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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610582
Report Date: 09/24/2025
Date Signed: 09/24/2025 02:13:58 PM

Substantiated


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
09/19/2025 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20250919120442
FACILITY NAME:DIGNITY SENIOR CARE INC.FACILITY NUMBER:
197610582
ADMINISTRATOR:SOGHOMONYAN, LALAFACILITY TYPE:
740
ADDRESS:10421 GERALD AVETELEPHONE:
(818) 219-6455
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 5DATE:
09/24/2025
UNANNOUNCEDTIME BEGAN:
08:31 AM
MET WITH:Emma RodriguezTIME COMPLETED:
10:51 AM
ALLEGATION(S):
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Staff did not ensure that hazards were inaccessible to residents in care.
Staff did not ensure that food items were labeled.
Facility is in disrepair.
Staff did not ensure that records were kept confidential.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Angela Panushkina and Michael Cava conducted a complaint visit to this facility to investigate the above allegations. In conjunction to this complaint, complaint investigation (control # 31-AS-20250916083845) and a Required Annual Inspection was also made. LPAs met with staff, Emma Rodriguez, and advised her of the complaint. Today's investigation consisted of a physical plant inspection (conducted between 9:00am-10:00am), interviews with residents and staff (conducted between 10:00am-11:00am), review of medications & medication records (conducted between 11:00am-12:00pm) and interviews with staff and residents (conducted between 12:00pm-1:00pm). Investigation is as follows:

Staff did not ensure that hazards were inaccessible to residents in care:
In regards to the allegation, it was reported that cleaning supplies, toxins, knives, sharps and hazardous items/objects were not stored and locked to keep inaccessible to the residents in care. A visit made by another enforcement/and or advocate agency, conducted on 07/09/25 observed knives and sharps
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025
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 4
Control Number 31-AS-20250919120442
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: DIGNITY SENIOR CARE INC.
FACILITY NUMBER: 197610582
VISIT DATE: 09/24/2025
NARRATIVE
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in an unlocked kitchen drawer, cleaning supplies and hazardous toxins unlocked in a kitchen cabinet, centrally stored medications in the refrigerator and kitchen cabinet, not locked and secured. Pictures were included to this complaint revealing what was observed accessible on that day of the visit. Based on a review of the report and pictures submitted by this agency, as a credible witness, the allegation of staff not ensuring that hazards were inaccessible to residents in care is Substantiated. Citation issued on the 9099D.

Staff did not ensure that food items were labeled
In regards to the allegation, it was reported that the facility food items were not properly sealed and labeled. A visit made by another enforcement/and or advocate agency, conducted on 07/09/25, observed that the facility has two small refrigerators. Both food storage in these refrigerators had unlabeled food items. Also observed were vegetables stored in a cabinet, alongside hand sanitizers. These vegetables were not properly sealed to prevent contamination. Pictures were included to this complaint to reveal what was observed on that date. Based on a review of the report and pictures submitted by this agency, the allegation of staff not ensuring that food items were labeled is Substantiated. Citation issued on the 9099D.

Facility is in disrepair:
In regards to the allegation, it was reported that the facility air conditioning unit is not functioning. On 07/09/25, a visit to the facility that was made by another enforcement/and or advocate agency. On that day, it was observed that temperature inside the facility was warming. The visiting agency tried to adjust the air conditioning unit, but facility did not cool. Based on what was observed by this credible source, the allegation of facility being in disrepair is Substantiated. Citation issued on the 9099D.

Staff did not ensure that records were kept confidential:
In regards to the allegation, it was reported that on 07/09/25, a visit to the facility was made by another enforcement/and or advocate agency. It was observed by that agency that resident records, that is kept in a cabinet in the dining area, was unlocked and accessible. The reporting agency submitted pictures of the cabinet, of what was observed that day, and although the cabinet was observed locked during today's investigation, based on the observation of a credible source, the allegation of staff not ensuring records are being kept confidential is Substantiated. Citation issued on the 9099D.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20250919120442
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: DIGNITY SENIOR CARE INC.
FACILITY NUMBER: 197610582
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/24/2025
Section Cited
CCR
87309(a)
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Storage Space and Access: licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage. This requirement was not met as evidenced by a report received
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As POC, the licensee will hold staff training to address this section of the regulation. As proof training was held, the licensee will submit a training log, which includes the training topic, date training was held, attendance sheet of staff who attended training, Log is due to the licensing agency
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from another enforcement/advocate agency's observation of toxins, cleaning supplies and sharps accessible on 07/09/25. This posed an immediate health and safety risk to the residents in care.
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by 10/08/25.
Type A
09/24/2025
Section Cited
CCR
87555(b)(28)
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General Food Service Requirements: All food shall be protected against contamination. This requirement was not met as evidenced by a report received from another enforcement/advocate agency's observation of the facility food supply not properly sealed and labled, and vegetables
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As POC, the licensee will hold staff training to address this section of the regulation. As proof training was held, the licensee will submit a training log, which includes the training topic, date training was held, attendance sheet of staff who attended training, Log is due to the licensing agency
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stored in a cabinet, alongside hand santizers. This posed an immediate health and safety risk to the residents in care.
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by 10/08/25.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 31-AS-20250919120442
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: DIGNITY SENIOR CARE INC.
FACILITY NUMBER: 197610582
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/24/2025
Section Cited
CCR
87303(a)
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Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: On 07/09/25, the facility air conditioning was observed to be malfunctioning. This pose a potiential health and safety risk to the residents in care.
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During today's complaint visit, LPAs Panushina and Cava observed the air conditioning unit to be working. No POC needed at this time.
Type A
09/24/2025
Section Cited
CCR
87506(c)(1)
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Resident Records: The licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents. This requirement was not met as evidenced by: On 07/09/25, resident records was observed stored unlocked and inaccessible in a
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During today's complaint visit, LPAs Panushkina and Cava observed the filing cabinet, which stores resident records, to be locked. No PCC needed at this time.
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filing cabinet located in the dining room. This posed an immediate health and safety risk to residents in care.
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Type A
09/24/2025
Section Cited
CCR
87645(h)(2)
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Incidental Medical and Dental Care: Centrally stored medicines shall be kept in a safe and locked place that is not accessible. This requirement was not met as evidenced by: On 07/09/25, medications were observed unsecured in the refrigerator. This posed an immediate health & safety risk to residents.
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As POC, the licensee will hold staff training to address this section of the regulation. As proof training was held, the licensee will submit a training log, which includes the training topic, date training was held, attendance sheet of staff who attended training, Log is due by 10/08/25.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4