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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610582
Report Date: 07/07/2026
Date Signed: 07/07/2026 03:48:20 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
03/10/2026 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20260310121404
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: 0DATE:
07/07/2026
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:TIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Licensee did not provide a refund to residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Cava created this report to conduct a complaint investigation regarding the above allegation. RO conducted a phone call with Licensee’s representative and informed them of the reason for this report.

Regarding allegation: Licensee did not provide a refund to residents, it was reported that Resident 1 (R1) Resident 2 (R2), and Resident 3 (R3) are unable to provide payment for a new care facility as they paid Dignity Senior Care at the beginning of the month and a refund for their fees pay was not provided to them.

On 03/12/26, LPA Cava called R1’s family, who stated R1 is still at the hospital at that time, but no refund from facility has been issued.

On 03/17/26, a LPA conducted a collateral visit to a hospital where the residents were staying at, to obtain
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026
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 3
Control Number 31-AS-20260310121404
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: 07/07/2026
NARRATIVE
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additional information of the resident whereabouts, contact information and if Dignity Senior Care issued them a refund. According to a Social Worker (SW) there, all three residents have been discharged, but no refunds issued for each residents. LPA proceeded to call the residents and their family members, who all confirmed that since leaving the facility, the licensee has not issued a refund.

Based on the information obtained, the allegation of licensee not providing a refund to residents is Substantiated. Citation issued on the 9099D. Appeal rights and a copy of this report issued.


A copy of this report is mailed to the licensee’s last known mailing address on file.
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20260310121404
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: 07/07/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/17/2026
Section Cited
CCR
87507(g)(5)
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Admission Agreement: Refund conditions- (C) The licensee shall refund any prepaid monthly fees to a resident or the resident’s representative, if any, as follows: the licensee surrenders the license or the licensee abandons the facility. This requirement was not met as evidenced by:
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The Department is unable to issue a POC since the licensee had abandoned the facility.
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On 03/17/26, calls were made to the resident and their families confirming that no refunds had been issued since the residents left facility on 03/03/26.
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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: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3