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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610582
Report Date: 05/21/2026
Date Signed: 05/22/2026 10:09:09 AM

Unsubstantiated


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
01/19/2026 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20260119231501
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:0CENSUS: DATE:
05/21/2026
UNANNOUNCEDTIME BEGAN:
05:37 PM
MET WITH:TIME COMPLETED:
05:38 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide adequate care and supervision to the residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
This report supersedes report dated 3/3/26 and that the report was amended to remove confidential information.
Regarding the Allegation: Staff did not provide adequate care and supervision to the residents. It is alleged staff left R1 on the bathroom floor alone after a fall. Interviews revealed that R1 had a fall on the night of 01/16/26. S1 did not obtain medical services for R1. Instead, S1 stayed with R1 until the following morning, when the family arrived at approximately 10:40am, to call the paramedics. R1 was taken to the hospital, requiring surgery for a broken hip and dislocated shoulder. S1 stated to not have call 911 as they were scared to get in trouble. S1 did what they could’ve done best, by staying alongside R1 until family can call 911. Based on information obtained during that visit, the above allegation was Substantiated. Additional information was received during an interview with Resident #1(R1)’s responsible party on 03/03/26 after the visit which revealed S1 had stayed with R1, did not leave R1 alone, and was present to provide supervision.Based on this review, although proper care was not provided to R1, there was evidence that S1 stayed with R1, after they experienced a fall, to provide some sort of supervision. Therefore, the allegation of staff not providing adequate care and supervision to the resident is deemed Unsubstantiated at this time.

A copy of this report LIC 9099 was mailed to the licensee’s last known mailing address.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
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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