Inspection
No deficiencies recorded in this report
MOM AND DADS RETREAT INC
15214 WYANDOTTE STREET, Van Nuys CA 91405
6 bedsLatest official report Sep 10, 2025Licensed
Additional info
- Telephone
- (818) 390-7012
- Licensee
- ARMENUI AMY ARZUMANYAN
- Administrator
- ARMENUI AMY ARZUMANYAN
- Contact
- ARMENUI AMY ARZUMANYAN
- License first date
- Sep 13, 2017
- License effective date
- Sep 13, 2017
- District office
- WOODLAND HILLS N.ASC · (818) 596-4334
- Regional office
- 29
- Clients served
- 935 - ELDERLY
Summary
The available records show 1 Type A and 6 Type B deficiencies for this facility.
- Most recent inspection
- Sep 10, 2025
- Most recent deficiency
- Sep 22, 2023
3 later reports, from Feb 29, 2024 through Sep 10, 2025, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- 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
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 1 Type A and 6 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 7
- Type A deficiencies
- 1
- Type B deficiencies
- 6
- Substantiated complaints
- 0
- Repeated topics
- 0
More than the typical 4
1 in the last 12 months
Well above the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87204(b)
- Regulation authority
- CCR
What the official deficiency says
(b) Resident rooms approved for 24-hour care of ambulatory residents only shall not accommodate nonambulatory residents. Residents whose condition becomes nonambulatory shall not remain in rooms restricted to ambulatory residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as per tour of the physical plant, it was observed that Resident #2, who uses a wheelchair resides in bedroom #1, which is fired cleared for ambulatory use only, which poses an immediate health, safety or personal rights risk to persons in care. IMMEDIATE CIVIL PENALTIES WERE ASSESSED
Official plan of correction
POC Due Date: 09/23/2023 Plan of Correction The Licensee will provide a plan of action by 9/23/23 as to how the faclity will come into compliance regarding the placement of a non-ambulatory resident is a room not approved for use by non-ambulator residents.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as per tour of the facility, the back and front yard were observed to need general cleaning. Discarded wood, planters, commodes, brooms, mops, dryer, ladder need to be discarded or stored away. Weeds along the right side of the home need to be trimmed, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2023 Plan of Correction The Licensee will ensure that the outside areas are kept cleaning and well maintained at all times. Licensee will conduct general cleaning and discard/store all unused items by 9/29/23
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(5)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Non-skid mats or strips shall be used in all bathtubs and showers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as per tour of the bathrooms, the bathroom located inside bedroom #3 was observed without a non-skid mat which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2023 Plan of Correction The licensee will purchase a non-skid mat for the bathroom located in bedroom #3 by 9/29/23
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(2)
- Regulation authority
- CCR
What the official deficiency says
(2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above per tour of the bedrooms, it was observed that all the residents bedroom window blinds and the door blinds in bedroom #3 were all broken and in disrepair which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2023 Plan of Correction Licensee will inspect all facility windows and doors that have blinds to ensure that they are in good repair and take steps to replace all blinds that are broken and is disrepair.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(d)(2)
- Regulation authority
- CCR
What the official deficiency says
(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) The date and time of each contact with the physician, and the physician's directions, shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above per review of resident records, it was observed that the facility does not any PRN Authorization letters for any of the residents who are currently prescribed PRN medications. The facility also does not document any physician's instructions or the results of the dosage of medications given.which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2023 Plan of Correction Licensee will contact the prescribing physician to obtain completed PRN Authorization letters for all residents prescribed PRN medication and provide a plan as to how the physician's instructions and result are going to be documented as well as the time the medication was given and the dosage given.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87212(b)
- Regulation authority
- CCR
What the official deficiency says
(b) The plan shall be subject to review by the Department and shall include: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as the Licensee was not able to provide a copy of the Emergency Disaster Plan to LPA Yee for review which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2023 Plan of Correction Licensee will write up a Emergency Disaster Plan and submit to the Department for review. by 9/29/23
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87633(h)(1)
- Regulation authority
- CCR
What the official deficiency says
(h) For each terminally ill resident receiving hospice services in the facility, the licensee shall maintain the following in the resident's record: (1) A written request for acceptance or admittance to or retention in the facility while receiving hospice services, along with any advance directive and/or request regarding resuscitative measures form executed by the resident or (in certain instances) the resident's Health Care Surrogate Decision Maker. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above per review of Resident #1's hospice file, there were no written request for acceptance or admittance to or retention in the facility while receiving hospice services observed in the residents file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2023 Plan of Correction Licensee will obtain a written request for acceptance or admittance to or retention in the facility while receiving hospice services from Resident #1 and maintain in the Resident's file by 9/29/23
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology