197608349-2-12-2026-31-AS-TAGD-DSRSAR-20260402134247

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608349
Report Date: 02/11/2026
Date Signed: 02/12/2026 07:38:18 AM

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
02/02/2026 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20260202173809

FACILITY NAME:	ABBEY ROAD VILLA		FACILITY NUMBER:	197608349
ADMINISTRATOR:	MARINE KARAPETIAN		FACILITY TYPE:	740
ADDRESS:	14132 HUBBARD STREET		TELEPHONE:	(818) 837-0077
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	78	CENSUS: 59	DATE:	02/11/2026
		UNANNOUNCED	TIME BEGAN:	11:22 AM
MET WITH:	Marine Karapetian - Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff does not ensure to provide communication resources to resident.

Staff did not conduct a proper assessment to resident during pre-admissions.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Jose Tan and Michael Cava conducted an unannounced initial complaint visit at this facility to investigate the above allegations. LPAs met with Administrator Marine Karapetian and explained the reason for the visit.

LPAs conducted a physical plant tour at 11:30 AM, requested copies of facility documents relevant to the investigation at 12:00 PM, reviewed records between 12:00 PM to 1:00 PM and interviewed staff and residents between 1:00 PM to 1:45 PM. Regarding the allegation that Staff do not ensure to provide communication resources to resident, it was alleged that Resident #1 (R1) had no telecommunication of any kind exist at the facility. LPAs' interview with R1 today at around 11:48 AM, revealed that that the same issues were presented by R1 on R1's prior complaint dated 02/18/25 (cc no.: 31-AS-20250218003240). LPA's record review today between 12:00 PM to 1:00 PM also revealed that it was R1 who refused to wear the hearing device implant and refused to pay subscription to R1's three (3) cellular phone units (please see report dated 07/08/25) and the Administrator tried to assist R1 to obtain what R1 needed to communicate.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026

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 31-AS-20260202173809

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: 02/11/2026

NARRATIVE

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(continued from LIC 9099)

Regarding the allegation that Staff did not conduct a proper assessment to resident during pre-admissions, it was alleged that R1 was placed at the facility, without any physical or assessment nor questions by a doctor or Nurse. LPAs' record review between 12:00 PM to 1:00 PM revealed that R1 has a preplacement appraisal information (LIC 603) on file dated and signed by R1 on 03/15/2022, appraisal needs and services plan (LIC 625) signed and dated by R1 on 01/04/23, refused to sign on 10/07/24, signed and dated on 10/07/25 and signed and dated on 02/10/26. R1 also had a physician's report dated 11/03/22, 10/07/24 and 10/01/25.

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: 02/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026

LIC9099 (FAS) - (06/04)

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