<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610595
Report Date: 04/09/2025
Date Signed: 04/09/2025 10:27:59 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/19/2024 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20241219103942
FACILITY NAME:AYLA HOUSE FOR ELDERLY CAREFACILITY NUMBER:
197610595
ADMINISTRATOR:KORDONSKIY, ELENAFACILITY TYPE:
740
ADDRESS:226 S GRIFFITH PARK DRTELEPHONE:
(818) 919-1234
CITY:BURBANKSTATE: CAZIP CODE:
91506
CAPACITY:6CENSUS: 4DATE:
04/09/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Yelena GrigoryanTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unlicensed care is being provided.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Abeye Duguma conducted a subsequent complaint visit for the above allegation.
At approximately 10:00 AM, LPA met with caregiver, Yelena Grigoryan, explained the reason for the visit and was granted access to the home to conduct an inspection. During the inspection, LPA observed four (04) residents in the facility and one (01) staff. Resident #1 (R1) that required a higher level of care and supervision is no longer in the home.

At around 10:15 AM, LPA conducted a physical plant tour to ensure health and safety.
Although the operator relocated R1, the allegation will remain SUBSTANTIATED at this time.

A NOTICE OF OPERATION IN VIOLATION OF LAW was served on 12/19/2024 prior to licensure.

No additional citations issued at the time. Exit interview conducted and report issued.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 12/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/24/2024
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 1