197608267-4-16-2025-31-AS-TAGD-DG3TVG-20250425150355

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 04/16/2025
Date Signed: 04/16/2025 12:45:06 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
04/10/2025 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20250410114746

FACILITY NAME:	CEDARS ASSISTED LIVING, THE		FACILITY NUMBER:	197608267
ADMINISTRATOR:	STEPHAN SARMAZIAN		FACILITY TYPE:	740
ADDRESS:	17300 ROSCOE BLVD.		TELEPHONE:	(818) 344-2042
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91325
CAPACITY:	175	CENSUS: 103	DATE:	04/16/2025
		UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Alexander Solorio, Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff did not prevent a resident from hitting another resident while in care
Staff did not prevent a resident from threatening another resident while in care

INVESTIGATION FINDINGS:

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On 04/16/25, at 11:20am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Administrator, Alexander Solorio. LPA explained the purpose of this visit was to gather information, interview staff and residents and deliver findings for this complaint.

On 04/16/25, LPA Saucedo asked for the census, staff, and resident rosters. On 04/16/25, LPA Saucedo conducted a physical tour and interviewed staff and residents.

LIC 9099C-continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20250410114746

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: CEDARS ASSISTED LIVING, THE	FACILITY NUMBER: 197608267
	VISIT DATE: 04/16/2025

NARRATIVE

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Regarding the allegation: Staff did not prevent a resident from hitting another resident while in care. It is being alleged that resident #1 (R1) was hit several times by resident #2 (R2) and staff did not prevent it. During LPA's interview with R1, R1 said the fight between them and R2 happened in the dining hall early in the morning before breakfast was being served. R1 admits to having an argument with R2 but did not expect R2 to hit them. R1 confirmed that two (2) staff responded to the incident and came to their aide and in addition, resident #3 (R3) told R2 to stop. LPA interviewed R3 and R3 stated, "they were sitting outside in the patio when they saw the commotion in the dining hall and told R2 to stop." R3 also stated that two (2) staff came to see what was happening. LPA attempted to interview another resident #4 (R4) but they did not see the incident. LPA interviewed two (2) staff that were present and said R2 did stop hitting R1 when they intervened. LPA received the Unusual Incident/Injury Report and SOC 341 that was sent to Community Care Licensing and the Local Police Department. Furthermore, LPA received an additional Unusual Incident/Injury Report for April 09, 2025, regarding R2 being sent to Los Angeles Department Medical Center (LADMC) for psychiatric evaluation therefore, R2 was not able to be interviewed and remains at LADMC. Let it be noted, R1, R2, R3 and R4 are residents from Pasadena Villa Senior Living (198603286) that are residing at Cedars Assisted Living because of the Fire Evacuations. Therefore, based on the LPA's record review, resident and staff interviews, the above allegation(s) above is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff did not prevent a resident from threatening another resident while in care. It is being alleged that resident #1 (R1) was threatened by resident #2 (R2) and staff did not prevent it. During LPA's interview with R1, R1 admitted that there was no staff or residents around when R2 threatened them. Let it be noted, R2 could not be interviewed due to them being sent to Los Angeles Department Medical Center (LADMC) for psychiatric evaluation. During LPA's interview with R3, R3 stated, "I saw R2 hitting R1 but never heard a threat." LPA attempted to interview another resident #4 (R4) but they did not see the incident or hear any threats from any residents. LPA interviewed two (2) staff that intervened when R1 was being hit but they confirmed they did not hear any threats being made by R2. Let it be noted, R1, R2, R3 and R4 are residents from Pasadena Villa Senior Living (198603286) that are residing at Cedars Assisted Living because of the Fire Evacuations. Therefore, based on the LPA's record review, resident and staff interviews, the above allegation(s) above is UNSUBSTANTIATED at this time.

Exit interview was conducted, no citation(s) were issued for the above allegation(s) and a copy of this report was given to the Administrator, Alexander Solorio.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025

LIC9099 (FAS) - (06/04)

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