195850058-4-24-2025-29-AS-KLOZ-DH722Z-20250530170133

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 195850058
Report Date: 04/24/2025
Date Signed: 04/24/2025 11:57:21 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

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

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/24/2024 and conducted by Evaluator Trevor Byrne

COMPLAINT CONTROL NUMBER: 29-AS-20240424134628

FACILITY NAME:	IMPRESSIVE CARE, INC.		FACILITY NUMBER:	195850058
ADMINISTRATOR:	TAGARYAN, ARMINE ADRINE		FACILITY TYPE:	740
ADDRESS:	13302 ARMINTA STREET		TELEPHONE:	(818) 517-6594
CITY:	NORTH HOLLYWOOD	STATE: CA	ZIP CODE:	91605
CAPACITY:	6	CENSUS: 2	DATE:	04/24/2025
		UNANNOUNCED	TIME BEGAN:	09:29 AM
MET WITH:	Armine Tagaryan		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff yelled at resident
Staff did not allow resident to use the phone

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced follow-up complaint investigation visit at the facility at 09:29 AM. LPA met with facility staff who contacted the facility Administrator Armine Tagaryan. The Administrator arrived to the facility at 09:45 AM. Entrance interview conducted and the reason for the visit was explained.

During the initial visit on 05/02/2024, LPA Peraldi conducted a physical plant tour to ensure there are no health and safety hazards, collected copies of pertinent documents, and conducted interviews with the Administrator, one (1) staff member, and one (1) witness between 02:40 PM. and 03:40 PM. During today’s visit LPA Byrne conducted a physical plant tour, interviewed two (2) residents, obtained copies of pertinent documentation, and delivered findings to the facility Administrator.

Continued on LIC 9099C.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025

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 29-AS-20240424134628

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: IMPRESSIVE CARE, INC.	FACILITY NUMBER: 195850058
	VISIT DATE: 04/24/2025

NARRATIVE

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The allegation of “Staff yelled at resident” alleges that facility staff would yell at resident #1 (R1) to not say things to their family members. Two (2) current facility residents were interviewed. Both residents stated that facility staff are kind and denied ever being yelled at by facility staff. One (1) staff member was interviewed, staff #1 (S1). S1 denied ever yelling at residents in care and stated that they have never witnessed other staff members yelling at residents. LPA Byrne interviewed the facility Administrator who denied staff ever yelling at residents in care. The Administrator stated that R1 was afforded privacy when speaking with visitors in person or via telephone call. The Administrator stated that when visitors would come to see R1 they would close the door for privacy while speaking. One (1) witness interviewed, witness #1 (W1) denied ever witnessing staff yelling at residents in care. W1 described the staff at the facility as “nice” and “helpful”. W1 had no concerns with the quality of care at the facility. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff yelled at resident.” Therefore, the allegation is deemed Unsubstantiated at this time.

The allegation of “Staff did not allow resident to use the phone.” alleges that facility staff would not allow R1 to contact family members via telephone call. LPA Byrne interviewed two (2) current residents who denied ever being restricted access to use of telephones. Both residents had no concerns with the facility. The Administrator stated that R1 had access to a personal cellphone that was tethered to their bedside. The Administrator stated that facility staff would assist R1 in answering the phone when calls came in and would give privacy to the resident during their conversations. Additionally, the Administrator stated that the facility received calls up to two (2) times a day on the facility phone for R1. The Administrator stated that staff would give the facility phone to R1 and would provide them with privacy. S1 denied ever restricting R1 access to their personal phone or the facility phone. S1 confirmed that privacy for R1’s phone calls was always afforded. LPA Peraldi interviewed W1 who stated that most residents have access to their personal phones, but they have never witnessed facility staff restricting access to the facility phone for residents use. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff did not allow resident to use the phone.” Therefore, the allegation is deemed Unsubstantiated at this time.

No deficiencies were cited during today’s investigation. A copy of the report was printed and exit interview was conducted.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025

LIC9099 (FAS) - (06/04)

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