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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850529
Report Date: 03/12/2025
Date Signed: 03/12/2025 12:18:33 PM

Document Has Been Signed on 03/12/2025 12:18 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:HELPING HANDS SENIOR LIVING, INC.FACILITY NUMBER:
195850529
ADMINISTRATOR/
DIRECTOR:		PALEZYAN, ANIFACILITY TYPE:
740
ADDRESS:8022 IRVINE AVE.TELEPHONE:
(818) 394-9029
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY: 6CENSUS: 6DATE:
03/12/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Elmira TsaturyanTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Trevor Byrne conducted a Case Management - Other visit to the facility for the purpose of issuing an Exclusion order. LPA arrived at the facility at 11:15 AM and met with facility staff. Facility staff contacted the Administrator, Ani Palezyan, via telephone call. The Administrator stated that they were sick and unable to come to the facility at the time of the visit. Entrance interview conducted and the reason for the visit was explained.

Community Care Licensing Division (CCLD) received a Decision and Order of Exclusion regarding Staff #1 (S1). The exclusion of S1 was ordered on 02/21/2025 and became effective on 03/06/2025. The order states, “S1 is prohibited from being a licensee, from employment in, presence in, and contact with clients, and from being an Administrator, from holding the position of member of the board directors, executive director, or officer of the licensee, or manager of a licensee or entity controlling a licensee, of any facility licensed by the department, from being certified or approved by a licensed foster family agency or county, or any resource family home, and from owning a beneficial ownership interest of 10 percent or more in a licensed facility, for the remainder of the Respondent’s life, until Respondent successfully petitions for reinstatement pursuant to Government Code section 11522.”

A copy of the Decision and Order of Exclusion regarding S1 was printed and left at the facility. LPA informed the Administrator that S1 is not allowed to have contact with clients and is not allowed to be physically present at the facility. The Administrator stated that S1 has never worked for the facility but expressed understanding and confirmed that S1 will not be allowed on the facility premises. LPA informed the Administrator that S1 is still associated to the facility. The Administrator disassociated S1 from the facility at the time of the visit. Continued on LIC 809C.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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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: HELPING HANDS SENIOR LIVING, INC.
FACILITY NUMBER: 195850529
VISIT DATE: 03/12/2025
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During today’s visit LPA obtained a copy of the facility’s LIC 500 Personnel Report. The Administrator was unable to come to the facility at the time of the visit but has designated staff member Elmira Tsaturyan (S2) to sign this report on their behalf. This report was read to the Administrator via telephone call. Exit interview conducted and a copy of this report and the Decision and Order of Exclusion was provided.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
LIC809 (FAS) - (06/04)
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