195850532-8-6-2025-29-AS-KHEN-DKZV8S-20250829161314

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 195850532
Report Date: 08/06/2025
Date Signed: 08/06/2025 04:35:56 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
07/31/2025 and conducted by Evaluator Christine Yee

PUBLIC

COMPLAINT CONTROL NUMBER: 29-AS-20250731104643

FACILITY NAME:	C&C SENIOR LIVING INC		FACILITY NUMBER:	195850532
ADMINISTRATOR:	HESHMATI, CLAUDIA		FACILITY TYPE:	740
ADDRESS:	6623 VESPER AVE		TELEPHONE:	(818) 913-2472
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91405
CAPACITY:	6	CENSUS: 5	DATE:	08/06/2025
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Kevin Ohanian, Staff		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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1. Staff forcefully took resident’s personal phone.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christine Yee conducted an unannounced complaint visit to investigate the above allegation and was let into the home by Sherre Willougby, Staff. Claudia Heshmati, Administrator was contacted via telephone at 10:19am to advise her of today's visit. LPA Yee was advised that Kevin Ohanian, designated Staff was on the way to the home. He arrived at 10:57am to conduct tthe visit. The reason for today's visit was provided.

On today's visit, LPA Yee conducted a face to face interview with Kevin Ohanian at 12:51pm, Staff #2 at 1:13pm and a telephone interview with the Administrator at 12:56pm. An interview with Resident #1 was attempted at 1:06pm and again at1:49pm and was unsuccessful as the resident kept asking to go home. Resident #5 was interviewed at 2:04pm. Resident #2-Resident #4 could not be interviewed due

continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025

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-20250731104643

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: C&C SENIOR LIVING INC	FACILITY NUMBER: 195850532
	VISIT DATE: 08/06/2025

NARRATIVE

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issues with their ability to retain their attention on the questions asked. 3 resident files were also reviewed.

Per interviews conducted with Kevin Ohanian, the Administrator, Staff #2, Resident #5, they have not seen any staff or been told by any one that a staff forcefully took away Resident #1's cell phone. Per Mr. Ohanian and the Administrator, resident's are permitted to retain their cell phones and make calls. They do not tell residents that they cannot keep their cellphones. They do put away Resident #4's cell phone at night, at the request of the family. Per information provided, the family does not want the resident to sleep with the cell phone under their pillow or close to the bed due to the radio frequency waves emitted by the cell phone. Staff will remove the phone to get it charged. Per interviews conducted, they all deny that a staff would forcefully grab any residents' phone.

Per interview conducted with Witness #1 at 9:51am, prior to today's visit, they do not know if staff grabbed Resident #1's cell phone and almost broke their wrist. They were informed that's what was told to them. They have not seen Resident #1 since the resident moved into the facility. They also have not called Resident #1 regularly as the resident gets agitated and wants to go home when any family member or friend calls. Per Witness #1, Resident #1 cannot go home because the primary caregiver had surgery and cannot care for Resident #1 at this time. The caregiver needs to recover. Per Witness #1, the resident has a known tendency to make things up and isn't sure if the incident actually happened.

Per LPA's 's observation of the Resident #1, the resident was initially observed laying in bed and later observed eating lunch. No bruises or bandages were in use by the resident. The cell phone was found in the drawer of the resident's night stand.

Based on today's investigation there was insufficient evidence to support the allegation - Staff forcefully took resident’s personal phone, therefore the allegation is unsubstantiated at this time.

Exit interview was conducted.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025

LIC9099 (FAS) - (06/04)

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