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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608534
Report Date: 12/22/2025
Date Signed: 12/22/2025 12:49:13 PM

Unfounded


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
12/15/2025 and conducted by Evaluator Quoc Huynh
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20251215095357
FACILITY NAME:ASSISTED COMFORT HOMEFACILITY NUMBER:
197608534
ADMINISTRATOR:MARIAM KEVLIYANFACILITY TYPE:
740
ADDRESS:23731 KILLION STREETTELEPHONE:
(818) 800-9970
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:6CENSUS: 6DATE:
12/22/2025
UNANNOUNCEDTIME BEGAN:
10:41 AM
MET WITH:Karapet Klndjuyan - Licensee DesigneeTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff hits multiple residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Quoc Huynh conducted an initial complaint visit for the above allegation. The LPA arrived at 10:41AM and met with the Licensee’s Designee (LD) Karapet Klndjuyan who arrived shortly thereafter. Entrance interview conducted.

During today’s visit between 11AM and 12:15PM, the LPA conducted a physical plant tour and reviewed and obtained pertinent documents.

Report Continued on LIC 9099-C
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2025
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 2
Control Number 29-AS-20251215095357
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: ASSISTED COMFORT HOME
FACILITY NUMBER: 197608534
VISIT DATE: 12/22/2025
NARRATIVE
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The LPA and LD contacted the Licensee Smbat Klndjuyan and Administrator Mariam Kevliyan via telephone call who stated they were aware of the allegation as it was intended for their Independent Living residential home located across the street from the Licensed facility. Record review confirmed the reported resident did not reside at this facility therefore the allegation is deemed UNFOUNDED at this time.

Due to their unavailability, the Licensee and Administrator provided verbal confirmation for the LD Karapet Klndjuyan to sign today’s report.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2