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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610582
Report Date: 03/03/2026
Date Signed: 03/03/2026 04:53:13 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
02/13/2026 and conducted by Evaluator Antonia Alvizar-Ettima
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20260213133913
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: 3DATE:
03/03/2026
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Saff, Hilma Annabella Garcia TorresTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Facility does not maintain an adequate food supply
Lack of supervision resulted in resident AWOL
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Antonia Alvizar Ettima, Nicholas Reed, Michael Cava and Licensing Program Manager LPM Naira Margaryan conducted unannounced licensing visit to the facility. LPAs and LPM met the facility staff and informed about the purpose of this visit.

The investigation of the above noted allegations was initiated on 02/18/16 by LPAs Michael Cava and Leslie Ngo-Castaneda. During initial visit LPAs inspected the facility and reviewed facility food supply. At 9:45 AM LPA spoke with staff #1 (S1) and obtained pertinent information regarding the allegations. At 10:00 AM, LPAs requested residents and staff roster and conducted facility inspection to ensure that residents’ health and safety is protected. At (time) LPA Alvizar-Ettima requested and reviewed residents records, included but not limited to Physician report, need and service plan and other documents.

Facility does not maintain an adequate food supply.
It was alleged that the facility does not have enough food for residents. Staff would purchase food for
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
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 5
Control Number 31-AS-20260213133913
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: 03/03/2026
NARRATIVE
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Cont. from LIC-9099

residents and would not be reimbursed. The refrigerator was checked and there was only food for 1 resident brought by the family member. On 02/18/2026, upon facility inspections LPAs noted that facility does not have sufficient quantity and variety of perishable and nonperishable food supply. Refrigerator was almost empty. Staff verified that facility has low food supply. S1 stated that they were buying the food out of her pocket and was not getting reimbursed. All facility residents were interviewed during Case management visit that was conducted in conjunction with complaint investigation and they address their concerns about food service and insufficient food supply. At the time of this visit at 8:40a.m. LPA Alvizar – Ettima also spoke with the staff and residents and they revealed the same information as during initial visit.

Based on inspection, observation and interviews it was concluded that the facility has insufficient food supply. Therefore, the allegation is SUBSTANTIATED at this time.

Lack of supervision resulted in resident AWOL
It was alleged that a several residents wandered away from the facility and a missing person report was filed. Resident was found down the street by law enforcement.
At the time of this visit at approximately 10:00a.m. LPA Alvizar- Ettima spoke with staff and they stated that residents had mental issues and walked out the door. Upon inspection, it was observed that there was only one (1) staff during the times residents AWOL. Residents resided at the facility for several days. S1 indicated that they ran out looking for residents in the street and did not find them. S1 did not have the resident’s facility file. At 10:40a.m. residents present at the facility were interviewed and they had no knowledge about any residents wandering away from the facility. Facility did not have resident’s facility records at the time of this visit.

Based on inspection, observation and interviews there is a sufficient information to verify the allegation. Therefore, the allegation is Substantiated at this time.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 31-AS-20260213133913
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: 03/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/03/2026
Section Cited
CCR
87555(b)(26)
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87555 General Food Service Requirements (b)(26). The following food service requirements shall apply: Supplies of nonperishable foods for a minimum of 1 week & perishable foods for a mini. of two days shall be maintained on the premises.
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There is no residents longer in the facility, no POC's will be issued at this time
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This requirement is not met as evidenced by: The licensee failed to ensure to maintain sufficient quantity and variety of food supply. This posses a potential hazard to health, safety and personal right for residents in care
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Type B
03/03/2026
Section Cited
CCR
87464(d)(f)(1)
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Basic Services(d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility responsible for meeting…& providing the other basic services…(f) Basic services shall ... include:(1) Care & supervision.
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There is no residents longer in the facility, no POC's will be issued at this time
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This requirement is not met as evidenced by. The Licensee failed to provide appropriate care and supervision to the resident that is unable to leave facility unattended, Thia poses an immediate health and safety risk to residents in care.
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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: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
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
02/13/2026 and conducted by Evaluator Antonia Alvizar-Ettima
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20260213133913

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: 3DATE:
03/03/2026
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Staff, Hilma Annabella Garcia TorresTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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9
Staff does not maintain residents hygiene
INVESTIGATION FINDINGS:
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This report was amended to make a correction.
Licensing Program Analysts (LPA) Antonia Alvizar Ettima, Nicholas Reed, Michael Cava and Licensing Program Manager LPM Naira Margaryan conducted unannounced licensing visit to the facility. LPAs and LPM met the facility staff and informed about the purpose of this visit.

The investigation of the above noted allegations was initiated on 02/18/16 by LPAs Michael Cava and Leslie Ngo-Castaneda. During initial visit LPAs inspected the facility and reviewed facility food supply. At 9:45 AM LPA spoke with staff #1 (S1) and obtained pertinent information regarding the allegations. At 10:00 AM, LPAs requested residents and staff roster and conducted facility inspection to ensure that residents’ health and safety is protected. At (time) LPA Alvizar-Ettima requested and reviewed residents records, included but not limited to Physician report, need and service plan and other documents.
Staff does not maintain residents’ hygiene
Cont. on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 31-AS-20260213133913
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: 03/03/2026
NARRATIVE
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Cont. from LIC -9099A
It was alleged that there are not enough staff to bathe residents. Residents are getting “towel cleaning”. Staff #1 (S1) stated that she provides showers to all residents. At times she may clean residents with wet towels if needed. Residents interviewed during investigation did not address any concerns regarding their hygiene assistance.
The residents observed during initial and subsequent visit were clean and groomed.
Based on interviews and observation there is no sufficient information to verify the allegation. Therefore, the allegation is unsubstantiated at this time.
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5