MY HOME OF AGING

23817 BESSEMER STREET, Woodland Hills CA 91367

Facility 195850146 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report May 20, 2026Licensed

Additional info
Licensee
MY HOME OF AGING INC.
Administrator
KYKHOSROWPOUR, VISHTASB
Contact
KYKHOSROWPOUR, VISHTASB
License first date
May 25, 2021
License effective date
May 25, 2021
District office
WOODLAND HILLS N.ASC · (818) 596-4334
Regional office
29
Clients served
935 - ELDERLY

Summary

The available records show 2 Type A and 8 Type B deficiencies for this facility.

Most recent inspection
May 20, 2026
Most recent deficiency
May 20, 2026

No later report is available, so the records do not show what happened afterward.

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 2 Type A and 8 Type B deficiencies.

1 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
5

More than the typical 4

1 in the last 12 months

Recorded deficiencies
10

Well above the typical 1

3 in the last 12 months

Type A deficiencies
2

Most this size have none

1 in the last 12 months

Type B deficiencies
8

Most this size have none

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

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
Background checksType A
Official classification
Type A
Official code
87355(e)(3)
Regulation authority
CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above as one (1) out of five (5) staff was missing a transfer of criminal record clearance which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/21/2026 Plan of Correction Administrator stated they will associate Staff #1 to the facility and submit proof to CCLD by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Medical and dental careType B
Official classification
Type B
Official code
87465(e)
Regulation authority
CCR

What the official deficiency says

(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. This requirement is not met as evidenced by: Deficient Practice Statement Based on medication review and interview, the licensee did not comply with the section cited above as two (2) over-the-counter medications for Resident #1 (R1) did not have physician's orders on file which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2026 Plan of Correction Administrator stated they will obtain written physician's orders for R1's medications and will submit proof to CCLD by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(a)
Regulation authority
CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above as two (2) out of six (6) residents were missing a reappraisal within the last 12 months which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2026 Plan of Correction Administrator stated they will conduct a reappraisal of the two residents and submit proof to CCLD by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(c)(1)
Regulation authority
CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above as one (1) out of four (4) staff did not have first aid training which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/08/2025 Plan of Correction The staff member completed first aid training and provided valid certification during the visit. POC is cleared.

Official record says corrected or clearedOn or before May 1, 2025
Plan of correction recorded
View official report
Inspection
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(1)
Regulation authority
CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (1) Postural supports shall be limited to appliances or devices such as braces, spring release trays, or soft ties, used to achieve proper body position and balance, to improve a resident's mobility and independent functioning, or to position rather than restrict movement including, but not limited to, preventing a resident from falling out of bed, a chair, etc. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. R1 was observed in a wheelchair with a tray attached in front which was observed strapped where resident is unable to release self out of wheelchair. Licensee/Administrator and staff released the straps. This posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/29/2024 Plan of Correction Licensee/Administrator unstrapped the tray from the wheelchair and acknowledged understanding that this type of action is not allow and is restricting movement. Licensee/Admiistrator and staff both acknowledged understanding and will not use any form of device that restricts movement of any resident. Corrected during visit.

Plan of correction recorded
Correction not verified in available records
View official report
Dementia careType B
Official classification
Type B
Official code
87705(f)(2)
Regulation authority
CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed cleaing suppliesaccessible to resident in the restroom located in the hallway were resident bedrooms are located. This poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/29/2024 Plan of Correction Licensee/Administrator removed the 4 cleaning solution bottles from the residents restroom and locked it in the garage during todays visit. Licensee/Administrator spoke with the staff during the visit and remind staff not to leave any cleaning solutions accessible to residents at anytime. Corrected during visit.

Corrective action observedRecorded in report dated May 29, 2024
Plan of correction recorded
View official report
Inspection
Dementia careType A
Official classification
Type A
Official code
87705(f)(2)
Regulation authority
CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. 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 ibuprofen and anti-itch cream was observed to be accesible in the common area which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2023 Plan of Correction Administrator secured items during tour. Administrator will conduct staff training on Section 87705 (f)(2) and submit to CCL by 4/19/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Medical and dental careType B
Official classification
Type B
Official code
87465(d)
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: 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 in six (6) out of 6 residents did not have a PRN Authorization form to determine his/her own needs which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2023 Plan of Correction Administrator will send PRN Authorization form to Primary Physician for signatures. Administrator will submit 6 PRN Authorization form to CCL by 4/28/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(5)(B)
Regulation authority
CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, the licensee did not comply with the section cited above as three (3) out of 6 residents were observed to have full bed rails while not on hospice services, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2023 Plan of Correction Administrator removed the full rails during visit.

Corrective action observedRecorded in report dated Apr 13, 2023
Plan of correction recorded
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307
Regulation authority
CCR

What the official deficiency says

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: 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 a section of the common living area was used as a staff sleeping area which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2023 Plan of Correction Administrator removed curtain barrier, bed and night stand from common area. Administrator will provide updated staff schedule to reflect 24 hour care services due to not having a designated staff room.

Plan of correction recorded
Correction not verified in available records
View official 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