Sherwood Forest Senior Living

Type of visit: Required - 1 Year

On 01/13/26 at 8:15AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with Gohar Akashyan, the administrator. LPA asked for the census, resident, and staff files. A physical tour was conducted at 8:30AM and observed the following: The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. There is a telephone line on the counter in the kitchen on your left-hand side. There is extra, food in the kitchen pantries. The knives are at the top of the kitchen counter on your right-side locked and inaccessible to the residents. The chemicals are under the sink locked and inaccessible to the residents. The medications are locked and inaccessible to the residents in the pantry area on the other side of the facility. Outside/Backyard: The outside/backyard has furniture for the residents with proper seating. There is another shed on the left-side where there is extra items for the residents. The facility does have a signal system and cameras in common areas. The facility does not have a pool/body of water. The outside/backyard can be accessed from the kitchen area. There is no garage. LIC 809C-continued The fire extinguisher is located against the wall on your left-hand side of the entrance of the facility. It is fully charged. The expiration date is 02/2026. There is another fire extinguisher located down the hallway in between the resident rooms with the same expiration date of 02/2026. Bedrooms: There are five (5) bedrooms and two (2) full bathrooms. Four (4) bedrooms are single, occupied and (1) bedroom is shared. There is no staff room. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. The bathrooms have proper toiletry, grab bars and non-skid mats. The bathroom temperatures of the water are within regulations reading at 108.6 degree Fahrenheit. The dining/living room area has enough seating for the residents and the staff. There is a fireplace that is covered and inaccessible to the residents. There are two (2) dining room areas with a television. The first aid kit is on the counter area of one (1) of the dining halls. The house temperature is at 70-degree Fahrenheit. There are several smoke detectors/carbon monoxides in the dining/living area that are operable. There is one (1) washer and dryer. Administrative: The Insurance plan is dated as of 01/17/26. At the entrance of the facility against the left-side of the facility there is a billboard with signs: Yes, Ombudsman, Disaster Plan, Resident Rule, Theft and Loss, Designee, House Rules, Mitigation Plan and Hospice waiver. The fire drill was last performed on 12/05/2025. Files: Four (4) resident files were reviewed and three (3) staff files. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the administrator.the state’s words, verbatim · CDSS document, Jan 13, 2026

Type of visit: Case Management - Other

On 07/22/25, at 7:55AM, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced case management due to changes to facility sketch. The final approval was conducted by the Department of Building and Safety on 12/23/24. The facility now has five (5) rooms instead of the original sketch of three (3) bedrooms. Five (5) bedrooms are for residents’ use. There is no staff bedroom. There are two (2) bathrooms. A storage was also built which is behind the facility. The garage was removed and a JADU-Junior Accessory Dwelling Unit built. On the other side of the facility is an ADU-Accessory Dwelling Unit. Both JADU and ADU have different addresses. The Fire Inspection’s final approval was conducted on 06/30/25 with an updated LIC 850. A new LIC 200 was sent to the Community Care Licensing Department on 02/04/25 and the Pre-Inspection/Consultation Request of 1146.00 was paid on 02/2025. All the documents have been paid and all documents have been updated for the above facility. A copy of all the documents have been provided to the Licensee/Administrator, an exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the licensee/Administrator.the state’s words, verbatim · CDSS document, Jul 22, 2025

Type of visit: Required - 1 Year

On 01/28/25 at 9:35AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with caregiver Luisine Piliposyan and disclosed the purpose of the visit. Gohar Akashyan, the administrator was present at the time. LPA asked for the census, resident, and staff files. A physical tour was conducted at 10:45AM and observed the following: The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. There is a telephone line on the counter in the kitchen on your left-hand side. There is extra, food in the kitchen pantries. The knives are at the top of the kitchen counter on your right-side locked and inaccessible to the residents. The chemicals are under the sink locked and inaccessible to the residents. The medications are locked and inaccessible to the residents in the pantry area on the other side of the facility. Outside/Backyard: The outside/backyard has furniture for the residents with proper seating. There is a staff office where files are kept. It is locked and inaccessible to the residents. There is another shed on the left-side where there is extra items for the residents. The facility does have a signal system. The facility does not have a pool/body of water. The outside/backyard can be accessed from the kitchen area. LIC 809C-continued The fire extinguisher is located against the wall on your left-hand side of the entrance of the facility. It is fully charged. The expiration date is 02/2025. There is another fire extinguisher located down the hallway in between the resident rooms. There is also a fire extinguisher located at the entrance of the kitchen on your right-hand side. Bedrooms: There are five (5) bedrooms and two (2) full bathrooms. Four (4) bedrooms are single, occupied and (1) bedroom is shared. There is no staff room. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. The bathrooms have proper toiletry, grab bars and non-skid mats. The bathroom temperatures of the water are within regulations reading at 110–112-degree Fahrenheit. The dining/living room area has enough seating for the residents and the staff. There is a fireplace that is covered and inaccessible to the residents. There are two (2) dining room areas with a television. The first aid kit is on the counter area of one (1) of the dining halls. The house temperature is at 75-degree Fahrenheit. There are several smoke detectors/carbon monoxides in the dining/living area that are operable. Administrative: There is no annual fee that is due right now. The Insurance plan is dated as of 01/17/25. At the entrance of the facility against the left-side of the facility there is a billboard with signs: Yes, Ombudsman, Disaster Plan, Resident Rule, Theft and Loss, Designee, House Rules, Mitigation Plan and Hospice waiver. The fire drill was last performed on 12/2024. Let it be noted, there has been changes to the original facility sketch and sent to Community Care Licensing Department. There is a Junior ADU-Accessory Dwelling Unit with a different address which has been approved by the Building Permit and LPA was able to do a physical tour. The Junior ADU has one (1) bedroom and one (1) bathroom. The facility now has five (5) bedrooms approved by the building permit. The building permit was approved and finalized in 12/2024. The Pre-Inspection Consultation Request Request has been submitted for payment. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the administrator.the state’s words, verbatim · CDSS document, Jan 28, 2025

Type of visit: Office

An Informal Conference was conducted today at the Woodland Hills-South Adult and Senior Care Regional Office. This Informal Conference was held to discuss recent deficiencies and provide guidance to ensure future compliance. Prior to the meeting, Licensee was given the chance to review the facility file. Present at today's meeting were the following: Artur Agabekyan,Licensee Gohar Akashyan, Administrator Lusine Pilipasyan, Employee Troy Agard, Licensing Program Manager (LPM) Gina Saucedo, Licensing Program Analyst (LPA) The informal conference process was explained to the Licensee. The Licensee was also informed that this Informal Conference is a part of the administrative action process. Further citations may result in a Non-Compliance Conference, which could lead to a referral to the Department's Legal Division for possible license revocation or other administrative actions. BRIEF HISTORY: The facility has been in operation since 03/03/2020. LIC 809C-continued Today's conference was to address the following issues: 1) An updated fire clearance is needed. 2) The facility is at risk of losing their fire clearance due to unpermitted modification (renovations). 3) During a facility inspection, a back yard storage shed was observed to be used as an office space. Any space utilizing utilities (light, gas, water) needs to be permitted by Building and Grounds. 4) During a facility inspection, a fire door magnet kill switch was observed. Per the fire inspector, this needs to be removed as it was not done properly and nor was it permitted. Improper electrical wiring can result in a fire. 5) Additional smoke detectors in the area that were added were not permitted. Per the Fire inspector the entire facility electrical wiring needs to be checked and permitted. Per the fire inspector, the order that is on file with building and safety needs to be corrected. It indicates the original plan was to add two (2) bedrooms however three (3) bedrooms were added instead. The original plans were given corrections, were subject for approval and permit.the state’s words, verbatim · CDSS document, May 2, 2024

Type of visit: Required - 1 Year

On 03/11/24 at 8:40AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with caregiver Svetlana Petrosayn and disclosed the purpose of the visit. Akashyan Gohar, the administrator was called and arrived about ten (10) minutes later. LPA asked for the census, resident, and staff rosters. A physical tour was conducted at 8:55 AM and observed the following: The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. There is a telephone line on the counter in the kitchen on your left-hand side. There is extra, food in the kitchen pantries. The knives are at the top of the kitchen counter on your right-side locked and inaccessible to the residents. The chemicals are under the sink locked and inaccessible to the residents. The medications are locked and inaccessible to the residents in the pantry area on the other side of the facility. Outside/Backyard: The outside/backyard has furniture for the residents with proper seating. There is small shed that has been converted to a staff office where files are now kept. It is locked and inaccessible to the residents. There is another shed on the left-side where there is extra items for the residents. The facility does have a signal system. The facility does not have a pool/body of water. The outside/backyard can be accessed from the kitchen area. LIC 809C-continued The fire extinguisher is located against the wall on your left-hand side of the entrance of the facility. It is fully charged. The expiration date is 02/2025. There is another fire extinguisher located down the hallway in between the resident rooms. There is also a fire extinguisher located at the entrance of the kitchen on your right-hand side. Bedrooms: There are five (5) bedrooms and two (2) full bathrooms. Four (4) bedrooms are single, occupied and (1) shared. There is no staff room. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. The bathrooms have proper toiletry, grab bars and non-skid mats. The bathroom temperatures of the water are within regulations reading at 110–112-degree Fahrenheit. The dining/living room area has enough seating for the residents and the staff. There is a fireplace that is covered and inaccessible to the residents. There are two (2) dining room areas with a television. The first aid kit is on the counter area of one (1) of the dining halls. The house temperature is at 72-degree Fahrenheit. There are several smoke detectors/carbon monoxides in the dining/living area that are operable. Administrative: There is no annual fee that is due right now. The Insurance plan is dated as of 01/2025. At the entrance of the facility against the left-side of the facility there is a billboard with signs: Yes, Ombudsman, Disaster Plan, Resident Rule, Theft and Loss, Designee, House Rules, Mitigation Plan and Hospice waiver. Let it be noted, there has been changes to the original facility sketch. There was no access to the garage that was originally in the facility sketch. It is now converted to a Junior ADU and has a white gate surrounded. The original facility sketch had a clearance for three (3) bedrooms now the facility shows five (5) bedrooms. A hallway door was also removed. There is currently no fire clearance or building permits. An exit interview was conducted, citations were issued, and a copy of this report was given to the administrator.the state’s words, verbatim · CDSS document, Mar 11, 2024