197608267-5-5-2025-31-AS-TAGD-DH6TW9-20250530150506

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 05/05/2025
Date Signed: 05/05/2025 12:11:49 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
05/01/2025 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20250501102658

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: 105	DATE:	05/05/2025
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Mary Jane Reyes, Resident Care Director		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staff did not provide a safe environment for residents in care

INVESTIGATION FINDINGS:

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On 05/05/25, at 09:40am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Resident Care Director, Mary Jane Reyes. LPA explained the purpose of this visit was to gather information, interview staff and residents and deliver findings for this complaint.

On 05/05/25, LPA Saucedo asked for the census, staff, and resident rosters. On 05/05/25, 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: 05/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025

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-20250501102658

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: 05/05/2025

NARRATIVE

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Regarding the allegation: Staff did not provide a safe environment for residents in care. It is being alleged that resident #1 (R1) was molested at the above facility. LPA interviewed R1 via telephone at the Skilled Nursing Facility (SNF). Let it be noted, R1 has been at the SNF since January of 2025 and has not returned to the above facility. LPA asked R1 when did this incident happen and R1 did not know. LPA asked R1 who were the caregivers that entered their room and R1 did know. LPA asked were the caregivers providing help to you at the time of them entering your room and R1 stated they should not be in my room. LPA interviewed R1's roommate (resident #2-R2) and they stated that caregivers and housekeepers go in their room all the time to clean and provide services such as help with transfers from bed to wheelchair, showers, help changing their clothes. R2 also stated they have never had any issues with any of the caregivers and/or housekeepers that enter their room. LPA interviewed four (4) staff that confirmed that they would go in R1's room to provide services such cleaning, bathing, grooming, repositioning, and that both residents in that room were non-ambulatory and need help. Let it be noted, R1 was under Level 2 (two) care and needed assistance with different ADL-Activities of Daily Living. LPA interviewed nine (9) additional residents that confirmed they have not had any issues with any staff at the above facility. Therefore, based on the LPA's record review, resident and staff interviews, the above allegation(s) above is UNSUBSTANTIATED at this time.

Exit interview conducted, and copy of the report was signed and given to the Resident Care Director.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025

LIC9099 (FAS) - (06/04)

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