197610582-7-1-2025-31-AS-EMIR-DK9PF9-20250805111622

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610582
Report Date: 07/01/2025
Date Signed: 07/01/2025 02:20:46 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/10/2025 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20250410120520

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:	6	CENSUS: 5	DATE:	07/01/2025
		UNANNOUNCED	TIME BEGAN:	09:13 AM
MET WITH:	Arnold Ritchie		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff did not reposition resident as needed causing resident’s pressure wounds to worsen
Staff spoke inappropriately to resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. LPA met with staff Arnold Ritchie, and advised him of the complaint. The administrator, Eva Vardanyan, was advised over the telephone. Today’s investigation consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection of the facility to insure compliance with regulations, and a record review.

Staff did not reposition resident as needed causing resident’s pressure injuries to worsen:
In regards to the allegation, it was reported that Resident 1 (R1) developed a bedsore to the back due to staff neglect in not repositioning or encouraging the resident to get up from bed. Interview made with the administrator, Eva Vardanyan deny R1 of having wounds. Interview also reveal that on or around 04/10/25, R1’s family was just at the facility and expressed some concerns about R1’s health, and possibly having a wound. As a precaution, R1 was sent to the hospital for a wound check. There were no wounds diagnosed

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025

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-20250410120520

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: DIGNITY SENIOR CARE INC.	FACILITY NUMBER: 197610582
	VISIT DATE: 07/01/2025

NARRATIVE

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at R1’s admission, and R1 was discharged same day with only instructions on how to prevent wounds.

On 04/17/25, LPA called and interviewed hospital staff, who confirmed R1’s hospitalization on 04/10/25. Hospital staff stated R1 was admitted and assessed. No wounds noted. R1 was discharged same day.

On 04/17/25, call from R1’s family to confirm R1 had not wounds assessed during hospital visit on 04/10/25. R1 was discharged back to the facility with no new orders.

In addition to interviews, review of R1's record do not indicate any wounds or skin breakdown. Copy of instructions from the hospital given to R1 at discharge, on how to prevent wounds was obtained. No new orders given.

Based on the information obtained, there isn't enough evidence to corroborate the allegation of staff not repositioning R1 as needed causing pressure wounds to worsen. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff spoke inappropriately to resident:
In regards to the allegation, it was reported that staff have been mistreating R1 and speaking to R1 inappropriately. The complaint report that is received indicated that staff would "treat the resident like a dog" and command him to "Eat!" There were no witnesses identified to confirm this allegation. Interviews with the administrator and staff deny the allegation. The administrator added that it could have just been a language barrier as some of the facility staff are of different nationality. Staff could have just been encouraging the resident to eat and no insults were intended. Interviews with five (5) out of five residents also deny the allegation of staff mistreating them or being inappropriate towards them.

Based on the information obtained, there wasn't enough evidence to corroborate the allegation of staff speaking inappropriately to resident(s). Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025

LIC9099 (FAS) - (06/04)

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