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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608349
Report Date: 02/20/2025
Date Signed: 09/27/2025 08:58:59 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/18/2025 and conducted by Evaluator Jose Gary Tan
COMPLAINT CONTROL NUMBER: 31-AS-20250218003240
FACILITY NAME:ABBEY ROAD VILLAFACILITY NUMBER:
197608349
ADMINISTRATOR:MARINE KARAPETIANFACILITY TYPE:
740
ADDRESS:14132 HUBBARD STREETTELEPHONE:
(818) 837-0077
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:78CENSUS: 66DATE:
02/20/2025
UNANNOUNCEDTIME BEGAN:
09:24 AM
MET WITH:Marine Karapetian - AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Resident has been financially abused while in care

Staff are isolating a resident

Staff do not meet a resident's hygiene needs
INVESTIGATION FINDINGS:
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This report is an amendment of report dated 02/20/25 to rectify typographical errors. No change in findings.
Licensing Program Analyst (LPA) Jose Tan conducted an unannounced initial complaint visit at this facility to investigate the above allegations. LPA met with Administrator Marine Karapetian and explained the reason for the visit.

LPA conducted a physical plant tour at 9:56 AM, requested copies of facility documents relevant to the investigation at 10:28 AM, reviewed records from 10:30 AM to 12:00 PM and interviewed staff and residents between 12:15 PM to 1:30 PM. Regarding the allegation that Resident has been financially abused while in care, it was alleged that Resident #1 (R1) reported that R1's money has been taken from R1. LPA's record review today between 10:30 AM to 12:00 PM, revealed that R1 is currently enrolled on Assisted Living Waiver Program (ALWP) and has a Share of Cost (SOC) of R1's Social Security Supplemental Income SSI) and as an SSI recipient, receives monthly Personal and Incidental (P & I) allowance of $179 per month, which R1 received and signed for every 1st of every month.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
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 31-AS-20250218003240
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: ABBEY ROAD VILLA
FACILITY NUMBER: 197608349
VISIT DATE: 02/20/2025
NARRATIVE
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(continued from LIC 9099)

There was no evidence that the facility is taking any money from R1.

Regarding the allegation that Staff are isolating a resident, it was alleged that R1 is being isolated by the staff. LPA's record review today between 10:30 AM to 12:00 PM, revealed that R1 was able to ambulate with walker, able to leave the facility unassisted and capable of self-care including but not limited to showering, toileting, dressing and grooming. Further review also revealed that R1 has been attending Adult Day Health Center (ADHC) program since 12/11/2023. LPA's interview with three (3) care staff today between 12:15 PM to 1:30 PM, also revealed that R1 always leaves the facility upon arrival from the day program almost daily to go to the store to buy food and/or personal stuff.

Regarding the allegation that Staff do not meet a resident's hygiene needs, it was alleged that R1’s hygiene is also an issue at this facility. LPA's record review today revealed that R1 is capable of self-care including but not limited to showering, toileting, dressing and grooming. LPA's interview with three (3) care staff also revealed that all three (3) care staff remind R1 of hygiene and offered assistance to R1 but R1 refused.

Based on the information gathered during this visit, these allegations are deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3