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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850216
Report Date: 10/23/2025
Date Signed: 10/23/2025 02:59:03 PM

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
05/08/2025 and conducted by Evaluator Trevor Byrne
COMPLAINT CONTROL NUMBER: 29-AS-20250508130427
FACILITY NAME:ELDERCARE HOMES, INC.FACILITY NUMBER:
195850216
ADMINISTRATOR:HEKIMYAN, LUIZAFACILITY TYPE:
740
ADDRESS:7754 COLDWATER CANYON AVENUETELEPHONE:
(818) 764-8545
CITY:N. HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY:6CENSUS: 6DATE:
10/23/2025
UNANNOUNCEDTIME BEGAN:
01:28 PM
MET WITH:Olha NikolaienkoTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Physical Abuse
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced subsequent complaint visit for the above allegation. LPA arrived to the facility at 01:28 PM. LPA met with facility staff who contacted the facility Assistant Administrator, Tina Arutyunyan, via telephone call. The Assistant Administrator was unable to come to the facility during today's visit. Entrance interview was conducted and the reason for the visit was explained.

On 05/09/2025, LPA Byrne conducted an unannounced complaint visit. During the inspection, the LPA conducted a file review for one (1) resident, collected copies of pertinent documentation, and conducted interviews with the Administrator, the Assistant Administrator, two (2) staff members, and three (3) residents between 10:00 AM. and 12:30 PM. During today’s visit, the LPA conducted a brief physical plant tour and delivered findings for the above allegation between 01:28 PM. and 02:50 PM.

Continued on LIC 9099C.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
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 29-AS-20250508130427
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: ELDERCARE HOMES, INC.
FACILITY NUMBER: 195850216
VISIT DATE: 10/23/2025
NARRATIVE
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The allegation of “Physical Abuse” alleges that staff #1 (S1) pushed resident #1 (R1) causing R1 to fall and hit their head. LPA interviewed the Administrator, the Assistant Administrator, S1, and R1. Parties interviewed stated that the incident between S1 and R1 occurred in the evening hours of 05/07/2025 at approximately 10:00 PM. R1 reported that during the evening of 05/07/2025 they felt as though the temperature in their room was too hot. R1 stated that S1 came into their room and R1 asked for the temperature to be turned down. R1 stated that they and S1 got into an argument because R1 did not want S1 in their room. R1 stated that S1 reached up with both hands and shoved R1 on the shoulders which caused R1 to fall backwards hitting the back of their chair and hitting their head on the wall. R1 reported suffering a “Bump” on the back of their head and two (2) bruises, one (1) on each of their arms.

The interview with S1 revealed S1 recalled the incident and reported hearing noises coming from R1’s room in the evening of 05/07/2025. S1 stated that they approached R1’s room and opened the door. S1 stated that R1 approached them aggressively and grabbed S1 by the shoulders and screamed "It’s so hot turn the AC on!" S1 stated that they replied that they would but R1 continued screaming and would not let go of S1’s shoulders. S1 stated that they broke free of R1’s grip by pushing R1’s elbows. S1 denied R1 falling from this contact. S1 stated that once they were free from R1’s grip they closed the door to R1’s room to prevent R1 from approaching them again. S1 reported holding the door closed and hearing a thump from the other side of the door after a moment. S1 reported opening the door and observing R1 sitting on the floor with their back against the back of their chair. S1 contacted emergency services and the facility Administrator.

Continued on LIC 9099C.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20250508130427
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: ELDERCARE HOMES, INC.
FACILITY NUMBER: 195850216
VISIT DATE: 10/23/2025
NARRATIVE
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Interviews with the Administrator, the Assistant Administrator, S1, and R1 all revealed that paramedics arrived to the facility. Paramedics assisted R1 up from the floor and conducted an assessment of R1. R1 was not transported to the hospital due to lack of apparent injury and R1’s refusal to go to the hospital. Paramedics advised the facility to contact law enforcement. Law enforcement was contacted and arrived at the facility at approximately midnight. Law enforcement took a report but did not transport R1 or S1 and no charges were filed. LPA observed R1 and R1’s room. LPA observed the back of R1’s head to contain minor redness that appeared to be scalp irritation but did not observe a bump, lump, or bruise. LPA observed two (2) small bruises of indeterminate age on R1’s forearms. LPA observed R1’s room and did not observe any damage to the drywall where R1 reported hitting their head. LPA interviewed two (2) other residents of the facility. Both residents denied overhearing the altercation on 05/07/2025 and both residents denied facility staff ever being aggressive or yelling at the residents of the facility. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Physical Abuse.” Therefore, the allegation is deemed Unsubstantiated at this time.

The Assistant Administrator was unable to come to the facility during today's visit but has designated S1 to sign this report on their behalf. This report was read to the Assistant Administrator via telephone call. Exit interview conducted. Report was reviewed and a copy was provided.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3