197610582-3-6-2025-31-AS-EMIR-DJ6MG8-20250701093528

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610582
Report Date: 03/06/2025
Date Signed: 03/06/2025 11:19:11 AM

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
03/03/2025 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20250303224232

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:	03/06/2025
		UNANNOUNCED	TIME BEGAN:	08:48 AM
MET WITH:	Eva Matirosyan		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Staff neglect resulted in a resident to be hospitalized
Staff did not keep the facility free from bed bugs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with staff, Eva Martirosyan, and advised her of the complaint. The administrator, Lala Soghomonyan, was notified and interviewed over the telephone. Today's investigation consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection.

Staff neglect resulted in a resident to be hospitalized:
In regards to the allegation, it was reported that Resident 1 (R1) was admitted to the hospital on or around March 3, 2025 for pneumonia and bed sores. Reporting Party (RP) could not confirm the stage of the bed sore, but stated most likely it wasn't greater than a stage II. Interview with the administrator deny the allegation. Administrator stated R1 only stayed at the facility overnight. R1 was admitted the evening of March 2, 2025, and was taken out by family the morning of March 3, 2025. According to the

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025

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-20250303224232

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: 03/06/2025

NARRATIVE

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administrator, R1's family wanted to move R1 to another facility. Also, according to the administrator, at admission, R1 had no wounds. As for pneumonia, although R1 may have a cough, R1 made no complaints of heavy coughing, fever or having trouble breathing. If that were the case, administrator and staff would have pursued immediate medical attention. Moreover, because R1 was at the facility for less than twenty four hours, administrator was unable to have R1's licensing forms completed. R1's family moved R1 out of the facility abruptly. Based on the information obtained, it could not be proven that staff neglect resulted in R1 to be hospitalized. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff did not keep the facility free from bed bugs:
In regards to the allegation, it was reported that at admission to the hospital, R1 had bed bugs. Interviews with administrator and staff reveal that R1 was only in the facility overnight, and not more than twenty four hours. R1 was admitted into facility the evening of March 2, 2025, and left with family the morning of March 3, 2025. According to the administrator, R1's family wanted to move R1 to another facility. According to both staff and residents, facility does not have any bed bugs. Interview with five (5) of five residents deny facility having any bed bugs, or any other issues with insects. LPA conducted a tour of the physical plant, which includes inspecting three (3) bedrooms, two (2) bathrooms, and common areas. LPA did not observe any insects/bed bugs during the day of the investigation. Based on the information obtained, it could not be proven that staff did not keep the facility free from bed bugs. Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025

LIC9099 (FAS) - (06/04)

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