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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610822
Report Date: 02/23/2026
Date Signed: 02/25/2026 03:04:21 PM

Document Has Been Signed on 02/25/2026 03:04 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:SOLVITA RESIDENTIAL CARE 2FACILITY NUMBER:
197610822
ADMINISTRATOR/
DIRECTOR:		GRIGORYAN, ARSENFACILITY TYPE:
740
ADDRESS:11027 ODELL AVENUETELEPHONE:
(818) 353-3967
CITY:SUNLANDSTATE: CAZIP CODE:
91040
CAPACITY: 6CENSUS: 0DATE:
02/23/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:GRIGORYAN, ARSEN-LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 2.23.2026 Licensing Program Analyst (LPA) Leslie Ngo-Castaneda arrived at facility at 9:30 AM to conduct a pre-licensing inspection with the pre-licensing. Arsen Grigoryan (licensee) was greeted upon entering the facility. An application to operate a Residential Care Facility for Elderly (RCFE) was received by Community Care Licensing (CCL) on 04.19.2025. A fire clearance was approved on 7.24.2025 for one (1) bedridden only in bedroom #1, six (6) non-ambulatory, six (6) hospice waiver for a total capacity of six (6). At 9:57 AM, the smoke alarms and carbon monoxide detector were tested, they are hard wired and inter-connected. The facility has one (1) new fire extinguishers, located in the facility kitchen.

A tour of the physical plant was initiated at approximately 9:45 AM and the following was observed:

KITCHEN: The facility has a kitchen area that is equipped with a refrigerator, microwave oven, and sink. There were adequate supplies of nonperishable food and dining ware to accommodate a maximum capacity of six (6). LPA inspected the kitchen and observed gas stove and refrigerator to be clean and working. Knives and sharps are stored in a locked drawer. Cleaning agents are also stored under the sink with a locking mechanism.

BEDROOMS: There are five (5) bedrooms designated for residents use. Bedroom #1, bedroom #2, bedroom #3 and bedroom #4 are cleared to be private rooms. Bedrooms # 5 is shared. The applicant furnished the resident bedrooms with beds, night stand, dresser, bedding, and linen. The bedrooms have sufficient lighting and closet space. The linens were stored in the storage space in each residents bedrooms.
Continue to LIC 809-C
NAME OF LICENSING PROGRAM MANAGER: Mary G Flores
NAME OF LICENSING PROGRAM ANALYST: Leslie Ngo-Castaneda
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: SOLVITA RESIDENTIAL CARE 2
FACILITY NUMBER: 197610822
VISIT DATE: 02/23/2026
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BATHROOMS: The facility has two (2) bathrooms. Residents bathroom is located in beside bedroom #5. The bathroom were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 110.8 degrees Fahrenheit. Bathroom #2 is located in between bedroom #2 and bedroom #1. Hot water delivered in the bathroom measured at 113.1 degrees Fahrenheit.

COMMON AREAS: The common areas were appropriately furnished these included the living and dining room area. The living room was equipped with couch, tables and chairs. The LPA observed entertainment equipment and games for activities. The dining table is large enough to seat six (6) individuals. The facility has maintained a temperature of 69 degrees Fahrenheit. There were no visible immediate hazards. Water and emergency kits are stored in a cabinet in the kitchen.



LAUNDRY ROOM: The laundry room is located by the hallway. The washer and dryer are observed to be operational. All chemicals were stored and locked by the laundry cabinet.

MEDICATIONS: The medications will be located in the hallway. It has a locking mechanism.

OFFICE/STAFF WORKSTATION: The facility has a staff workstation that is in the living room by the dining table. The first-aid kit is complete. Designated files will be stored in the file drawer by the living room. Facility will provide 24 hour awake staff care.

SURROUNDING GROUNDS: The passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. There is sufficient outdoor space with seating and a shaded area with proper furniture for outdoor use. There are no bodies of water on the premises.

Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensee. CAB will be advised, and a copy of this report provided. No health and safety hazard were noted during this visit. Licensee shall contact LPA once the first resident is admitted. Exit interview was conducted and a copy of report was issued.

In addition to the pre-licensing inspection, a Component III power point presentation was also held.
NAME OF LICENSING PROGRAM MANAGER: Mary G Flores
NAME OF LICENSING PROGRAM ANALYST: Leslie Ngo-Castaneda
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026
LIC809 (FAS) - (06/04)
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