157209266-2-10-2025-24-AS-AWAN-DFHPD8-20250407111304

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157209266
Report Date: 02/10/2025
Date Signed: 02/10/2025 02:08:19 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/07/2025 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20250207112540

FACILITY NAME:	HEAVENLY CASTLE CARE INC		FACILITY NUMBER:	157209266
ADMINISTRATOR:	NSHANYAN, HASMIK		FACILITY TYPE:	740
ADDRESS:	1651 WHITE ROCK RD		TELEPHONE:	(310) 993-2447
CITY:	FRAZIER PARK	STATE: CA	ZIP CODE:	93225
CAPACITY:	6	CENSUS: 5	DATE:	02/10/2025
		UNANNOUNCED	TIME BEGAN:	10:28 AM
MET WITH:	Staff Siranoush "Susan" Musayelyan and Administrator Hasmik "Jasmine" Nshanyan		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff did not provide an appropriate sleeping arrangement for a resident
Staff do not provide a comfortable temperature for the residents
Staff do not meet a resident's hygiene needs while in care
Staff does not communicate effectively with a resident
Staff interferes with a resident's outside communication

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to commence a complaint investigation. LPA was granted entry by Staff Siranoush "Susan" Musayelyan. LPA contacted Administrator via telephone who gave permission for staff to assist with the visit. Administrator Hasmik "Jasmine" Nshanyan arrived at the end of the visit and signed for this report.

LPA reviewed resident records. LPA interviewed staff and residents. LPA toured the facility. Facility temperature was set at 72 F and was operating. LPA observed R1's room two have two separate beds pushed together. R1 shares a room with another resident R3.

Based on interviews and observation, LPA observed R1 and R3's beds pushed together, however after conducting interviews R1 and R3 requested the beds to be pushed together. LPA took photo of beds.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025

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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Control Number 24-AS-20250207112540

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: HEAVENLY CASTLE CARE INC	FACILITY NUMBER: 157209266
	VISIT DATE: 02/10/2025

NARRATIVE

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Based on interviews and observation, LPA observed facility temperature to be set at 72 F and operating. Based on interviews, residents are comfortable with the temperature of the facility. It is unknown if there was a time the temperature was not comfortable.

Based on interviews, residents hygiene needs are being met. Residents are receiving showers a minimum of twice per week and more if needed. It is unknown if there was a time a residents hygiene needs were not met.

Based on interviews and observation, staff are able to communicate with residents in care. LPA spoke to S1 during the visit and the Administrator and we were able to communicate effectively. LPA conducted interviews and residents it was found that communication can sometimes be challenging but the residents needs are able to be met. It is unknown if there was a time a resident could not communicate with staff.

Based on interviews, residents are receiving their outside communication via mail. It is unknown if there was a time a resident did not receive their mail.

The Department has investigated the above allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was provided.

SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025

LIC9099 (FAS) - (06/04)

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