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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881581
Report Date: 07/15/2026
Date Signed: 07/15/2026 11:22:32 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/07/2026 and conducted by Evaluator Seo Jeon
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20260707095531
FACILITY NAME:LUNA SENIOR LIVINGFACILITY NUMBER:
331881581
ADMINISTRATOR:HOVSEPIAN, SAHAKFACILITY TYPE:
740
ADDRESS:1361 E LUNA WAYTELEPHONE:
(818) 641-9222
CITY:PALM SPRINGSSTATE: CAZIP CODE:
92262
CAPACITY:6CENSUS: 5DATE:
07/15/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Richard Souhuwat, CaregiverTIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Staff do not assist resident with attending medical appointments
Staff do not arrange transportation services for resident
Staff do not ensure resident is treated with dignity and respect
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to initiate an investigation into the above allegations. LPA met with Richard Souhuwat, Caregiver, and informed them of the purpose of the LPA’s visit. The Department's investigation involved interviews with staff and residents and review of records.

On July 7, 2026, Community Care Licensing (The Department) received a complaint report with the following allegations.

It was alleged that staff do not assist resident with attending medical appointments. Information received indicated that Resident #1 (R1) missed some doctor's appointments due to lack of help from staff members. LPA's records review revealed that R1 was admitted to the facility in May 2026. R1 requires staff assistance for activities of daily living (ADL) due to their physical and cognitive conditions. Continued on LIC9099-C....
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
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 18-AS-20260707095531
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: LUNA SENIOR LIVING
FACILITY NUMBER: 331881581
VISIT DATE: 07/15/2026
NARRATIVE
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LPA conducted interviews with four (4) residents. Two (2) residents interviewed stated that they make their own appointments. Two (2) residents interviewed required staff assistance with making appointments and have not experienced any problems. LPA conducted interviews with two (2) staff members, both of whom confirmed the residents' statements. LPA conducted an interview with R1, who stated that they use their own phone and make appointments by themselves. R1 repeatedly stated that R1 wanted their previous caregiver who was from a different facility that was in a different county. The evidence found during the investigation did not meet the preponderance of evidence standard. Therefore, this allegation is unsubstantiated.

It was alleged that staff do not arrange transportation services for resident. Information received indicated that Resident #1 (R1) missed some appointments due to lack of transportation. LPA conducted interviews with four (4) residents. Three (3) residents interviewed stated that they arrange their own transportation. One (1) resident interviewed required staff assistance with arranging transportation and has not experienced any problems. LPA conducted interviews with two (2) staff members, both of whom confirmed the residents' statements. LPA conducted an interview with R1. R1 stated that they can call and arrange transportation. R1 again stated that they wanted their previous caregiver who worked for a different facility. The evidence found during the investigation did not meet the preponderance of evidence standard. Therefore, this allegation is unsubstantiated.

It was alleged that staff do not ensure resident is treated with dignity and respect. Information received indicated that Resident #1 (R1) was told to go to bed at 08:00 PM by staff members. LPA conducted interviews with four (4) residents, all of whom stated that staff members have been helpful and respectful. All four (4) residents interviewed stated that they can go to bed at anytime they want. LPA conducted an interview with R1. R1 did not have any problem with the facility's bed time. R1 again wanted to have their previous caregiver. The evidence found during the investigation did not meet the preponderance of evidence standard. Therefore, this allegation is unsubstantiated.

A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where a copy of this report was provided.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2