197608267-5-15-2025-31-AS-TAGD-DMESQ2-20251013140358

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 05/15/2025
Date Signed: 05/15/2025 01:47:11 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
04/29/2025 and conducted by Evaluator Leizl De La Cerra

COMPLAINT CONTROL NUMBER: 31-AS-20250429145855

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: 111	DATE:	05/15/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Mary Jane Reyes, Resident Care Director		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff are not meeting residents' care needs.

INVESTIGATION FINDINGS:

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Licensing program Analyst (LPA) Leizl DeLaCerra conducted announced subsequent visit to the facility on 05/15/25 to deliver the findings. LPA met with the Resident Care Director and explained the purpose of the visit

Allegation: Staff are not meeting residents' care needs.
It was alleged that on 04/22/2025 a caregiver was mentioned that they could not assist a resident from Pasadena Villa, and that the resident needed to wait for Pasadena Villa staff to assist the resident. Also alleged on 01/13/2025, residents from Pasadena Villa, due to the short notice evacuation, some residents were put in the locked memory care unit rooms at Cedars Assisted Living and these residents were not allowed to have the code and were told to wait for Pasadena Villa staff to assist them. Also, on 1/13/2025, residents did not receive assistance and are made to wait longer to receive care for a Pasadena Villa staff.
To investigate this allegation, LPA dela Cerra conducted an initial visit on 5/06/2025. On this initial visit, 05/06/2025 between 10:30am to 11:55pm LPA conducted a physical plant tour, interviewed six (06) staff members and between 12:00pm to 1:30pm interviewed ten (10) residents. Between 2:30pm to 3:10pm conducted and additional interview by phone and record reviews.
Continue to LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leizl De La Cerra
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025

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-20250429145855

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: 05/15/2025

NARRATIVE

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LPA’s observation during the physical plant tour of the facility at 10:30am revealed that the five (5) relocated residents from Pasadena Villa who were placed temporarily in the memory care unit are no longer residing in these rooms. LPA de la Cerra conducted interviews with four (04) staff caregivers and interviews revealed that all facility staff caregivers were meeting resident’s needs, relocated residents and facility residents.
Interviews with S1 and S6 revealed that Pasadena Villa residents were temporarily placed at Cedars Assisted Living at the beginning of 1/08/25, a policy was enforced during an emergency preparedness meeting on 1/09/25 that all caregivers from both facilities must assist all the residents, relocated residents and facility residents. Interviews with all staff members #S1 to S6 also revealed that certain incidents where a staff member was assisting a temporarily relocated resident of which they are not familiar with, the staff member do render aide to the temporary resident in need but caregiver would also call for assistance with a caregiver who was more knowledgeable of that particular resident so the appropriate care can be provided. Additionally, interview with S1 revealed that the five (5) relocated residents who were temporarily placed in the memory care unit, that the access code was not provided to these temporary residents due to safety concerns for the current residents in memory care unit, however staff members from both facilities were always available to assist these residents with access to their rooms. LPA de la Cerra’s interviews with eleven (11) facility residents revealed that staff caregivers are consistent in meeting residents’ needs. Additionally, S1 and S6 interviews confirmed that the Pasadena Villa residents who were temporarily staying at Cedars Assisted Living have been relocated back to Pasadena Villa on April 29, 2025.
LPA’s review of a document that showed names of staff members who attended a meeting on 1/09/25 confirmed that the facility immediately held an emergency preparedness meeting to address to all staff members that all staff members from both facilities must assist and care for all the residents, the relocated residents and the current facility residents.

Based on observation, inspection and record review, the facility staff responded to resident’s emergency call within reasonable time frame.
Therefore, this allegation is deemed Unsubstantiated.

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

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leizl De La Cerra
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025

LIC9099 (FAS) - (06/04)

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