197610582-2-28-2025-31-AS-EMIR-DFHRZF-20250407132751

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610582
Report Date: 02/28/2025
Date Signed: 02/28/2025 03:24:23 PM

Unsubstantiated

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
11/13/2024 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20241113152157

FACILITY NAME:	DIGNITY SENIOR CARE INC.		FACILITY NUMBER:	197610582
ADMINISTRATOR:	SOGHOMONYAN, LALA		FACILITY TYPE:	740
ADDRESS:	10421 GERALD AVE		TELEPHONE:	(818) 390-2151
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	6	CENSUS: 5	DATE:	02/28/2025
		UNANNOUNCED	TIME BEGAN:	08:37 AM
MET WITH:	Eva Vardaryan, Eva Matirosyan		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility staff slapped a resident
Facility staff kicked a resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to conclude the investigation regarding the above allegation. The initial ten day visit was made by LPA Cava on 11/14/24. During the course of the investigation, interviews with resident, staff and resident family were made. LPA also conducted a physical plant inspection and record review.

Facility staff slapped a resident/Facility staff kicked a resident:
Regarding the above allegations, it was reported that on or around 11/09/24, Resident 1 (R1) was slapped and kicked by a staff. On 11/19/24, another report received from another agency allegging that Resident 2 (R2) was also slapped by staff from this facility. Staff 1 (S1) was identified, but when interviewed, S1 denied the allegation. No other witnesses were identified.

During the initial visit that was made on 11/14/24, LPA interviewed S1, who denied both allegations, stating

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2025

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-20241113152157

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: DIGNITY SENIOR CARE INC.	FACILITY NUMBER: 197610582
	VISIT DATE: 02/28/2025

NARRATIVE

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R1 is very aggressive and combative towards staff. LPA was unable to interview R1 during initial visit because R1 was taken to the hospital for evaluation. Return date was unknown at that time. LPA interviewed R2 during the initial visit, and R2 was unable to confirm if staff was aggressive towards R1. Moreover, R2 denied S1 ever being aggressive towards residents during the day of that interview.
Also during the initial investigation, LPA Cava made contact with R1's family, who cannot confirm if S1 had been aggressive towards R1. R1's family further stated R1 has a diagnosis that limits the ability to communicate and store memory. LPA did attempt to interview R1 over the telephone, but was not getting a response.

Today's investigation consisted of interviews with the administrator, Lala Soghomonyan, and staff Eva Vardanyan and Eva Matirosyan, who deny both allegations. Administrator adds that R1 had been aggressive towards staff since moving into facility. R1 did not stay too long in the facility. After being taken to the hospital for evaluation, R1 never returned. Interviews with five (5) of five residents could not corroborate with the allegations. These residents moved in after this complaint was made. When residents were asked if current staff have been aggressive towards them, all residents stated no.

Based on the information obtained, there wasn't enough evidence to probe that Facility staff slapped and kicked a resident. Therefore, the allegation is deemed Unsubstantiated at this time. Administrator advised, and a copy of this report issued.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2025

LIC9099 (FAS) - (06/04)

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