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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610645
Report Date: 07/16/2025
Date Signed: 07/16/2025 04:33:17 PM

Substantiated


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
07/07/2025 and conducted by Evaluator Huma Rahimi
COMPLAINT CONTROL NUMBER: 31-AS-20250707124845
FACILITY NAME:SONLEMA INCFACILITY NUMBER:
197610645
ADMINISTRATOR:HOVIK ODABASHYANFACILITY TYPE:
740
ADDRESS:6504 LINDLEY AVENUETELEPHONE:
(818) 747-8172
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:6CENSUS: 5DATE:
07/16/2025
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Hovik Odabashyan, AdministratorTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff allowed resident in care to leave the facility unassisted.
Staff did not provide medication assistance to resident in care.
Staff cannot properly communicate with residents in care.
INVESTIGATION FINDINGS:
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At 9:10 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced initial complaint visit to this facility. LPA met with a staff Liana Babaian who granted access to the facility. The staff contacted the Administrator and Staff #2 (S2) Levon Torosyan via phone and LPA explained the reason for the visit. The Administrator and S2 arrived at 9:37 AM. The Administrator had to leave and designated S2 to sign today's report.

At 9:38 AM, LPA requested resident and staff roster. At approximately 9:40 AM, LPA conducted a physical plant tour of the facility. At 9:50 AM, LPA requested copies of pertinent information which include, but not limited to Staff training, Physician Report, Admission Agreement, Appraisal Needs and Services Plan, Centrally Stored Medication and Destruction Record (CSMDR), and ect., relevant to the course of investigation. Between 10:20 AM – 2:30 PM, LPA conducted an interview with the Administrator, Staff #1 (S1), Staff #2 (S2), and three (3) out of five (5) residents who were available. Continue on LIC 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
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)
Page: 1 of 4
Control Number 31-AS-20250707124845
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: SONLEMA INC
FACILITY NUMBER: 197610645
VISIT DATE: 07/16/2025
NARRATIVE
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Staff allowed resident in care to leave the facility unassisted.
It is alleged that due to facility staff neglect Resident #1 (R1) eloped the facility unassisted. To investigate this allegation LPA reviewed R1's Physician report and was revealed that R1 cannot leave the facility unassisted or unsupervised. Furthermore, LPA conducted an interview with Administrator and S2 and both confirmed that R1 eloped the facility without staff knowledge on 07/05/2025 at around 8:30 AM. Therefore, based on the record review and information gathered through interviews this allegation is deemed Substantiated.

Staff did not provide medication assistance to resident in care.
It is alleged that the facility staff does not provide R1's medication properly. To investigate this allegation LPA conducted an interview with the Administrator who denied the allegation and informed LPA that they always provide medication to all the residents in a timely manner without any discrepancy. However, review of R1's medication revealed that the facility was supposed to start R1's prescribed medication Fluoxetine HCL (mental health condition medication) on 06/27/2025. LPA counted R1's medication and it was discovered that five (5) pills were missing from the Fluoxetine HCL bottle. Additionally, LPA reviewed other four (4) prescribed medication of R1's and they were observed to have discrepancies as well. LPA asked the Administrator and the staff for explaining and both staff could not provide any answers. Therefore, based on the medication record review, interviews, and observation this allegation is deemed Substantiated.

Staff cannot properly communicate with residents in care.
It was alleged that the facility staff do not speak English and is hard to communicate with residents in care. To investigate this allegation LPA conducted an interview with the Administrator who admitted that S1 does not speak English; however, uses an application through their personal cellular telephone to communicate with the residents in care for their basic needs. Furthermore, LPA conducted an interview and concluded that one (1) out of one (1) staff was not able to communicate in English with the residents of which the majority speak English. Moreover, interviews with three (3) out of five (5) residents confirmed that they have trouble communicating with staff for their basic needs. Lastly, during todays visit LPA used Focus Language International Inc Telephone-Based Interpreter service to conduct an interview with S1 due to language barrier. Based on interviews and LPA's observation this allegation is deemed Substantiated.

Deficiencies issued and appeal rights explained and given. Exit interview conducted and copy of this report signed and delivered.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
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)
Page: 2 of 4
Control Number 31-AS-20250707124845
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: SONLEMA INC
FACILITY NUMBER: 197610645
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/23/2025
Section Cited
CCR
87411(d)(3)
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87411-Personnel Requirements - General(d) All personnel shall be given on the job training or have........effective job performance:(3) Skill and knowledge required to..care and supervision, including the ability to communicate with residents.
This was not met as evidence by:
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Administrator agrees to put in writing their plan for hiring or ensuring English Speaking staff are always on shift and submit the plan by the POC date. Additionally, Administrator shall submit an updated LIC500 to reflect all staff.
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Based on the interview, the administrator did not have staff available to communicat in English with residents in care which poses a potential risk to the residents 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: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 31-AS-20250707124845
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: SONLEMA INC
FACILITY NUMBER: 197610645
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/18/2025
Section Cited
CCR
87465(c)(2)
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87465- Incidental Medical and Dental Care: c) If the resident's physician has stated in writing... 2) Once ordered by the physician the medication is given according to the physician's directions.
This requirement is not met as evidenced by:
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Administrator agreed to schedule vendorized training for all staff by 07/18/25 and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion. LIC 624 will be submitted to LPA.
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Based on observation, interview, record review, the licensee did not comply with the section cited above in
not assuring that R1's prescribed medications were given as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.
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Type A
07/18/2025
Section Cited
CCR
87464(f)(1)
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87464(f)(1) Basic ServicesBasic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).
This requirement is not met as evidenced by:
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The Adminstrator has agreed to the following:1. Update the appraisal Needs and service plans and reappraisal to address the elopements. 2. Train all staff on the newly updated care plans regarding the elopements attach a sign in sheet.3. Submit to CCL.
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Interviews with the Administrator, staff, and file reviews. Lack of staff supervision resulting in the elopement of residents in care.
This poses an immediate health and safety risk to residents 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: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4