Ingomar Assisted Living

Type of visit: Case Management - Other

At 8:30 a.m., the Licensing Program Analyst (LPA) conducted a Case Management visit to confirm the closure of the facility. The LPA met with the Licensee and explained the reason for the visit. The Licensee initiated the closure due to a change in the facility’s use from a Residential Care Facility for the Elderly (RCFE) to a congregate living health facility. During the visit, the LPA was given a tour of the facility and confirmed that there were no RCFE residents residing in the facility and that operations had ceased. The Department received official written notice of the closure from the Licensee on 01/26/2026; however, the facility requested the closure of the RCFE effective 01/01/2026. The Licensee surrendered the license to the LPA. The LPA will submit the file for closure upon returning to the Woodland Hills South Regional Office. The LPA will e-mail the closure survey. An exit interview was conducted, and a copy of this report was signed and delivered.the state’s words, verbatim · CDSS document, Jan 29, 2026

Allegation investigated: Facility has a locked gate that was not approved by the fire department/CCLD

At 10:00am, Licensing Program Analyst (LPA), Angela Panushkina conducted an unannounced visit in response to the above-mentioned allegation. LPA met with the Administrator and explained the reason for the visit. At 10:10am, LPA conducted a physical plant tour, and observed that the facility is currently vacant. Between 10:20am - 11:00am, LPA conducted an interview with the Administrator and two (2) staff members. It was alleged that the “Facility has a locked gate that was not approved by the fire department/CCLD”. On 10/13/25 two (2) credible witnesses conducted a visit to this facility and observed that the gate around the front yard of the facility, where visitors coming in need to be let in. Upon leaving the facility, they noticed a keypad to exit the front gate of the facility, and the door would not open without a code. Continue on LIC9099-C Substantiated On 11/10/25, Witness 1 (W1) contacted the Administrator (after several attempts) to address the concerns of the locked facility as a restraint and fire hazard for the residents that in case of emergency, they may not be able to exit the facility. Administrator informed W1 that the gate is battery powered and is not affected by electricity. W1 was also informed that licensing had previously raised concern, and the Administrator contacted the fire department to assist them with getting a new lock and security for the facility gate that fits guidelines. Furthermore, on 12/01/25, W1 conducted a subsequent visit to the facility, and the keypad was still present with no ability to leave the facility without being buzzed out by staff or inputting the code. W2 contacted the Los Angeles Fire Department (LAFD) Inspector, Linsay Pelligrini (on 12/12/25), who confirmed that when she approved this location, there was not a keypad lock and that this keypad is a violation of the state Fire Marshall code. Lastly, LPA Panushkina conducted review of facility file and observed that on 10/20/25, the Administrator emailed a request to Community Care Licensing Division (CCLD) for an approval to keep the front door locked. However, LPA Rahimi, replied to the email (on 10/21/25 at 11:10am) by informing the Administrator that a Fire Department must be contacted for such approvals. During today’s visit, LPA Panushkina also observed that the front gate is locked, and the Fire Clearance remains the same (last approved on 03/29/24). Therefore, based on the information obtained from the credible witnesses, facility file review and LPAs observation, this allegation is Substantiated. Deficiencies issued per CA code of Regulations Title 22 on LIC-9099D. Exit interview conducted, appeal rights explained and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Dec 23, 2025 · control 31-AS-20251215143737

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87203 · Plan of correction due date: Dec 25, 2025

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on LPA observaton, Licensee did not comply with the section cited above by keeping the exterior gate locked. Facility does not have a fire clearance or documentation from the fire department permitting for the use of this type of lock. This poses an immediatel health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Dec 23, 2025

Plan of correction: Licensee will remove or replace this lock to insure gate has easy access to enter or exit during emergencies. Proof via photo will be submitted to CCL by POC date. This is a zero-tolerance citation and immediate civil penalty of $500 shall be assessed this day. Additional 100 dollars will be assessed until POC is received.

Type of visit: Case Management - Health Checks

At 9:30am, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced visit to the facility for the purpose of ensuring health and safety compliance. LPA met with staff #1 (S1) Dinara Kundakpayeva, and the Administrator Designee was contacted via telephone. The purpose of the visit was explained. During the visit, LPA observed two (2) staff providing care and supervision to four (4) residents. Additionally, two (2) staff members were observed cleaning and preparing breakfast for the residents. All residents appeared appropriate for a board and care living setting. LPA conducted a review of four (4) resident files, and all records were found to be complete and up to date. At 9:40 a.m., LPA with S1 toured the facility and observed it to be clean, well-maintained, and adequately stocked with non-perishable food supplies for at least one week and perishable food items for at least two days. Per Administrator Designee, there have been two incidents and one death of a resident which was reported to Community Care Licensing Department (CCLD) in a timely manner. No immediate health or safety concerns were observed during the visit. An exit interview was conducted, and a copy of this report was provided to the Designee.the state’s words, verbatim · CDSS document, Oct 22, 2025

Type of visit: Office

Licensing Regional Manager (RM) Angela Whittaker, Licensing Program Manager (LPM) Nichelle Gillyard, and Licensing Program Analyst (LPA) Huma Rahimi met with the Administrator/President Vahagn Petrosyan and Nazar Yegeyan, Vice President to conduct an Informal Conference held at the Woodland Hills South Adult and Senior Care Regional Office. The purpose of the informal was to discuss dual licenses, one through Community Care Licensing Division (CCLD), for Residential Care Facility for Elderly (RCFE), effective 06/28/2024, and another license under California Department of Public Health (Congregate Living Health Facility), License # 550009923, effective 05/27/2025. The facility currently has four (4) RCFE residents and zero (0) Congregate Living residents. The Administrator/President informed RM, LPM, and LPA that he does not intent to retain any Congregate Living residents for at least another eighteen (18) months until the provider number is provided. The Administrator/President also informed that the facility will do a clear transition of the license and let CCLD know a timely manner. The Administrator will eventually surrender CCLD license for RCFE once the transition is complete. Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Aug 26, 2025

Type of visit: Required - 1 Year

At 1:30 PM, Licensing Program Analyst (LPA) Huma Rahimi, conducted an unannounced annual inspection at the facility mentioned above. LPA met with the staff Dinara Kundakpayeva and the staff contacted the Administrator Designee Nazar Yegeyan. LPA explained the reason for the visit. Physical tour was conducted with the Administrator Designee and LPA observed the following: KITCHEN: The facility has a kitchen area that is equipped with a refrigerator, microwave oven and sink. LPA observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. Knives and sharps were observed to be locked in a kitchen drawer and inaccessible. LPA observed staff medication in one of the kitchen drawer accessible to residents in care. LPA also observed insect repellent spray accessible to residents in care. MEDICATION: LPA observed that the medication and facility staff/resident files are locked in a cabinet located in the living room. During the medication review, LPA did not observe ay discrepancies. BEDROOMS: There are six (6) bedrooms designated for residents’ private use. All bedrooms are furnished and well equipped with beds, night-stand, chair, dresser, bedding, and extra linen. Rooms were observed to have sufficient lighting and closet space. Auditory alarms were tested and observed to be operational at 1:45 PM. Facility has an awake staff. Continue on LIC809-C BATHROOMS: The facility has six (6) bathrooms, bathrooms #3 and #4 are designated for staff and residents’ family members use. All bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 1:50 PM to be at 114.4°F degrees. In one of the resident's bathrooms LPA observed comet cleaning powder with bleach in the window shelf being unlocked and accessible to residents in care. SMOKE DETECTORS/CARBON MONOXIDE. The smoke detectors and carbon monoxide are hard wired, inter-connected and were located throughout the facility. At 2:00 PM they were tested and observed to be operational. The facility has one (1) new fire extinguisher that was purchased on 03/25/2025. The fire extinguisher is located in the kitchen area. COMMON AREAS: The facility maintains a comfortable temperature at 75°F. The living room and dining appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. LPA observed two supplements in a drawer in the living room. Laundry: LPA observed laundry room located in a closet in the hallway by the living room with latches on the top of the doors which was easily accessible to residents in care. Inside the laundry LPA observed that laundry detergents and bleach are accessible to residents in care. LPA observed an additional storage area for laundry supplies and other chemicals which was observed locked and inaccessible to residents in care. SURROUNDING GROUNDS: In the back of the facility has sufficient yard space. LPA observed appropriate outdoor furniture, with covered shaded area for residents. The backyard is fenced. There are no bodies of water. GARAGE: The garage is currently being used for storage and additional supplies for residents. LPA observed the garage locked and not accessible to residents in care. Between 2:30 PM to 3:30 PM, LPA reviewed records of three (3) residents and two (2) staff. All three (3) out of three (3) residents did not have admission agreement on file. Staff records appeared to be complete and updated. Administrative: LPA collected Certificate of Liability Insurance, and LIC500. Deficiencies issued during today’s visit. Appeal rights explained. Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Jun 9, 2025

Allegation investigated: Staff don't answer facility phone.

At 9:30 AM, Licensing Program Analyst (LPA) Huma Rahimi, conducted an unannounced initial complaint visit. LPA met with the Administrator Designee, Nazar Yegenyan. LPA disclosed the reason for the visit. During course of the investigation, interviews were conducted. At 9:45 AM, LPA requested residents and staff roster. At 9:55 AM, LPA conducted a physical plant tour. Between 10:00 AM to 10:55 AM, LPA conducted an interview with the Administrator Designee, two (2) staff, three (3) out of six residents. It is alleged that the facility do not answer phone calls. To investigate this allegation LPA contacted the facility on 10/11/2024, and the facility staff member immediately answered the phone call. Also during today’s visit the Administrator telephone rang and from the second ring the administrator answered. Additionally, LPA was provided the landline telephone number to which LPA called and it was answered. Continue on LIC 9099C Unfounded Moreover, LPA conducted interview and all parties interviewed denied the above allegation. Phones calls are always being answered and residents expressed no concerns regarding this allegation. Lastly, LPA conducted interview with the reporting party who denied filling a complaint against this facility and informed LPA that the complaint was filed in error. LPA have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. LPA have therefore dismissed the complaint.” Exit interview conducted. Copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Oct 15, 2024 · control 31-AS-20241011120711

Type of visit: Prelicensing

At 10:00am Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted an announced Pre-Licensing Inspection and met with the facility administrator Elen Bareghamyan and Licensee Yegeyan Nazar. An application was submitted to Community Care Licensing Division-CCLD on 12/29/2023, Initial license for a Residential Care Facility for the Elderly, 60 years and older. A fire clearance was approved on March 29, 2024 for five (5) non-ambulatory residents and one (1) bedridden resident, for a total capacity of six (6). The bedridden fire clearance is for any bedroom. Bedrooms #1, #2, #3, #4, #5, cleared for non-ambulatory residents. The applicant also requested a hospice waiver and granted for four (4) residents. The facility is a single-story home. A tour of the physical plant was initiated at approximately 10:15am and the following was observed: KITCHEN: The facility has a kitchen area that is equipped with a refrigerator, microwave oven and sink. There were adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives and sharps were observed to be locked in a kitchen drawer and inaccessible. BEDROOMS: There are six (6) bedrooms designated for residents’ private use. All bedrooms are furnished and well equipped with beds, night-stand, chair, dresser, bedding, and extra linen. Rooms were observed to have sufficient lighting and closet space. Auditory alarms were tested and observed to be operational at 10:30am. Facility will have an awake staff. BATHROOMS: The facility has six (6) bathrooms, bathrooms #3 and #4 are designated for staff and residents’ family members use. All bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 10:40am to be at 110°F degrees. Continue on LIC809-C MEDICATION: LPA observed medications and facility staff/resident files will be kept locked in the cabinet which is located in the separate office are next to the living/family room. The First-Aid kit with current edition of first-aid manual is also located in the locked cabinet. LPA observed the kit to be new. The cabinet is inaccessible to residents in care. Only employees responsible for the centrally stored medication will have access to the medication. Facility has Dementia Care Program. Emergency call buttons are available and will be provided to residents. SMOKE DETECTORS/CARBON MONOXIDE. The smoke detectors and carbon monoxide are hard wired, inter-connected and were located throughout the facility. At 11:00am they were tested and observed to be operational. The facility has one (1) new fire extinguisher that was purchased on May 21, 2024. The fire extinguisher is located in the kitchen area. COMMON AREAS: The facility maintains a comfortable temperature at 73°F. The living room and dining appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. LPA observed puzzles, books, balls, and board games to provide activities to residents in care. The Facility has landline, LPA checked at 11:05 to be operational. LPA observed laundry room is located in the separate closed area between kitchen and bedrooms. The washer/dryer appear to be new and in good condition. Laundry supplies and other chemicals are kept locked inaccessible in the storage room, with supervision when not in use. SURROUNDING GROUNDS: In the back of the facility has sufficient yard space. LPA observed appropriate outdoor furniture, with covered shaded area for residents. The backyard is fenced. LPA discussed the importance of maintaining the care and supervision to meet the needs of clients. There are no bodies of water. GARAGE: The garage is currently being used for storage and additional supplies for residents. The LPA observed the garage locked and not accessible to residents in care. Component III was conducted with the Administrator. Facility is in compliance with Title 22 Regulations at this time. This report will be forwarded to the Centralized Application Bureau (CAB) and will be notified by the CAB Analyst when the license has been approved. Exit interview was conducted and a copy of this report was provided to the Applicant/Administrator.the state’s words, verbatim · CDSS document, Jun 19, 2024

Type of visit: Office

Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): 0 COMP II Participants: NAZAR YEGEYAN, ELEN BAREGHAMYAN Interview Method: Telephone interview On May 09, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 9, 2024