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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610269
Report Date: 07/15/2025
Date Signed: 07/15/2025 11:51:09 AM

Substantiated


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
05/20/2024 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20240520161421
FACILITY NAME:HOUSE OF HOPE ASSISTED LIVING, INCFACILITY NUMBER:
197610269
ADMINISTRATOR:ALABERKYAN, GAYANEFACILITY TYPE:
740
ADDRESS:9617 STANWIN AVENUETELEPHONE:
(818) 302-6344
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY:6CENSUS: 3DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Oleh MarkivTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Resident sustained multiple unstageable pressure injuries due to staff neglect
INVESTIGATION FINDINGS:
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****This is the addendum of licensing report originally issued on 2/13/2025. This report is created to make a correction to the previous report due to further investigation of available inormation ****

At approximately 10:15 a.m. on 07/15/25 LPA Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit.
It was alleged that on 05/02/24, during admission to the hospital, Resident #1 (R1) was observed to have multiple pressure injuries, Stage 3 and above. The investigation was initiated on 05/21/24 by the LPAs Angela Panushkina and Huma Rahimi and continued by the Senior investigator (SI) from CCLD Investigation Bureau Dennis Douglas. During the course of investigation, on 06/07/2024 SI Douglas conducted a visit to the facility. At the time of visit between 10:00am and 10:55am, SI spoke with five facility residents. At 11:40am, SI made an attempt to make a phone contact and speak with other residents. Prior to this visit on 04/08/25, Licensing Program Manager (LPM) Naira Margaryan conducted a full file review of R1’s medical records before and after admission to the facility. Interview of the residents did not reveal any pertinent
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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 4
Control Number 31-AS-20240520161421
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: HOUSE OF HOPE ASSISTED LIVING, INC
FACILITY NUMBER: 197610269
VISIT DATE: 07/15/2025
NARRATIVE
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information regarding the allegation. Interview with the Administrator revealed that R1 arrived at the facility from Las Vegas after they were released from the hospital there. R1 was a resident in the facility between 03/15/2024 and 05/02/2024. At the time of admission, R1 had a condition in their eyes and sores down their legs. Furthermore, the Administrator had knowledge of R1’s pressure injuries. R1 had no medical insurance, so the Administrator paid for R1's initial doctor’s visit. A review of medical records from the hospital in Las Vegas where resident was retained between 02/07/24 to 03/12/24 did not reveal any information to conclude that R1 had pressure injuries prior to admission. A review of medical records from Mission Hills Hospital conducted by SI and LPM revealed that at the time of admission to the Mission Hills Hospital, on 05/02/24, R1 had at least one (01) stage 3 pressure injury on their limbo-sacral area and one (01) Unstageable pressure injury on their Sacro-coccyx area. Based on interviews and record review, there is sufficient information and evidence to verify the validity of the complaint. Hence the allegation is SUBSTANTIATED at this time. Under Title 22, Division 6 Chapter 8 the following citation will be issued and documented on the LIC9099-D.

Exit interview conducted. Appeal rights discussed. Copy of report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20240520161421
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: HOUSE OF HOPE ASSISTED LIVING, INC
FACILITY NUMBER: 197610269
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/16/2025
Section Cited
CCR
87615(a)(1)
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87615 Prohibited Health Conditions
(a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted...: (1) Stage 3 and 4 pressure injuries. This requirement was not met as evidenced by:
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Licensee to conduct an in-service training for the cited section and submit proof by POC due date.
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Based on interviews and record reviews, the licensee dod not comply with the section cited above by R1 developing multiple pressure injuries that included Stage III pressure injuries while under the facility care which posed an immediate health and safety risk to the resident in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
05/20/2024 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20240520161421

FACILITY NAME:HOUSE OF HOPE ASSISTED LIVING, INCFACILITY NUMBER:
197610269
ADMINISTRATOR:ALABERKYAN, GAYANEFACILITY TYPE:
740
ADDRESS:9617 STANWIN AVENUETELEPHONE:
(818) 302-6344
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY:6CENSUS: 3DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Oleh MarkivTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Resident sustained an unexplained head injury
Staff did not assist resident with oral care needs
INVESTIGATION FINDINGS:
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It was reported that Resident 1 (R1) sustained acute brain bleed due to staff neglect.
Interview of the facility Administrator and other facility staff revealed that during their short stay at the facility R1 never suffered of fall and did not have brain bleeding. A review of medical records from the hospital in Las Vegas where resident was between 02/07/24 to 03/12/24 revealed that R1 was presented with “chronic” bilateral 6mm “Subdural hematoma”. “Scalp soft tissue swelling” was also observed. A review of medical records from Mission Hills Hospital, where R1 was admitted on 05/02/24, did not reveal any information to conclude that R1 suffered from brain bleeding or was admitted to the hospital due to brain bleeding.
Based on interviews and record review it was concluded that although the allegation may have occurred, there is insufficient information to determine validity of the allegation, Therefore, the allegation is deemed UNSUBSTANTIATED this time.

Exit interview conducted. Copy of report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4