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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610320
Report Date: 03/13/2026
Date Signed: 03/13/2026 02:30:12 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
03/06/2026 and conducted by Evaluator Perchui Khurshudyan
COMPLAINT CONTROL NUMBER: 31-AS-20260306081832
FACILITY NAME:WINNETKA HOME CAREFACILITY NUMBER:
197610320
ADMINISTRATOR:KAPIKYAN, ANDRANIKFACILITY TYPE:
740
ADDRESS:19733 HEMMINGWAY STTELEPHONE:
(818) 434-9916
CITY:WINNETKASTATE: CAZIP CODE:
91306
CAPACITY:6CENSUS: 4DATE:
03/13/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nick Kapikyan - AdministratorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff do not follow resident’s dietary needs.
Staff speaks inappropriately to resident in care.
Staff do not ensure the facility is properly maintained.
Staff do not ensure residents are provided a comfortable environment.
INVESTIGATION FINDINGS:
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On 3/13/2026 at approximately 9:30am, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted an unannounced initial visit to investigate the above allegation. Upon arrival LPA met with the Staff/Caregiver Isaiah Phiri and explained the reason for the visit. The facility Administrator Nick Kapikyan got contacted over the phone and arrived shortly after.

At approximately 9:45am LPA conducted a physical plant tour to ensure health and safety of the residents are protected. At approximately 9:55am, LPA requested residents and staff rosters. Between 10:00am – 11:00am, LPA conducted interviews with the Administrator, one (1) staff/Caregivers, and four (4) out of four (4) residents residing in the facility.

Continue on LIC9099-Creport narrative
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026
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-20260306081832
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: WINNETKA HOME CARE
FACILITY NUMBER: 197610320
VISIT DATE: 03/13/2026
NARRATIVE
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Allegation: Staff do not follow resident’s dietary needs.

During the investigation, interviews were conducted with facility staff, the Administrator, and four (4) out of four residents regarding the allegation that staff were not following Resident #1’s (R1s) dietary needs. Staff and the Administrator reported that meals are prepared and served according to each resident’s stated preferences and requests. Staff also explained that they frequently order outside food, such as tacos or burgers when residents ask for it. According to staff, there have been multiple occasions when Resident #1 specifically requested certain meals, including outside food, and later complained about receiving the same items that had been requested.

The administrator stated that staff make ongoing efforts to accommodate residents’ food preferences and denied that Resident #1’s dietary needs were being disregarded. Interviews with three additional residents indicated that they are satisfied with the meals provided at the facility. These residents reported that staff routinely ask for their meal preferences before preparing or ordering food.

Based on the interviews and information gathered during the investigation, there was insufficient evidence to support the allegation that staff do not follow Resident #1’s dietary needs. Therefore, the allegation is Unsubstantiated.

Allegation: Staff speaks inappropriately to resident in care.

During the investigation, interviews were conducted with facility staff and residents regarding the allegation that staff speak inappropriately to residents in care. Staff denied ever speaking to residents in an inappropriate manner and stated that they always treat all residents with respect and professionalism. Three (3) out of four (4) Residents interviewed also denied the allegation. They reported that they are satisfied with the staff, feel comfortable interacting with them, and have never been spoken to in an inappropriate or disrespectful way.

Based on the interviews and information gathered, there was insufficient evidence to support the allegation that staff speak inappropriately to residents. Therefore, the allegation is Unsubstantiated.

Continue on LIC9099-C

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20260306081832
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: WINNETKA HOME CARE
FACILITY NUMBER: 197610320
VISIT DATE: 03/13/2026
NARRATIVE
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Allegation: Staff do not ensure the facility is properly maintained.

To investigate the allegation, the LPA conducted observations of the facility and noted that the building is currently undergoing renovation. Construction activity was observed throughout the facility, consistent with improvement work in progress. The Administrator reported that residents had been informed of the renovation project in advance, including the anticipated timeline for completion. The Administrator also stated that construction is scheduled during normal daytime working hours to minimize disruption to residents during evening and nighttime hours. Interviews with residents confirmed that they were aware of the renovation work and understood that the construction was temporary. Three (3) out of four (4) Residents expressed that they were pleased the facility was being improved and stated that the renovations would result in a cleaner, nicer, and more comfortable living environment. Based on LPA's observations, resident interviews, and information obtained during the investigation, there was insufficient evidence to support the allegation that staff do not ensure the facility is properly maintained. The evidence indicates that the facility is actively undergoing renovation and that residents were informed of the temporary construction. Therefore, the allegation is Unsubstantiated.

Allegation: Staff do not ensure residents are provided a comfortable environment

During the investigation, interviews with staff and the administrator indicated that the ongoing renovation work is being completed to improve the facility and provide residents with a more comfortable living environment. The administrator explained that the construction is temporary and that workers are making efforts to complete the project as quickly as possible.

Three (3) out of four (4) Residents interviewed confirmed that they were aware of the renovation and had been informed that temporary noise such as knocking down walls or drilling might occur during the process. Residents further stated that their bedrooms were not affected by the construction and stated the construction noise is mostly during morning time. Residents also added, the construction did not effect their daily living and expressed satisfaction with the planned improvements and stated they were looking forward to the final results.

Continue on LIC9099-C

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 31-AS-20260306081832
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: WINNETKA HOME CARE
FACILITY NUMBER: 197610320
VISIT DATE: 03/13/2026
NARRATIVE
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Based on the interviews and information gathered during the investigation, there was insufficient evidence to support the allegation that staff failed to ensure residents were provided with a comfortable environment. The evidence shows that the renovation is temporary and that residents were informed prior to the start of construction. Therefore, the allegation is Unsubstantiated.

No Deficiency issued during today's visit.

Exit interview conducted and copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4