197610215-12-4-2025-31-AS-NMAN-DPUUGH-20251230143421

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610215
Report Date: 12/04/2025
Date Signed: 12/04/2025 12:47:08 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.RO, 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
12/02/2025 and conducted by Evaluator Leslie Ngo-Castaneda

COMPLAINT CONTROL NUMBER: 31-AS-20251202104639

FACILITY NAME:	BAHAMA ASSISTED LIVING, INC		FACILITY NUMBER:	197610215
ADMINISTRATOR:	AZARYAN, GAYANE		FACILITY TYPE:	740
ADDRESS:	15851 BAHAMA STREET		TELEPHONE:	(747) 236-7322
CITY:	NORTH HILLS	STATE: CA	ZIP CODE:	91343
CAPACITY:	6	CENSUS: 5	DATE:	12/04/2025
		UNANNOUNCED	TIME BEGAN:	09:37 AM
MET WITH:	AZARYAN, GAYANE- Licensee		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff are interrupting a resident's phone calls.
Staff are not meeting the needs of a resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced initial complaint visit to this facility to investigate the above allegations. LPA met with administrator Gayane Azaryan, and explained the purpose of the visit.

Allegation #1: Staff are interrupting a resident's phone calls.

It was alleged that the staff refused phone calls for resident #1 (R1), that there is always an excuse for R1 not be on the phone. Upon LPA arrival, it was observed that residents were having breakfast at the dining table.

Continue to LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025

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-20251202104639

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: BAHAMA ASSISTED LIVING, INC	FACILITY NUMBER: 197610215
	VISIT DATE: 12/04/2025

NARRATIVE

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To investigate the allegation, at 8:52 AM LPA conducted a physical plant tour to ensure the health and safety of the clients in care. LPA interviewed five (5) out of five (5) clients from 9:26 AM to 10:00 AM and three (3) staff from 10:00 AM to 10:30 AM. LPA requested R1’s documents at 10:32 AM included but not limited to staff roster, resident roster, physician report, admission agreement, appraisal needs and service plan, and other pertinent documentarians. LPA received copies of the requested documents at 10:40 AM.

Interviews with R1 stated that he is safe and happy living at the facility. R1 advised LPA that they do not want to talk to the caller and advised facility staff that they are unavailable and refuses to take the call. All of the residents stated that they have their own cell phones, and staff never refuses to give/ hand them a call from the facility phone. During interviews with staff, it was revealed that they were told by R1 to advise the caller they are unavailable and refuses to take the phone call. Based observation and interview, there is not enough information to verify the allegation. There is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Allegation #2: Staff are not meeting the needs of a resident.

It was alleged that the facility does not provide items needed for Resident #1 (R1). During the physical plant tour, LPA observed all the necessary items of the residents in their bedroom and bathrooms storage. During interviews with staff, it was revealed that they provide all the necessary items requested by the residents and never deny them. During interviews with residents, all residents stated they were provided with all necessary supply from the staff upon request.

Based on interviews, record review, and observation, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards noted during the visit.

Exit interview conducted. A copy of the report was issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025

LIC9099 (FAS) - (06/04)

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