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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610582
Report Date: 07/08/2026
Date Signed: 07/08/2026 04:49:31 PM

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
03/06/2026 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20260306151236
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: DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
02:42 PM
MET WITH:TIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff did not notify authorized representative of resident’s relocation
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.

On 3/12/26, LPA Cava conducted a telephone interview with responsible party.

Regarding allegation: Staff did not notify authorized representative of resident’s relocation: It’s being alleged that Resident 1 (R1) was relocated to a hospital and their responsible party was not notified. Per interview conducted with R1’s responsible party (RP) it was revealed RP was unable to locate R1 for two days. RP stated that on 3/4/26, R1’s home health nurse went to the facility to provide services, but no one answered the door and facility appeared to be empty. On or around 03/05/26, RP was informed that R1 is at the
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026
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 2
Control Number 31-AS-20260306151236
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: 07/08/2026
NARRATIVE
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hospital, and hospital staff were informed that R1 had no family members to contact. RP attempted to contact facility’s licensee several times to obtain R1’s medication and personal belongings, but licensee has not responded or returned RP’s phone call as of 3/12/26.

Based on the information obtained there was insufficient evidence to corroborate the allegation of staff not notifying an authorized representative of the resident’s relocation. Therefore, the allegation is Unsubstantiated. Exit interview was conducted with Licensee’s Representative and a copy of this report was emailed.


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: 03/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2