197610177-7-16-2025-31-AS-NMAN-DP9T7E-20251211132836

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610177
Report Date: 07/16/2025
Date Signed: 07/16/2025 03:51:57 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
06/02/2025 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20250602111246

FACILITY NAME:	ANNA'S HOME & PARADISE		FACILITY NUMBER:	197610177
ADMINISTRATOR:	ARMENYAN, ANNA		FACILITY TYPE:	740
ADDRESS:	23463 HAYNES ST		TELEPHONE:	(323) 660-0001
CITY:	WEST HILLS	STATE: CA	ZIP CODE:	91307
CAPACITY:	6	CENSUS: 5	DATE:	07/16/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Anna Armenyan		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff handle resident roughly during hoyer lift transfers
Staff hit resident
Staff do not treat resident with respect

INVESTIGATION FINDINGS:

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At approximately 9:30 a.m. on 07/16/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and later the administrator and disclosed the reason for the visit.

To investigate the allegations above, LPA conducted an initial visit on 06/05/25 and toured the facility inside and out at approximately 12:55 p.m., interviewed staff and residents between 1:10 p.m. and 1:40 p.m., and conducted a record review of pertinent records at 2:00 p.m. Today, LPA reviewed staff training records around 9:45 a.m. and toured the facility at 10:00 a.m.

Regarding the allegation “Staff handle resident roughly during hoyer lift transfers“ it was alleged staff hurt the ankles and feet of Resident #1 (R1) when transferring them with the Hoyer lift. LPA observed a Hoyer lift, a mechanical lift used to safely transfer residents, in R1’s bedroom around 1:30 p.m. on 06/05/25.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025

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-20250602111246

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: ANNA'S HOME & PARADISE	FACILITY NUMBER: 197610177
	VISIT DATE: 07/16/2025

NARRATIVE

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Interview with R1 at 1:30 p.m. on 06/05/25 revealed the Hoyer lift was “terrible” and did not like to be transferred with it. R1 noted they were only transferred in the Hoyer lift for about a week while recovering from leg pain. Interview with R1’s roommate, Resident #2 (R2) at 1:40 p.m. on 06/05/25 revealed they never saw R1 get injured when transferred. Interview with Staff #1 (S1) at 10:10 a.m. today and Staff #2 (S2) at 10:20 a.m. today revealed they were both trained on how to use the Hoyer lift. Neither S1 nor S2 recalled R1 being hurt from using the lift. Interview with the administrator at approximately 3:00 p.m. today revealed the Hoyer lift was only used with R1 and no other residents. S1 and S2 used the Hoyer lift for about one (01) week, and no incidents of pain were reported from R1. Record review of staff training records revealed S1 and S2 were trained and qualified to use the Hoyer lift. Based on interviews and observations, although the allegation is valid, there is not enough evidence to verify it is true. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegations “Staff hit resident” and “Staff do not treat resident with respect“ it was alleged S1 and S2 frequently hit and treated R1 with disrespect. Similar allegations of “Staff physically abused resident” and “Staff threatened resident” were investigated on 05/22/25 as part of complaint investigation #31-AS-20250516113423 and found to be unsubstantiated. Interview with the administrator at approximately 2:05 p.m. on 06/05/25 revealed no staff hot or disrespected any residents. The administrator also noted that R1 spoke hysterically and was confused from an infection during the month of May 2025, so reports of abuse may have been caused form confusion. Interview with R1 revealed they denied ever being hit or disrespected by staff. Interviews with four (04) out of five (05) other residents revealed they had not witnessed or experienced abuse or disrespect in the home. Interview with one (01) out of five (05) other residents did not reveal any pertinent information. Interviews with S1 and S2 confirmed that they have treated all residents with respect and never abused any residents. Based on interviews and observations, there is no evidence to verify the allegation is true. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health or safety hazards were observed during today’s visit.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025

LIC9099 (FAS) - (06/04)

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