197610212-10-28-2025-31-AS-TAGD-DR8PEL-20260212101519

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610212
Report Date: 10/28/2025
Date Signed: 10/28/2025 03:30:20 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
10/06/2025 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20251006125554

FACILITY NAME:	TERNER HOME		FACILITY NUMBER:	197610212
ADMINISTRATOR:	BAGDASARIAN, SIRANUSH		FACILITY TYPE:	740
ADDRESS:	9946 COLUMBUS AVENUE		TELEPHONE:	(818) 326-0336
CITY:	MISSION HILLS	STATE: CA	ZIP CODE:	91345
CAPACITY:	6	CENSUS: 6	DATE:	10/28/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Siranush Bagdasarian		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff left resident in soiled diapers.
Staff did not provide transfer assistance to resident in care.
Staff spoke inappropriately to resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to this facility to investigate the above allegations. LPA met with administrator, Siranush Bagdasarian, and explained the reason for the visit.

---Staff left resident in soiled diapers

It was alleged that Resident #1 (R1) has been left to sit in a diaper for hours after having a bowel movement. R1 was unable to state exactly how long they were left to lay in a soiled diaper. To investigate the allegation, on 10/07/2025, LPA requested documents at around 10:30a.m., interviewed three (03) staff from 11:30a.m. to 1:30p.m. and three out of five (05) residents from 1:30p.m. to 3:00p.m. On 10/28/2025, LPA conducted a physical plant tour and interviewed three (03) additional residents.

(CONT. on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025

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-20251006125554

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: TERNER HOME	FACILITY NUMBER: 197610212
	VISIT DATE: 10/28/2025

NARRATIVE

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During the physical plant tour, LPA did not experience any malodor and observed at least two (02) staff providing care and supervision to six (06) residents. A review of Home Health documents states twice per week assistance with personal care, bathing, grooming, walking, feeding and light housekeeping. During interviews with staff, all staff stated they change residents three (03) times a day or more if needed and do not leave residents soiled for an extended time. During interviews with residents, all residents, including R1, stated staff check on frequently throughout the day and are not left soiled for an extended time.

Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

---Staff did not provide transfer assistance to resident in care.

It was alleged that in the years she has resided at the assisted living, she has only been placed in a wheelchair twice. To investigate the allegation, on 10/07/2025, LPA requested documents at around 10:30a.m., interviewed three (03) staff from 11:30a.m. to 1:30p.m. and three out of five (05) residents from 1:30p.m. to 3:00p.m. On 10/28/2025, LPA conducted a physical plant tour and interviewed three (03) additional residents. During the physical plant tour, LPA observed at least two (02) staff providing care and supervision to six (06) residents. LPA also observed resident being transferred from bed to chair. A review of Home Health documents states twice per week assistance with personal care, bathing, grooming, walking, feeding and light housekeeping. During interviews with staff, all staff stated they offer transfer assistance daily, encourage R1 to get out of bed and to the dining table. Staff added R1 often refuses and cannot force R1 against their will. During interviews with residents, R1 stated they are not left in their chair or refused transfer assistance. R1 added they have been transferred to their chair several times. Resident #2 (R2) also stated staff assist them daily with transferring in and out of bed. All other residents do not require assistance.

Based on interviews, record review and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

(CONT. on LIC9099-C)

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 31-AS-20251006125554

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: TERNER HOME	FACILITY NUMBER: 197610212
	VISIT DATE: 10/28/2025

NARRATIVE

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---Staff spoke inappropriately to resident in care

It was alleged that staff would say things like “shut up” and “Fuck you”. To investigate the allegation, on 10/07/2025, interviewed three (03) staff from 11:30a.m. to 1:30p.m. and three out of five (05) residents from 1:30p.m. to 3:00p.m. On 10/28/2025, LPA interviewed three (03) additional residents. During interviews with resident, all residents, including R1, stated staff do not say things to them like “shut up” or “fuck you” and treat them with respect and dignity. During interviews with staff, all staff stated they treat residents with respect and dignity. Staff added they do not tell residents “fuck you” of “shut up”.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards noted during the visit.

Exit interview conducted. A copy of the report was issued.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025

LIC9099 (FAS) - (06/04)

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