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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850128
Report Date: 03/12/2026
Date Signed: 03/12/2026 08:41:12 PM

Document Has Been Signed on 03/12/2026 08:41 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:NO HO RESIDENTIAL CARE, INC.FACILITY NUMBER:
195850128
ADMINISTRATOR/
DIRECTOR:		DURGARYAN, REBEKAFACILITY TYPE:
740
ADDRESS:6605 AGNES AVENUETELEPHONE:
(818) 404-0290
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY: 6CENSUS: 6DATE:
03/12/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:01 AM
MET WITH:Rebeka Durgaryan, AdministratorTIME VISIT/
INSPECTION COMPLETED:
08:50 PM
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Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and was let into the home by Naira Aghajanyan, Staff. Rebeka Durgaryan, Administrator was contacted by staff and she arrived 10 minutes later to conduct the visit. The reason for today's visit was provided.

The home is a single storey family home consisting of a living room, dining room, a kitchen, a den, an office, 5 bedrooms and 3 full bathrooms of which one is designated for staff use.. Four bedrooms are designated for resident use and the bedroom by the front door is for staff use. The facility is fire cleared for 5 NON-AMBULATORY and 1 BEDRIDDEN resident. Bedroom #2, located in the back right hand corner, is designated for Bedridden use.

All 12 domains of the CARE Inspection Tool was reviewed on today's visit, six (6) resident files and 6 staff files were reviewed and a tour of the physical plant was conducted, inside and outside. The following were observed:
  • The living room, dining room, den and kitchen were all equipped with the appropriate furnishings and equipment. The water temperature tested in the kitchen read 137.4 degrees Fahrenheit.
  • Bedroom #1 and bedroom #2 were observed with 2 hospital beds, 2 night stands, 2 chairs, 2 lamps, 2 small chest of drawers and a built in closet. Bedroom #2 has 1 shared dresser.
  • Bedroom #3 and bedroom #4 were observed with 1 hospital bed, 1 night stand, 1 lamp, 1 dresser, a


continued on LIC809C
NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Christine Yee
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 13
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: NO HO RESIDENTIAL CARE, INC.
FACILITY NUMBER: 195850128
VISIT DATE: 03/12/2026
NARRATIVE
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  • lamp and a built in closet.
  • The fifth bedroom is for staff use.
  • The common bathroom located in the front was equipped with a walk in shower, a toilet and a 1 sink vanity. A shower chair was observed. A grab bar was not observed in the shower but was observed by the toilet. The front of the top drawer on the vanity was observed to be loose and needs to be repaired. The holes created by the grab bar on the wall that is by the toilet needs to be patched up. The water temperature was tested and read 138.9 degrees Fahrenheit
  • The common bathroom located between bedroom #2 and bedroom #3 is equipped with a sink, a toilet and a walk in shower, is equipped with a grab bar, a shower chair and a slip resistant mat. Also located inside the bathroom is the washer and dryer. The water temperature was tested and read 135.2 degrees Fahrenheit.
  • Located in the kitchen and in the den are two fire extinguishers that will expire on 4/7/25. A new fire extinguisher was purchased on 03/05/26
  • The hardwired smoke detectors located in all the bedrooms, den, resident hall, living room, office were tested and were operational. The combination smoke/carbon monoxide detectors are located in the living room, office, den and the resident hallway.
  • The fire rated door located in the hallway that separates bedrooms #1, #2 and #3 is connected to the smoke detector system did not deploy and release the door when the smoke detectors were tested.
  • There was sufficient perishable foods for a minimum of 2 days and non-perishable foods for a minimum of 7 days was observed on the premises.
  • The first aid kit was reviewed and had the required tweezer, scissors, thermometer, gauze and band aids. A first aid manual was observed.
  • The facility has current general liability insurance that meets Title 22 requirements
  • Per tour of the outside areas, the outside areas need general maintenance, Pallets, mops, bucket, bricks, 3 empty oxygen tanks were stored in back, along the side of the home need to be discarded or stored away.
  • The trash cans stored along the right side of the home were observed to be tightly sealed except for the


continued on LIC809-C
NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Christine Yee
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026
LIC809 (FAS) - (06/04)
Page: 3 of 13
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: NO HO RESIDENTIAL CARE, INC.
FACILITY NUMBER: 195850128
VISIT DATE: 03/12/2026
NARRATIVE
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  • the blue recycle bin did not have a lid and the green bin had half the lid missing.
  • located in the back is a ramp for wheelchairs.
  • The front yard was observed with chairs, tables and an umbrellas for shade.


Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Immediate civil penalties were assessed.

Exit interview was conducted, APPEALS RIGHTS were discussed and a copy was provided.
NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Christine Yee
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026
LIC809 (FAS) - (06/04)
Page: 4 of 13
Document Has Been Signed on 03/12/2026 08:41 PM - It Cannot Be Edited


Created By: Christine Yee On 03/12/2026 at 07:25 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: NO HO RESIDENTIAL CARE, INC.
FACILITY NUMBER: 195850128

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
87303(e)(2)
Maintenance and Operation
(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C).

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation the licensee did not comply with the section cited above as the water tested in front bathroom read 138.9 degrees Fahrenheit, the back bathroom read 135. 2 degrees Fahrenheit and the Kitchen water temperature read 137.4 degrees Fahrenheit which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/13/2026
Plan of Correction
1
2
3
4
The Licensee will adjust the thermostat on the water heater to ensure that the water temperature is within Title 22 water range requirement of 105 - 120 degrees Fahrenheit. The Licensee will provide evidence that the water temperature is in compliance with Title 22 regulation by 3/13/26
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Kristin Heffernan
NAME OF LICENSING PROGRAM MANAGER:
Christine Yee
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/12/2026 08:41 PM - It Cannot Be Edited


Created By: Christine Yee On 03/12/2026 at 07:25 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: NO HO RESIDENTIAL CARE, INC.
FACILITY NUMBER: 195850128

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87303(a)
Maintenance and Operation
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above as the drawer in the front bathroom was observed to be broken, the wall by the toilet had holes that needs to be patched up and the outside areas need general maintainance so that stored items along the home is discarded or stored away which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/19/2026
Plan of Correction
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Licensee will take steps to repair the drawer in the front bathroom, patch the holes on the wall and conduct general maintenance along the back and sides of the home. The pallets, mop, bucket, bricks, baskets of stored items and oxygen tanks need to be discarded, stored away or returned by 3/19/26
Type B
Section Cited
CCR
87303(e)(4)
Maintenance and Operation
(4) Grab bars shall be maintained for each toilet, bathtub and shower used by residents.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above as there were no grab bars mounted in the shower located in the front bathroom which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/19/2026
Plan of Correction
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Licensee will ensure that grab bars shall be maintained for each toilet, bathtub and shower used by residents. A grab bar needs to be mounted in the shower located in the front bathroom by 3/19/26.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Kristin Heffernan
NAME OF LICENSING PROGRAM MANAGER:
Christine Yee
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2026


LIC809 (FAS) - (06/04)
Page: 6 of 13
Document Has Been Signed on 03/12/2026 08:41 PM - It Cannot Be Edited


Created By: Christine Yee On 03/12/2026 at 07:25 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: NO HO RESIDENTIAL CARE, INC.
FACILITY NUMBER: 195850128

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87303(f)(1)
Maintenance and Operation
(f) All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents. (1) All containers storing waste shall be in good repair, free of leaks, and emptied in a timely manner.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation the licensee did not comply with the section cited above as the blue trash can was missing a lid and the green trash can was cracked and missing half of the lid] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/19/2026
Plan of Correction
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Licensee will ensure that all trash cans are in good repair at all times. Licensee will contact the sanitation department and obtain new trash cans and provide evidence that the deficiency was corrected by 3/19/26
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
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2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Kristin Heffernan
NAME OF LICENSING PROGRAM MANAGER:
Christine Yee
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2026


LIC809 (FAS) - (06/04)
Page: 7 of 13
Document Has Been Signed on 03/12/2026 08:41 PM - It Cannot Be Edited


Created By: Christine Yee On 03/12/2026 at 07:55 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: NO HO RESIDENTIAL CARE, INC.
FACILITY NUMBER: 195850128

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
87203
87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the licensee did not comply with the section cited above as the fire rated door installed to separate the 3 back bedrooms and held open by a magnate connected to the hardwired smoke detectors did not activate the magnate to release the door to secure the area and did not close tightly which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/13/2026
Plan of Correction
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Licensee will take steps to ensure that the magnate that holds the fire rated door open ativiates when the smoke detectors are triggered and also ensure that the door closes tightly to seal off the resident area. Repairs will be conducted and evidence submitted to licensing by 3/13/26. IMMEDIATE CIVIL PENALTIES WERE ASSESSED.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Kristin Heffernan
NAME OF LICENSING PROGRAM MANAGER:
Christine Yee
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2026


LIC809 (FAS) - (06/04)
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