Dignity Senior Care Inc.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are not providing adequate food service to residents

This is a corrected version of report dated 9/17/25 to note correct deficiency on LIC 9099D for deficiency noted on 9/17/26. It was reported that the facility food service only consists of serving cold cuts, hot links, hot dogs, and other assorted frozen meats. There is no variety of fresh food being provided to the residents in care. Investigation consisted of a physical plant inspection/inspection of food supply, conducted between 11:50am to 12:30pm. LPA interviewed Staff 1 (S1) between 12:30pm and 1:00pm. Interviews with five (5) of five residents between 1:00pm to 2:00pm. Interviews made with two (2) out of five (5) residents stated they were okay with the food. During a physical plant inspection, LPA Cava observed a lack of fresh/perishable foods items that should be adequate for two (2) days. LPA confirmed food storage only consisted of cold cuts, hot dogs and hot links. No fresh fruits or vegetables observed. Based on this observation, the above allegation is Substantiated. Substhe state’s words, verbatim · CDSS document, May 5, 2026 · control 31-AS-20250916083845

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff is refusing to take resident back into care.

Licensing Program Analysts (LPAs) Leslie Ngo-Castaneda and Michael Cava conducted an initial complaint visit to the facility to investigate the above allegation. LPAs met with the staff Emma Rodriguez, and advised them about the visit. An entrance interview was conducted. To investigate the allegation, at 10:00 AM LPAs conducted a physical plant tour to ensure the health and safety of the clients in care, LPAs interviewed four (4) residents, one (1) staff from 8:45-10:00 AM. At 11:00 AM, LPA reviewed and received copies of documents about the investigation for R1: staff roster (LIC 500) and resident roster (LIC 9020). R1 has only been only at the facility for a day. In addition, at 2.13.2026 at 3:38 PM LPA made a phone contact to hospital Social Worker to obtain additional information about R1’s health condition. Continue to LIC 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 18, 2026 · control 31-AS-20260209103034

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not ensure that hazards were inaccessible to residents in care. Staff did not ensure that food items were labeled. Facility is in disrepair. Staff did not ensure that records were kept confidential.

Licensing Program Analysts (LPAs) Angela Panushkina and Michael Cava conducted a complaint visit to this facility to investigate the above allegations. In conjunction to this complaint, complaint investigation (control # 31-AS-20250916083845) and a Required Annual Inspection was also made. LPAs met with staff, Emma Rodriguez, and advised her of the complaint. Today's investigation consisted of a physical plant inspection (conducted between 9:00am-10:00am), interviews with residents and staff (conducted between 10:00am-11:00am), review of medications & medication records (conducted between 11:00am-12:00pm) and interviews with staff and residents (conducted between 12:00pm-1:00pm). Investigation is as follows: Staff did not ensure that hazards were inaccessible to residents in care: In regards to the allegation, it was reported that cleaning supplies, toxins, knives, sharps and hazardous items/objects were not stored and locked to keep inaccessible to the residents in care. A visit madethe state’s words, verbatim · CDSS document, Sep 24, 2025 · control 31-AS-20250919120442

Allegation investigated: Staff are not meeting resident's hygiene needs Staff are not meeting residents laundry needs Facility is in financial distress

Licensing Program Analysts (LPAs) Angela Panushkina and Michael Cava conducted a subsequent complaint visit to this facility to investigate the above allegations. In conjunction to this complaint, complaint investigation (control # 31-AS-20250919120442) and a Required Annual Inspection was also made. LPAs met with staff, Ema Rodriguez, and advised her of the complaint. Today's investigation consisted of a physical plant inspection (conducted between 9:00am-10:00am), interviews with residents and staff (conducted between 10:00am-11:00am), review of medications & medication records (conducted between 11:00am-12:00pm) and interviews with staff and residents (conducted between 12:00pm-1:00pm). Investigation is as follows: Staff are not meeting resident's hygiene needs: In regards to the allegation, it was being reported that Resident 1 (R1) is not being assisted with bathing, shaving, and toileting needs. Interviews with one (1) of one staff deny the allegation. Interviews made with Unsubsthe state’s words, verbatim · CDSS document, Sep 24, 2025 · control 31-AS-20250916083845

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are not providing adequate food service to residents

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to investigate the above allegation. LPA met with staff, Hilma Torres, and advised her of the complaint. It's being reported that the facility food service only consists of serving cold cuts, hot links, hot dogs, and other assorted frozen meats. There is no variety of fresh food being provided to the residents in care. Today's investigation consisted of a physical plant inspection/inspection of food supply, conducted between 11:50am to 12:30pm. LPA interviewed Staff 1 (S1) between 12:30pm and 1:00pm. Interviews with five (5) of five residents between 1:00pm to 2:00pm. Interviews with the residents were inconsistent with the allegation, but per inspection of the facility food service, LPA observed a lack of fresh/perishable foods items that should be adequate for two (2) days. Based on this observation, the above allegation is Substantiated. Substantiatedthe state’s words, verbatim · CDSS document, Sep 17, 2025 · control 31-AS-20250916083845

Allegation investigated: Staff abandoned resident at the hospital

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegation. It was reported that the Licensee refused to admit Resident 1 (R1) back to facility after discharge from the emergency department. Mulitiple attempts were made to the licensee to have them take back R1, but the licensee did not reply. R1 remained abandoned at the emergency department until arrangements were made for another placement. LPA met with the administrator, Lala Soghomonyan, and staff, Richie Zhuman, and advised them of the complaint. Today's investigation consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection and record review of the facility roster. Interviews with both the administrator and staff deny the allegation, stating R1 came for a day, but left voluntarily. R1 never returned to the facility since leaving. When asked if R1 was forced out or denied Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 14, 2025 · control 31-AS-20250813145444

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

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 hethe state’s words, verbatim · CDSS document, Jul 1, 2025 · control 31-AS-20250410120520

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility retains non-ambulatory residents without approved fire clearance.

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegation. LPA met with staff, Arnold Makura, and advised him of the complaint. It was reported that the facility is licensed for six (6) clients and according to the license the clients should be ambulatory or on hospice but the clients currently in care may not meet those criteria. Today's investigation consisted of interviews with staff and residents, a physical plant inspection and record review. Facility currently has a census of four (4) residents. In addition to interviews with the residents, LPA requested for all four residents to demonstrate whether or not they can get up and go to the bathroom, or exit their rooms on their own. Per resident interview and resident demonstration, LPA was able to identify three (3) of the four residents to be non-ambulatory through interviews and their inability to get up and ambulate on their own. In addition, another Resident, (R6the state’s words, verbatim · CDSS document, May 1, 2025 · control 31-AS-20250423110515

Allegation investigated: Staff is unable to communicate with resident due to language barrier Staff do not dispense medication to resident as prescribed

In conjunction to complaint control # 31-AS-20250410120520, Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. The initial visit to the complaint was made on 03/27/25. LPA met with then, Staff 1 (S1), who was advised of the allegations at that time. Today, LPA met with Staff 2 (S2), Arnold Makura, and advised him of the complaint. Administrators Lala Soghomonyan and Eva Vardanyan were both advised over the telephone. Today’s investigation consisted of interviews with administrator, staff and residents. LPA also conducted a physical plant inspection and record review to insure facility compliance with Title 22. Staff is unable to communicate with resident due to language barrier: In regards to the allegation, it was reported that there is a caregiver, (S1) who does not speak English, and must contact the owner to assist with communication. LPA conducted interviews with S1 durithe state’s words, verbatim · CDSS document, Apr 17, 2025 · control 31-AS-20250324145609

Allegation investigated: Staff neglect resulted in a resident to be hospitalized Staff did not keep the facility free from bed bugs

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with staff, Eva Martirosyan, and advised her of the complaint. The administrator, Lala Soghomonyan, was notified and interviewed over the telephone. Today's investigation consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection. Staff neglect resulted in a resident to be hospitalized: In regards to the allegation, it was reported that Resident 1 (R1) was admitted to the hospital on or around March 3, 2025 for pneumonia and bed sores. Reporting Party (RP) could not confirm the stage of the bed sore, but stated most likely it wasn't greater than a stage II. Interview with the administrator deny the allegation. Administrator stated R1 only stayed at the facility overnight. R1 was admitted the evening of March 2, 2025, and was taken out by family the morning of March 3, 2025. According to the Unsubsthe state’s words, verbatim · CDSS document, Mar 6, 2025 · control 31-AS-20250303224232

Allegation investigated: Facility staff slapped a resident Facility staff kicked a resident

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to conclude the investigation regarding the above allegation. The initial ten day visit was made by LPA Cava on 11/14/24. During the course of the investigation, interviews with resident, staff and resident family were made. LPA also conducted a physical plant inspection and record review. Facility staff slapped a resident/Facility staff kicked a resident: Regarding the above allegations, it was reported that on or around 11/09/24, Resident 1 (R1) was slapped and kicked by a staff. On 11/19/24, another report received from another agency allegging that Resident 2 (R2) was also slapped by staff from this facility. Staff 1 (S1) was identified, but when interviewed, S1 denied the allegation. No other witnesses were identified. During the initial visit that was made on 11/14/24, LPA interviewed S1, who denied both allegations, stating Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 28, 2025 · control 31-AS-20241113152157

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.