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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610938
Report Date: 05/28/2026
Date Signed: 05/28/2026 01:56:21 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
05/19/2026 and conducted by Evaluator Raymond Comer
COMPLAINT CONTROL NUMBER: 31-AS-20260519150858
FACILITY NAME:HARMONY LIFE HOMESFACILITY NUMBER:
197610938
ADMINISTRATOR:LIZA GASPARYANFACILITY TYPE:
740
ADDRESS:18720 KESWICK STTELEPHONE:
(818) 447-6763
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:6CENSUS: 4DATE:
05/28/2026
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Levon Martirosyan, Licensee/CEOTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff did not provide resident with copies of resident's records.
INVESTIGATION FINDINGS:
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On Thursday, 05/28/26, Licensing Program Analyst, (LPA) Raymond Comer, conducted an initial 10-day complaint visit to investigate the above allegation. LPA presented official CDSS identification badge, LPA met with Staff caregiver, Darejan Razmadze, and the Licensee was contacted via telephone. LPA explained the reason for the visit and the Licensee arrived at 10:20 am.

At 10:25 am, LPA conducted a physical plant tour; no health and safety issues were observed.

To investigate the allegation, Between 10:35 am and 11:15 am, LPA interviewed the Licensee and Administrator. Between 11:30 am, and 12:10 pm, LPA interviewed four (4) residents, which include resident#1. Between 12:40 pm, and 1:10 pm, LPA interviewed two (2) responsible family members. At 1:15 pm, LPA obtained and reviewed Facility roster, Personnel roster, Resident#1 (R1) Physician Report, Appraisal, and other relevant documentation.

[LIC9099C] Continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
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 2
Control Number 31-AS-20260519150858
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: HARMONY LIFE HOMES
FACILITY NUMBER: 197610938
VISIT DATE: 05/28/2026
NARRATIVE
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Allegation: Staff did not provide resident with copies of resident's records. It was alleged that Staff neglected to provide Resident#1 (R1) with documents requested from their file in a timely manner.
To investigate the allegation, LPA Comer spoke with both the Licensee and Staff house Manager which refute the claim and stated that on 5/11/26, R1 was provided copies of all requested documents maintained in R1's resident file. Per Licensee, R1 received all requested documents on 5/11/26, however R1 refused to sign a statement of receipt of said documents.

LPA Comer's interviews with R1 revealed the following: R1 confirms receiving the majority of all requested records on 5/11/26, several days before R1 submitted their written request on 5/14/26. R1 confirmed to LPA Comer that they did refuse to sign a statement confirming receipt of documents. All four (4) out of a total of four (4) residents were interviewed which revealed the following: Three (3) out of four (4) residents state that staff provide adequate and timely communications to their doctor and responsible family members.

LPA Comer's interviews with the responsible family members of two (2) residents revealed the following: Staff provide adequate and timely communication regarding status of resident health and safety, and have no issues receiving resident-related documentation in a timely manner, when requested.

LPA Comer's review of documents reviewed the following: R1's file contains an internal memorandum, dated 5/11/26, which shows that R1 was provided copies of documents, as requested.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted and a copy of this report was provided to the Licensee.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2