197610429-8-12-2026-31-AS-NGID-DXAQAK-20260825120003

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610429
Report Date: 08/12/2026
Date Signed: 08/12/2026 02:17:31 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/12/2026 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20260812092155

FACILITY NAME:	SIMPLE TOUCH BOARD AND CARE INC		FACILITY NUMBER:	197610429
ADMINISTRATOR:	SARKISYAN, KARINE		FACILITY TYPE:	740
ADDRESS:	22317 MOBILE ST		TELEPHONE:	(747) 444-8506
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91303
CAPACITY:	6	CENSUS: 2	DATE:	08/12/2026
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:			TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff did not refund authorized representative after residents death

INVESTIGATION FINDINGS:

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At 11:30am, Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced visit in response to the above-mentioned allegation. LPA met with the Staff 1 (S1), who granted access to facility. LPA contacted the Administrator, Karine Sarkisyan, and explained the reason for the visit. LPA was informed that the Administrator is currently out of town and is unable to come to the facility. The Administrator designated S1 to sign for the report.

At 11:35Am, LPA requested resident and staff roster. At 11:40am, requested copies of pertinent information which include, but not limited to facility's Admission Agreement, Copy of Invoice/Check, etc. relevant to the investigation. At approximately 11:50am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 11:50am - 12:30pm, LPA conducted an interview with the Administrator and conducted review of facility Admission Agreement.

Continue on LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026

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-20260812092155

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SIMPLE TOUCH BOARD AND CARE INC	FACILITY NUMBER: 197610429
	VISIT DATE: 08/12/2026

NARRATIVE

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Allegation: Staff did not refund authorized representative after residents death

It was alleged that staff failed to provide a refund to Resident #1 (R1)’s family after R1 passed away. R1 was admitted on 07/29/2026, paid $3000 for a month of care, and passed on 08/07/2026. R1’s representative confirmed there were no belongings to remove and that the family requested a refund but never received one. Although the Administrator later stated she was willing to issue the refund, text messages show she instead directed the family to the hospice agency for financial matters. Under the admission agreement, Health and Safety Code 1569.652, and Assembly Bill 261, the facility is required to provide a refund within 15 days once a resident’s belongings are removed. Based on interviews and record review, the allegation is Substantiated.

Deficiency will be issued on LIC9099-D.
Exit interview conducted. Appeal rights explained and copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260812092155

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SIMPLE TOUCH BOARD AND CARE INC	FACILITY NUMBER: 197610429
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/12/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/19/2026 Section Cited HSC 1569.652(c)	1 2 3 4 5 6 7	Termination of admission agreement upon death of resident; removal of resident’s... A refund of any fees paid in advance covering the time after the resident’s personal property has been removed... within 15 days after the personal property is removed. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Administrator will have to pay the prorated amount to R1's responsible party for the remaining days after R1 passed away (R1 had no belongings) R1's rate for basic services was $3000/ month at the time of passing. During today's visit prorated amount was Zelled to R1's representative
	8 9 10 11 12 13 14	Based on record review & interview, licensee did not issue a refund after R1 passed away and had no personal belonging to be removed. This posed a potential personal rights risk to residents in care.	8 9 10 11 12 13 14	POC is cleared during the visit.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026

LIC9099 (FAS) - (06/04)

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