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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608972
Report Date: 11/19/2025
Date Signed: 11/19/2025 02:09:28 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
08/07/2024 and conducted by Evaluator Quoc Huynh
COMPLAINT CONTROL NUMBER: 29-AS-20240807145031
FACILITY NAME:ANTHEM SENIOR CAREFACILITY NUMBER:
197608972
ADMINISTRATOR:GHAZARYAN, SOFIAFACILITY TYPE:
740
ADDRESS:12813 FRIAR STREETTELEPHONE:
(818) 445-0993
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY:6CENSUS: 6DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
09:47 AM
MET WITH:Sofiya Ghazaryan - AdministratorTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff inappropriately restrained resident to the bed to prevent them from getting up
Staff are chemically restraining resident
Staff did not treat resident with dignity and respect
Staff did not provide adequate food service
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced subsequent complaint visit for the above allegations. The LPA arrived at 9:47AM and met with the Administrator Sofiya Ghazaryan and explained the reason for the visit. Entrance interview conducted.

On 08/08/2024, LPA Christine Yee conducted an initial complaint visit at 11:45AM. Between 12:01PM and 2:43PM, LPA Yee interviewed the Administrator, two (2) staff, two (2) residents, and attempted one (1) resident interview. Additionally, LPA Yee conducted a safety tour and observed the facility’s food supply.

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

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
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 5
Control Number 29-AS-20240807145031
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: ANTHEM SENIOR CARE
FACILITY NUMBER: 197608972
VISIT DATE: 11/19/2025
NARRATIVE
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During today’s visit, between 10AM and 10:40AM, LPA Huynh conducted a safety tour, interviewed the Administrator, one (1) staff, two (2) residents, and attempted four (4) resident interviews. Beginning at 11:09AM, the LPA conducted a medication review. No immediate concerns were observed, and medication errors were documented on a Case Management report. The following was then determined:

Allegations: “Staff inappropriately restrained resident to the bed to prevent them from getting up,” “Staff are chemically restraining resident,” “Staff did not treat resident with dignity and respect,” “Staff did not provide adequate food service.”

It was reported that facility Staff restrained Resident #1 (R1) to their bed physically and by utilizing sleeping aids, and do not treat Residents with respect or provide Residents meals when requested. Interview with three (3) Residents revealed that they have not experienced or observed Staff physically restrain Residents to their beds. Resident #2 (R2) stated R1 was previously their roommate and did not observe any mistreatment from the Staff. Resident #3 (R3) and Resident #4 (R4) both confirmed physical restraints have not been used on R1. Three (3) out of three (3) Residents reported that staff care is good, are respectful, and do not typically raise their voice at the Residents. R4 noted that they have experienced staff raising their voices when R4 had accidents, but Staff were instructing R4 to prevent future accidents. Additionally, Residents reported receiving meals throughout the day with R2 noting they are never left hungry. Overall, Residents had no concerns regarding staff treatment and level of care provided.

Interview with the Administrator and two (2) Staff revealed that Staff do not utilize restraints or yell at the Residents. Staff #1 (S1) reported that they raise their voices occasionally when they are communicating with Residents who are hard of hearing. S1 noted that Staff try their best to accommodate Resident requests which include food services and S1 understands the importance of their role to provide care and comfort to the Residents due to their health conditions. S1 and Staff #2 (S2) assist the Residents with most of their Activities of Daily Living (ADL), which include cleaning, cooking, showering, transfers, and medication management.

Report Continued on LIC 9099-C
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 29-AS-20240807145031
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: ANTHEM SENIOR CARE
FACILITY NUMBER: 197608972
VISIT DATE: 11/19/2025
NARRATIVE
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The Administrator and Staff reported that meals are served as followed: Breakfast is served between 8:30AM and 9AM or when the Residents wake up, Lunch is served between 1PM and 1:30PM, Dinner is served between 5:30PM and 6PM, and snacks are offered between each meal and upon Resident requests. Facility grocery shopping occurs twice a week and Residents receive home cooked meals. The facility’s food supply was observed to be sufficient and of good quality.

Medication review revealed that Residents were prescribed sleeping aids: R1, R3, and Resident #5 (R5) were prescribed Temazepam and R4 was prescribed Trazadone with each dosage accounted for on the facility’s Medication Administration Record and Centrally Stored Medication and Destruction Record. LPA Huynh did not observe additional storage of prescribed medications or Over The Counter (OTC) medications. Resident medications are administered twice a day in the Morning and at Bedtime. Additionally, R1, R2, and R4 receive medication administration in the Afternoon.

R1’s Physician’s Report dated 02/04/2024 indicated R1 was diagnosed with Huntington’s Disease, Anxiety Disorder, Depression, and Schizophrenia. R1 was documented to be Non-Ambulatory with bed bound status, minimally responsive, and required maximum assistance in all ADLs. R1’s Physician’s Report dated 03/10/2025 documented R1 to be Bedridden.

Based on interviews and record review, although the allegations may have happened or are valid, there is not sufficient evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed UNSUBSTANTIATED at this time.

No deficiency related to the allegations 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: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5