197609038-5-18-2026-31-AS-MGFS-DVQVA2-20260706161513

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609038
Report Date: 05/18/2026
Date Signed: 05/18/2026 10:21:17 AM

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
01/21/2026 and conducted by Evaluator Mariana Agban

COMPLAINT CONTROL NUMBER: 31-AS-20260121091736

FACILITY NAME:	FLAIR SENIOR MANOR 2		FACILITY NUMBER:	197609038
ADMINISTRATOR:	PAYARALI, LILIYA		FACILITY TYPE:	740
ADDRESS:	22853 ENADIA WAY		TELEPHONE:	(818) 610-1015
CITY:	WEST HILLS	STATE: CA	ZIP CODE:	91307
CAPACITY:	6	CENSUS: 6	DATE:	05/18/2026
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Lilya Payarali- Administrator		TIME COMPLETED:	10:35 AM

ALLEGATION(S):

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Staff sexually abused resident in care
Staff did not follow cross reporting requirements

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mariana Agban met with the Administrator, Lilya Payarali, to conduct an unannounced subsequent complaint visit to deliver the findings regarding the allegations listed above. An entrance interview was conducted.
On 01/21/26, the Woodland Hills Adult & Senior Care Regional Office received the complaint. An initial visit was made on 01/22/26 by Department Representatives. Department Representatives conducted a walk-through of the facility to ensure the health and safety of the resident in care. On the of the initial visit, there were no health and safety issues observed. Between January – March 2026, a Department’s representative conducted interviews over the phone and in person with staff, residents, public guardian, and obtained police department records.

Regarding the allegation: Staff sexually abused a resident in care.
It is alleged a perpetrator stuck their tongue down Resident#1(R1)’s mouth. (Continue on 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026

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-20260121091736

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: FLAIR SENIOR MANOR 2	FACILITY NUMBER: 197609038
	VISIT DATE: 05/18/2026

NARRATIVE

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On 01/22/26, a Department Representative interviewed Resident#1(R1), which revealed that Staff#1(S1) entered R1’s bedroom, closed the door, and stuck S1's tongue down R1’s mouth 3 times on three separate occasions in the same evening on or about the week before Christmas 2025. Interviews with other residents revealed they had no concerns with any of the staff. On 01/27/26, interviews were conducted with the facility Administrator, two staff members, and one facility resident, who couldn’t confirm the allegation. The facility administrator stated that R1 has mild cognitive impairment, and according to caregivers, would sometimes wake up from a dream in the middle of the night in a confused state. R1 does not have any sundowning behaviors. Record review confirmed that R1’s Physician’s Report dated: 3/28/2025 notes R1 has dementia. An updated Appraisal/Needs and Services Plan dated: 1/01/2026 indicated that R1 requires emotional support and reassurance related to her diagnoses to maintain emotional stability and a sense of security. Department Representative also observed documents indicating that the Facility Administrator completed an internal investigation on 1/01/2026, in which the Facility Administrator couldn’t confirm the allegation, as S1 denied it. S1 had been taken out of the facility schedule and later resigned. A police report was filed on 01/07/26, no injuries were observed at the time of the investigation.
Based on the investigation conducted by the Department it was determined that there was insufficient evidence to substantiate the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation: Staff did not follow cross-reporting requirements

It is alleged that the facility Administrator did not report the incident to Community Care Licensing (CCL). LPA Agban interviewed the Administrator over the phone on 05/15/26, and the Administrator stated that the incident was reported on 01/01/26. LPA obtained a copy of incident report (LIC 624) and SOC 341 dated: 01/01/26 with fax cover date 01/01/26 which was provided by the administrator and notes incident was cross reported to CCL.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted and copy of this report signed and delivered.

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026

LIC9099 (FAS) - (06/04)

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