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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610839
Report Date: 03/27/2026
Date Signed: 03/27/2026 04:00:33 PM

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
12/24/2025 and conducted by Evaluator Angela Panushkina
COMPLAINT CONTROL NUMBER: 31-AS-20251224094842
FACILITY NAME:SUNNARA GOLD INCFACILITY NUMBER:
197610839
ADMINISTRATOR:HOVHANNISYAN, HRACHFACILITY TYPE:
740
ADDRESS:14907 HUBBARD STREETTELEPHONE:
(818) 934-7783
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:6CENSUS: 4DATE:
03/27/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Irina Raskopina, Operator/StaffTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Unlicensed care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Panushkina conducted a subsequent complaint visit to follow up on an Unlicensed Care Complaint. LPA met with the Operator, Irina Raskopina, and explained the reason for the visit.

On 12/26/25, an initial complaint visit was conducted and interview with the Operator revealed that an application for Licensure “SUNNARA GOLD INC” # 197610839 was already submitted on 06/13/2025, with Community Care Licensing Division, and the Pre-Licensing visit was conducted on 11/13/2025, however, the license was still under the pending status. During the subsequent visit conducted on 12/30/25, interviews with staff revealed that five (5) out of five (5) individuals residing here require and were receiving elements of care and supervision. Elements of care and supervision include assistance with Activities of Daily Living (ADL), such as bathing, dressing, using the toilet, and arranging medical and dental services.
Continue on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026
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 2
Control Number 31-AS-20251224094842
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: SUNNARA GOLD INC
FACILITY NUMBER: 197610839
VISIT DATE: 03/27/2026
NARRATIVE
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Additionally, LPA reviewed STD850 "Fire Clearance" that was submitted on 10/15/25 and observed that on 10/22/25 the fire clearance granted for six (6) Ambulatory ONLY. Therefore, Notice of Violation of Law (NOVL) was issued, and Operator was advised to cease the operation.

During today’s visit, LPA conducted physical plant tour and observed that there are currently four (4) residents residing at the facility. LPA conducted review of documents and observed that the license (#197610839) was issued on 01/29/2026 for capacity of six (6) ambulatory only. LPA also observed that a new Fire Clearance (STD850) request was submitted on 03/04/2026 for the capacity of six (6) residents of which two (2) can be Ambulatory, three (3) – Nonambulatory and one (1) – Bedridden. STD850 was granted as of 03/20/2026. New license will be issued to reflect the Fire Clearance approval.

This complaint will remain Substantiated based on an initial finding.

Exit interview conducted. Appeal rights explained and copy of this report signed and delivered.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2