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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850299
Report Date: 01/23/2026
Date Signed: 01/23/2026 11:12:55 AM

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. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/25/2025 and conducted by Evaluator Martha Arroyo
COMPLAINT CONTROL NUMBER: 29-AS-20250825094140
FACILITY NAME:IVY PARK AT SIMI VALLEYFACILITY NUMBER:
565850299
ADMINISTRATOR:BOGOYEVAC, LEAFACILITY TYPE:
740
ADDRESS:5300 E. LOS ANGELES AVE.TELEPHONE:
(805) 583-3500
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:175CENSUS: 130DATE:
01/23/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Galina TovmasianTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Due to Staff Neglect / Lack of Supervision: Staff did not prevent resident in care from being sexually abused at the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Martha Arroyo conducted a subsequent complaint visit to deliver findings for the above allegation. The LPA met with Executive Director (ED), Galina Tovmasian and Memory Care Director (MCD), Vana Dunn and explained the reason for the visit. Entrance interview.

On 08/25/2025, the Department received a complaint alleging neglect/lack of care and supervision. The complaint alleges that staff did not prevent resident in care from being sexually abused at the facility. It was reported that Resident #2 (R2) has been physically aggressive with Resident #1 (R1) and R2 may have sexually assaulted R1 as R1 was seen to be bleeding and taken to the hospital for treatment.

Report Continued on LIC 9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
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 7
Control Number 29-AS-20250825094140
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. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: IVY PARK AT SIMI VALLEY
FACILITY NUMBER: 565850299
VISIT DATE: 01/23/2026
NARRATIVE
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Report Continued from LIC 9099...

During the initial visit on 08/25/2025, between 2:25 p.m. and 3:50 p.m., LPA Arroyo conducted a physical plant tour with the Licensed Vocational Nurse (LVN) and requested and obtained copies of pertinent documents. On 10/14/2025, between 10:10 a.m. and 2:42 p.m., LPA Arroyo interviewed five staff and six residents. On 01/07/2026, between 09:45 a.m. and 1:30 p.m., LPA Arroyo observed residents in the common areas, conducted interviews with five staff members, conducted a resident file review, and obtained copies of pertinent documents. Additionally, during the course of the investigation, interviews with resident family members were conducted and police report was obtained.

Records reviewed and interviews conducted revealed that R1 was admitted to the facility on 06/27/2023. According to R1’s physician’s report dated 02/26/2025, the primary diagnoses include Mild Cognitive Impairment (MCI), hypertension, and hyperlipidemia, with a secondary diagnosis of Chronic Kidney Disease stage 4 (CKD IV). The report indicated that R1 was not confused or disoriented and did not exhibit inappropriate, aggressive, wandering, or sundowning behaviors. It noted that R1 was able to follow instructions and communicate their needs. The report also described R1 as non-ambulatory and able to bathe, dress/groom, feed, and manage their own toileting needs. Additionally, R2 was admitted to the facility on 05/25/2023. Per the physician’s report dated 06/11/2024, R2 was also able to follow instructions and communicate their needs. R2’s primary diagnoses include dementia, Congestive Heart Failure (CHF), hypertension, Chronic Obstructive Pulmonary Disease (COPD), and depression. The report indicated that R2 was occasionally confused or disoriented and occasionally exhibited inappropriate, aggressive, wandering, or sundowning behaviors. It also described R2 as non-ambulatory and requiring assistance with Activities of Daily Living (ADLs), including bathing, dressing/grooming, feeding, and toileting.

The investigation revealed that on 08/23/2025, R1 was sent to the hospital at the request of R1’s family. Although interviews indicated that R1 may have been experiencing bleeding, family members reported that R1 was taken to the hospital due to stomach problems which included pain and diarrhea.

Report Continued on LIC 9099C...

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 29-AS-20250825094140
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. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: IVY PARK AT SIMI VALLEY
FACILITY NUMBER: 565850299
VISIT DATE: 01/23/2026
NARRATIVE
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Report Continued from LIC 9099C...

During the course of the investigation, it was further revealed that R1 and R2 spend much of their day sitting together in the main lobby and holding hands. Staff reported that they regularly check on both R1 and R2 throughout the day to ensure their well-being. R1 and R2 reside on the assisted living side of the facility and do not require continuous care; therefore, they are able to move freely throughout the facility.

Staff stated that while they cannot prohibit R1 and R2 from seeing one another, boundaries have been established to ensure that the residents are not alone together in either resident’s room. Staff reported no concerns regarding R2 complying with staff instructions. Additionally, staff have encouraged R1 to participate in additional daily activities to help with engagement and reduce distractions.

Additionally, while at the facility, the LPA observed R1 and R2 seated together in the main lobby as staff passed by every few minutes to monitor them. No issues or concerns were noted during these observations. During interviews, R1 denied being touched inappropriately by R2 at any time while residing at the facility. Both R1 and R2 separately stated that they enjoy spending time together.

Furthermore, according to the Simi Valley Police Department report dated 08/23/2025, law enforcement indicated that R1 did not state at any point that they were a victim of a crime, and officers were unable to establish that a crime had occurred; therefore, the case was closed.

Based on the information gathered during the course of the investigation, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, allegation “Due to Staff Neglect / Lack of Supervision: Staff did not prevent resident in care from being sexually abused at the facility” is deemed Unsubstantiated at this time.

Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/25/2025 and conducted by Evaluator Martha Arroyo
COMPLAINT CONTROL NUMBER: 29-AS-20250825094140

FACILITY NAME:IVY PARK AT SIMI VALLEYFACILITY NUMBER:
565850299
ADMINISTRATOR:BOGOYEVAC, LEAFACILITY TYPE:
740
ADDRESS:5300 E. LOS ANGELES AVE.TELEPHONE:
(805) 583-3500
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:175CENSUS: 130DATE:
01/23/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Galina TovmasianTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
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Due to Staff Neglect / Lack of Supervision: Staff did not prevent resident in care from being verbally abused at the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Martha Arroyo conducted a subsequent complaint visit to deliver findings for the above allegation. The LPA met with Executive Director (ED), Galina Tovmasian and Memory Care Director (MCD), Vana Dunn and explained the reason for the visit.

On 08/25/2025, the Department received a complaint alleging neglect/lack of care and supervision. The complaint alleges that staff did not prevent resident in care from being verbally abused at the facility. It was reported that Resident #2 (R2) has been observed verbally assaulting R1 with vile language.

Report Continued on LIC 9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 29-AS-20250825094140
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. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: IVY PARK AT SIMI VALLEY
FACILITY NUMBER: 565850299
VISIT DATE: 01/23/2026
NARRATIVE
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Report Continued from LIC 9099...

During the initial visit on 08/25/2025, between 2:25 p.m. and 3:50 p.m., LPA Arroyo conducted a physical plant tour with the Licensed Vocational Nurse (LVN) and requested and obtained copies of pertinent documents. On 10/14/2025, between 10:10 a.m. and 2:42 p.m., LPA Arroyo interviewed five staff and six residents. On 01/07/2026, between 09:45 a.m. and 1:30 p.m., LPA Arroyo observed residents in the common areas, conducted interviews with five (5) staff members, conducted a resident file review, and obtained copies of pertinent documents. Additionally, during the course of the investigation, interviews with resident family members were conducted.

Records reviewed and interviews conducted revealed that R1 was admitted to the facility on 06/27/2023. According to R1’s physician’s report dated 02/26/2026, the primary diagnoses include Mild Cognitive Impairment (MCI), hypertension, and hyperlipidemia, with a secondary diagnosis of Chronic Kidney Disease stage 4 (CKD IV). The report indicated that R1 was not confused or disoriented and did not exhibit inappropriate, aggressive, wandering, or sundowning behaviors. It noted that R1 was able to follow instructions and communicate their needs. The report also described R1 as non-ambulatory and able to bathe, dress/groom, feed, and manage their own toileting needs. Additionally, R2 was admitted to the facility on 05/25/2023. Per the physician’s report dated 06/11/2024, R2 was also able to follow instructions and communicate their needs. R2’s primary diagnoses include dementia, Congestive Heart Failure (CHF), hypertension, Chronic Obstructive Pulmonary Disease (COPD), and depression. The report indicated that R2 was occasionally confused or disoriented and occasionally exhibited inappropriate, aggressive, wandering, or sundowning behaviors. It also described R2 as non-ambulatory and requiring assistance with Activities of Daily Living (ADLs), including bathing, dressing/grooming, feeding, and toileting.

The investigation revealed that both R1 and R2 had lost their partners, who also resided at the facility, a few months prior. Due to R1’s diagnosis of MCI and R2’s diagnosis of dementia, staff interviews indicated that R2 may have confused R1 with their late spouse. Staff reported that at the beginning of R1 and R2’s relationship, R2 spoke to R1 in a stern manner, frequently questioned R1’s actions, and at times raised their voice when speaking to R1. These behaviors, along with other concerns, prompted facility staff to increase supervision of R1.

Report Continued on LIC 9099C...

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 29-AS-20250825094140
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. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: IVY PARK AT SIMI VALLEY
FACILITY NUMBER: 565850299
VISIT DATE: 01/23/2026
NARRATIVE
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Report Continued from LIC 9099C...

Staff further stated that, regardless of R2’s manner of speaking, R1 would seek out R2 daily, and R2 would likewise seek out R1. Staff reported that although they cannot prohibit R1 and R2 from seeing one another, boundaries have been established to ensure that the residents are not alone together and are not permitted to be in either resident’s room without supervision.

Staff further reported that following a change in R2’s condition and adjustments to their medications, R2 no longer confuses R1 with their late spouse and, as a result, has not spoken inappropriately to R1 for several months.

Furthermore, although both R1 and R2 denied the allegation, staff interviews corroborated that, at times, R2 did speak inappropriately to R1 during the early stages of their relationship.

Based on the information gathered during the course of the investigation, the Department has sufficient evidence to say a violation occurred. Therefore, allegation “Due to Staff Neglect / Lack of Supervision: Staff did not prevent resident in care from being verbally abused at the facility” is deemed Substantiated at this time.

Exit interview conducted. Report and appeal rights discussed and copy was provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 29-AS-20250825094140
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. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: IVY PARK AT SIMI VALLEY
FACILITY NUMBER: 565850299
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/30/2026
Section Cited
CCR
87468.1(a)(1-3)
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Residents shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. (3) To be free from abuse or other actions of a punitive nature. This requirement has not been met as evidenced by:
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The Licensee has agreed to have staff training on residents’ personal rights and submit proof (training materials along with staff signatures) to CCL no later than POC due date.
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Based on the investigation, the Licensee did not comply with the section cited above as R2 was observed speaking inappropriately to R1 on several occasions, which poses a potential health, safety, and/or personal rights risks to persons in care.
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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: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 7