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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610649
Report Date: 10/08/2025
Date Signed: 10/08/2025 02:04:33 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.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
06/09/2025 and conducted by Evaluator Jose Gary Tan
COMPLAINT CONTROL NUMBER: 31-AS-20250609010348
FACILITY NAME:HAPPY RESIDENTS LIVING CENTERFACILITY NUMBER:
197610649
ADMINISTRATOR:NSHANIAN, HAKOPFACILITY TYPE:
740
ADDRESS:13127 BEAVER STTELEPHONE:
(818) 426-1413
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:6CENSUS: 6DATE:
10/08/2025
UNANNOUNCEDTIME BEGAN:
09:02 AM
MET WITH:Hakop Nshanian - AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Staff did not meet the needs of a resident while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jose Tan conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegation. LPA initially met staff with Nurik Korman who called the administrator and explained the reason for the visit. Administrator arrived 20 minutes later.

LPA conducted a physical plant tour at 9:15 AM, requested copies of facility documents relevant to the investigation at 9:40 AM and interviewed residents and staff between 10:00 AM to 12:00 PM. It was alleged that the staff never provided care to Resident #1 (R1) during R1's time at this facility. LPA's record review revealed that R1 was on hospice since 03/13/25 but came to facility on 04/18/25 from a skilled nursing facility (SNF). LPA's interview with the Administrator revealed that R1 arrived on 04/18/25 and left the morning of 04/19/25, stating that R1 did not want to stay at this facility and would like to go back to R1's old facility with friends. Further interview with the Administrator also revealed that staff fed and changed R1's diaper during R1's overnight stay at the facility and they were not paid for R1's stay.
(continued on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
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 2
Control Number 31-AS-20250609010348
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: HAPPY RESIDENTS LIVING CENTER
FACILITY NUMBER: 197610649
VISIT DATE: 10/08/2025
NARRATIVE
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(continued from LIC 9099)

LPA's records review also revealed that no one among the six (6) current residents were here during R1's overnight stay at the facility. LPA's interview with five (5) residents revealed that five (5) out of six (6) residents stated that they were being taken care of and get all the care they need and staff are respectful and very good to them. One (1) resident was on hospice and unable to be interviewed.

Based on the information gathered during this and prior visit, the allegation is deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2