197610582-7-29-2026-31-AS-MGFS-DWGN79-20260730101219

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610582
Report Date: 07/16/2026
Date Signed: 07/29/2026 08:00:02 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
04/24/2025 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20250424105244

FACILITY NAME:	DIGNITY SENIOR CARE INC.		FACILITY NUMBER:	197610582
ADMINISTRATOR:	SOGHOMONYAN, LALA		FACILITY TYPE:	740
ADDRESS:	10421 GERALD AVE		TELEPHONE:	(818) 390-2151
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	0	CENSUS:	DATE:	07/16/2026
		UNANNOUNCED	TIME BEGAN:	06:42 PM
MET WITH:			TIME COMPLETED:	06:43 PM

ALLEGATION(S):

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Staff did not ensure the provision of proper catheter care.
Staff did not meet residents needs for services resulting in illness and/or injury.
Staff did not maintain the facility in a clean, safe, and sanitary condition.
Staff did not obtain timely medical care for residents.
Staff did not provide required incontinence services.
Staff did not ensure residents received sufficient nourishment.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michael Cava created this report to conclude the investigation regarding the above allegations. The initial visit to this investigation was made on 05/01/25 followed by a subsequent visit on 10/15/25. Since then, facility administrator had been excluded on 10/16/25 and facility closed on 03/06/26. No administrators were hired and available for interview since the administrator exclusion.

Regarding Allegation: Staff did not ensure the provision of proper catheter care, it was reported that residents catheter bags were not getting emptied. Review of Resident 1’s (R1) records does reveal that R1 does not have the capacity to care for their toileting needs, but there is no indication that R1 required a catheter. During visit on 05/01/25, four (4) of four residents were interviewed. These residents deny the use of catheter. During subsequent visit on 10/15/25, six (6) of six residents deny the use of a catheter. R1 could not be interviewed during either visits, as R1 no longer resided at the facility at that time. Staff 1 (S1)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

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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Control Number 31-AS-20250424105244

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: 07/16/2026

NARRATIVE

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Based on the information obtained through interviews and record review, it could not be proven that Staff did not maintain the facility in a clean, safe, and sanitary condition. Therefore, the allegation is deemed Unsubstantiated at this time.

Regarding Allegation: Staff did not provide required incontinent services, it was reported that residents were being left in soiled diapers for extended periods of time. Interviews with four (4) of four residents made on 05/01/25 and six (6) of six residents made on 10/15/26 do not corroborate with the allegation. Interview with some of these residents indicate that they can go to the bathroom on their own, and the other residents, that need incontinent care, state that their needs are met. Interview with S1 also deny the allegation, stating incontinent care is being provided to residents in need.

Based on the information obtained through interviews and record review, it could not be proven that Staff does not provide required incontinent services. Therefore, the allegation is deemed Unsubstantiated at this time.

Regarding Allegation: Staff did not ensure residents received sufficient nourishment, it was reported that residents were being left without any fluids to drink. Interviews with four (4) of four residents made on 05/01/25 and six (6) of six residents made on 10/15/26 do not corroborate with the allegation. These residents expressed no complaints or concerns about not getting enough fluids to drink for sufficient nourishment. Interview with S1 deny the allegation, stating when a resident requires fluids, or something to drink, it gets provided to them.

Based on the information obtained through interviews and record review, it could not be proven that Staff did not ensure residents received sufficient nourishment. Therefore, the allegation is deemed Unsubstantiated at this time.

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: 07/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20250424105244

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: 07/16/2026

NARRATIVE

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was interviewed on 05/01/25, and stated that R1 required catheter care. S1 also stated that R1 was receiving hospice care at least five times per week. As part of the hospice services, catheter care was provided to R1. Administrator was unavailable for interview during either visits. Review of R1's records confirm hospice care, but there was no indication that R1 required catheter care, or listed anywhere on R1's records.

Based on the information obtained through interviews and record review, it could not be proven that staff did not ensure the provision of catheter care. Therefore, the allegation is deemed Unsubstantiated at this time.
Regarding Allegation: Staff did not meet residents needs for services resulting in illness and/or injury and Staff did not obtain timely medical care for residents, it was reported that several residents in care were observed to decline because of neglect. R1 had an eye infection and staff did not observe any changes in her R1’s health condition and never notified R1’s responsible person of an infection. During visit on 05/01/25, LPA interviewed four of four residents, who deny their needs not being met. On 10/15/25, LPA interviewed six residents, who also deny their needs not being met. During both visits, residents that were interviewed did not express any complaints or concerns regarding their care and supervision. Interview with S1 deny not being able to meet resident needs. Administrator was unavailable for interview during either visits.

Based on the information obtained through interviews and record review, it could not be proven that Staff did not meet residents needs for services resulting in illness and/or injury and Staff did not obtain timely medical care for residents, Therefore, the allegations are deemed Unsubstantiated at this time.

Regarding Allegation: Staff did not maintain the facility in a clean, safe, and sanitary condition, it was reported that residents rooms are all malodorous, residents were being left dirty, and residents are being left in dirty bedsheets as well. During LPA visits on 05/01/25 and 10/15/25, LPA conducted a physical plant inspection to insure the health and safety of the residents in care. During those visits, LPA did not observe any physical plant violations pertaining to title 22. Moreover, on 09/24/25, an annual required inspection was made. No deficiencies were observed regarding the physical plant not being clean, safe and in a sanitary condition. Interviews with four residents were made on 05/01/25 and six residents on 10/15/26. These residents expressed no complaints or concerns to corroborate with the allegation.

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

LIC9099 (FAS) - (06/04)

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