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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191222081
Report Date: 02/13/2025
Date Signed: 02/13/2025 02:27:12 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
02/06/2025 and conducted by Evaluator Jose Gary Tan
COMPLAINT CONTROL NUMBER: 31-AS-20250206151438
FACILITY NAME:ARARAT HOME OF LOS ANGELESFACILITY NUMBER:
191222081
ADMINISTRATOR:RITA NORAVIANFACILITY TYPE:
741
ADDRESS:15105 MISSION HILLS RD.TELEPHONE:
(818) 365-3000
CITY:MISSION HILLSSTATE: CAZIP CODE:
91345
CAPACITY:186CENSUS: 80DATE:
02/13/2025
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Rita Noravian - AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff are not responding to resident's responsible party's requests for communication in a timely manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Gary Tan conducted an unannounced initial complaint visit at this facility to investigate the above allegation. LPA met with Administrator Rita Noravian and explained the reason for the visit.

LPA conducted physical plant tour at 9:55 AM, requested copies for facility documents relevant to the investigation at 10:25 AM, reviewed records between 10:30 AM to 11:30 AM and interviewed staff and resident between 11:30 AM to 1:00 PM. Regarding the allegation that Staff are not responding to resident's responsible party's requests for communication in a timely manner, it was alleged that the Reporting Party (RP) requested for the close circuit television (CCTV) footage of Resident #1 (R1)'s fall at the facility but did not get response from the administrator as at 02/06/25. LPA's record review today between 10:30 AM to 11:30 AM revealed that the administrator did reply to the RP's request on 02/25/25 at 4:12 PM, explaining that due to the strong winds on the past weeks and fire everywhere, the recording system of the CCTV was reset and was not recording, so there was no CCTV footage of the incident. (continued to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
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-20250206151438
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: ARARAT HOME OF LOS ANGELES
FACILITY NUMBER: 191222081
VISIT DATE: 02/13/2025
NARRATIVE
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(continued from LIC 9099)

LPA's interview with the maintenance manager today at around 11:50 AM revealed that they were not aware that the CCTV was not recording until they reviewed it immediately after the incident on 01/30/25. Further, it was apparent that the system was reset as it went back to 2013 and did not record properly until they fixed the date on the system. The maintenance manager added that the CCTV system has a local digital video recording (DVR) system which loops probably for two (2) weeks based on its storage capacity.

Based on the information gathered during this visit, the allegation is deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3