIME COMPLETED:
01:29 PM
ALLEGATION(S):
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Staff does not ensure resident receives any meals at the facility.
Staff does not ensure laundry services are provided to resident.
Illegal eviction.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced initial visit regarding the above allegations. LPA met with staff member (S2), Liana Gafikyan, and explained the purpose of the visit. At 9:35 AM, the facility administrator arrived and was advised of the reason for the visit.

At 10:03 AM, LPA interviewed the administrator (S1), one (1) staff member, and five (5) out of five (5) residents. At 10:30 AM, LPA conducted a records review and requested copies of the following documents: Staff Roster (LIC 9020), Personnel Report (LIC 500), residents' physicians' reports, admission agreements, appraisal needs and service plan, and other pertinent documents.

Allegation: Staff does not ensure resident receives any meals at the facility.

Continue to LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

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

DATE: 09/09/2026
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-20260903104240
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: HEALING PINES SENIOR LIVING LLC
FACILITY NUMBER: 197610911
VISIT DATE: 09/09/2026
NARRATIVE
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It was alleged that staff does not ensure residents receive any food and water at the facility. During today’s visit, upon arrival, LPA observed that the residents had just finished breakfast: oatmeal, cereal, eggs, milk, coffee, and a jug of water available at the center table. At lunchtime, LPA observed the resident's lunch plate: white rice, ground turkey with vegetables, and a cup of water/ juice. Record review at revealed that the facility menu provides a well-balanced meal that includes fruit, vegetables, protein, and yogurt. Interviews with residents revealed that the food is good, nutritious, and of good quality. Interviews with staff revealed that three (3) well-balanced meals are served and snacks are given when requested.

Based on interviews, record review, and observations, facility staff have ensured that residents receive well-balanced meals. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Allegation: Staff does not ensure laundry services are provided to resident.

It was alleged that staff do not provide laundry services to the residents in care. During today’s visit, LPA observed staff washing residents' clothes and linens. Interviews with residents stated that laundry services are done every day. Interviews with staff revealed that they do each designated resident’s laundry every day, wash their belongings separately, and store them accordingly. During physical plant tour, LPA Ngo-Castaneda observe each resident has their own hamper for laundry, and it was not overflowing.

Based on interviews and observation, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Allegation: Illegal eviction.

It was alleged that facility staff served resident #1 (R1) an illegal eviction. A copy of the eviction letter was sent to LPA Ngo-Castaneda on 8.6.2026. An interview with the administrator revealed that R1 does not abide by the house rules, does not respect the personal rights of the residents, and took personal belongings from bedroom #1.

Continue to LIC 9099-C
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

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

DATE: 09/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20260903104240
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: HEALING PINES SENIOR LIVING LLC
FACILITY NUMBER: 197610911
VISIT DATE: 09/09/2026
NARRATIVE
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R1 took a television remote that is connected to, belongs to bedroom #1, and is being used by resident #5 (R5). Interview with resident #2 (R2) and resident #4 (R4) revealed that R1 enters bedroom #3 without knocking and uses their private bathroom. Interview with R5 revealed that R1 took their remote and entered bedroom #1 without knocking. Record review revealed that R1 refused to sign the eviction letter and stated that they are looking for another facility to move to. Record review revealed R1’s appraisal needs/ service plan and admission agreement revealed pertinent information to the allegation. Interview with residents stated that they have not receive any eviction for staff and stated that they have no issue with the care that they receive from the facility.

Based on interviews and record review, the facility did not illegally evict a resident. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

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

Exit interview conducted. Copy of report provided.
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

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

DATE: 09/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3