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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610861
Report Date: 12/03/2025
Date Signed: 12/03/2025 03:15:50 PM

Unsubstantiated


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
11/26/2025 and conducted by Evaluator Angela Panushkina
COMPLAINT CONTROL NUMBER: 31-AS-20251126102525
FACILITY NAME:CHATSWORTH OAKS ASSISTED LIVINGFACILITY NUMBER:
197610861
ADMINISTRATOR:VAHRAMYAN, KHACHATURFACILITY TYPE:
740
ADDRESS:9654 QUAKERTOWN AVETELEPHONE:
(818) 213-4074
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY:6CENSUS: 1DATE:
12/03/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Khachatur Vahramyan, Administrator TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff are physically, psychologically and mentally abusing resident in care.
INVESTIGATION FINDINGS:
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At 11:30am, Licensing Program Analyst (LPA), Angela Panushkina conducted an unannounced visit in response to the above-mentioned allegation. LPA met with the Administrator and explained the reason for the visit.

At 11:35am, LPA requested resident and staff roster. At 11:40am, LPA requested copies of pertinent information which include, but not limited to Admission Agreement, Physician's Report, Appraisal Needs and Services Plan, Staff Training, Abuse Policy, relevant to the investigation. At approximately 11:45am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between
11:50am - 1:00pm, LPA conducted an interview with the Administrator, two (2) staff and one (1) resident.

Continue on LIC9099-C

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2025
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-20251126102525
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: CHATSWORTH OAKS ASSISTED LIVING
FACILITY NUMBER: 197610861
VISIT DATE: 12/03/2025
NARRATIVE
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Allegation: Staff are physically, psychologically and mentally abusing resident in care.

It was alleged that the facility staff pulled R1’s hair and said, “you deserve it.” To investigate this allegation LPA conducted an interview with the Administrator, who denied any knowledge of abuse and informed LPA that they have not witnessed or heard any reports of any staff abusing residents. During the physical plant tour, LPA did not observe any signs of abuse, and R1 was clean and well taken care of. Two (2) staff interviewed informed LPA they have never physically or verbally abused R1 or witnessed other staff abusing R1. During the interview with R1, R1 expressed no concern regarding this allegation. R1 also verified that staff have never physically, psychologically, mentally or verbally harmed them and that all staff are very kind, gentle and treat them with dignity and respect. Based on interviews, record review and LPA's observation there is not enough information to verify the allegation. Therefore, the allegation is deemed Unsubstantiated at this time.

No deficiency issued during today's visit.
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: 12/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2