197609103-3-28-2026-31-AS-NMAN-DSRKYX-20260402081951

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609103
Report Date: 03/28/2026
Date Signed: 03/28/2026 10:21:07 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
05/06/2025 and conducted by Evaluator Raymond Comer

COMPLAINT CONTROL NUMBER: 31-AS-20250506100750

FACILITY NAME:	HOLLYWOOD HILLS SENIOR LIVING		FACILITY NUMBER:	197609103
ADMINISTRATOR:	VANESSA JEWELL		FACILITY TYPE:	740
ADDRESS:	1745 N GRAMERCY PLACE		TELEPHONE:	(323) 467-3121
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90028
CAPACITY:	120	CENSUS: 65	DATE:	03/28/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Summer Rosario-MC Director		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Licensee does not ensure that facility administrator is on the premises a sufficient number of hours.
Facility staff do not answer communications from resident’s representatives appropriately.
Facility staff do not properly report unusual incidents.

INVESTIGATION FINDINGS:

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On 3/28/26, Licensing Program Analyst (LPA) Raymond Comer, conducted an unannounced subsequent complaint visit to the facility. LPA met the Memory Care Director and explained that the purpose of this visit is to conduct additional investigation of the above noted allegations and deliver final report.

To investigate the allegations LPA Comer conduced the initial complaint visit on 05/16/25. At which time, LPA spoke with ED and discussed allegations. Between 2:15 pm and 3:00 pm, LPA recieved staff and residents’ rosters and interviewed facility staff. On 09/24/25, LPA Comer conducted subsequent visit. During this visit, at 12:30 pm LPA Comer conducted interviews with residents and responsible family members. Between 2:20 and 3pm, LPA requested and reviewed facility records, included but not limited to, facility schedule, internal incident reports, call log for emergency services, and other pertinent documents.

[LIC 9099]-Continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2026

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

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 31-AS-20250506100750

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: HOLLYWOOD HILLS SENIOR LIVING	FACILITY NUMBER: 197609103
	VISIT DATE: 03/28/2026

NARRATIVE

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Allegation: License does not ensure that facility administrator is on the premises a sufficient number of hours.

It was alleged that the facility does not have an Administrator/ ED on property. The Administrator is present less than 20 hours per week with no after-hours qualified Designee. EDs lack of presence in Memory Care demonstrates a disregard for accountability."

Interviews with ED, other staff and facility residents revealed that ED is present in the facility sufficient number of hours. There are designated staff responsible for Assisted Living (AL) and Memory Care (MC) units. A review of facility staff schedule verified that there are specific personnel responsible to oversee the operations in AL and MC. There is no information to verify that ED is not precent in the facility as it is required. Therefore, based on interviews and record review, there is an insufficient information to verify the allegation, Hence the allegation is unsubstantiated at this time.

Allegation: Facility staff do not answer communications from residents’ representatives appropriately.
Allegation: Facility staff do not properly report unusual incidents.

It was alleged that family and resident requests are ignored by ED. Incident reports with falls and hospitalization aren’t submitted because ED is too busy and she can’t approve “minor” issues.

ED revealed that any incidents reflecting residents’ health and safety are being reported to residents’ responsible parties, medical providers, and appropriate agencies. Staff indicated that upon knowledge of the incidents involving residents, they immediately report to their supervisor or lead. Residents interviewed during investigation addressed no concerns about incidents reported to their responsible parties. During subsequent visit LPA Comer spoke with residents’ responsible parties and they verified that ED or designees are in communication with them if needed.

A review of facility records, including internal incident log and Incidents reports did not provide any measurable and verifiable information to verify the allegation.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2026

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20250506100750

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: HOLLYWOOD HILLS SENIOR LIVING	FACILITY NUMBER: 197609103
	VISIT DATE: 03/28/2026

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	Therefore, based on interviews and record review, the above noted allegations are unsubstantiated at this time. No immediate health and safety issues were noted during investigation. Exit interview was conducted and a copy of report was issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2026

LIC9099 (FAS) - (06/04)

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