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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850570
Report Date: 02/05/2025
Date Signed: 02/05/2025 11:06:35 AM

Document Has Been Signed on 02/05/2025 11:06 AM - 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:WISDOM WILLOW SENIOR LIVINGFACILITY NUMBER:
195850570
ADMINISTRATOR/
DIRECTOR:		SARKISIAN, LOUSINEFACILITY TYPE:
740
ADDRESS:7342 BECK AVENUETELEPHONE:
(818) 255-6295
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY: 6CENSUS: 5DATE:
02/05/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Lousine “Lucy” SarkisianTIME VISIT/
INSPECTION COMPLETED:
11:16 AM
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Licensing Program Analysts (LPAs) Emily Peraldi and Angela Barutyan conducted an unannounced case management visit at the above location. The purpose of this visit was to conduct a follow up inspection of the property to check on the health and safety of Tenant #1 (T1) requiring care and supervision. Upon arrival, the LPAs met with staff. At 10:31 a.m., the LPAs spoke with the Operator over the telephone. At 11:01 a.m., the Operator arrived at the location.

On 07/02/2024, the Department investigated a complaint alleging "Unlicensed care being provided". The allegation was substantiated as it was determined that the Operator retained T1 and Tenant #2 (T2) were being provided with elements of care which include assistance with activities of daily living such as medication assistance/management, dressing and bathing. T2 is no longer residing at this location.

On 02/05/2025, the LPAs conducted a tour of the physical plant and confirmed that T1 resides at this location, and no new tenants were observed at the time of the visit. The Operator stated that on 08/01/2024, an application was sent for licensure. The LPAs confirmed that the application is currently active. The LPAs reminded the Operator not to accept new tenants until they are licensed. No immediate health and safety concerns were observed.

Exit interview conducted. No citations were issued at this time. A copy of the report was issued.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
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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