Angeles Assisted Living

Allegation investigated: Resident sustained severe pressure injury due to staff neglect.

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced subsequent visit to this facility to deliver findings. LPA met with facility administrator (S1) Yuliya Asatryan, who granted access to the facility. On 12/31/2025, the Woodland Hills South Adult and Senior Care Regional Office received a complaint regarding above allegation. Initial investigation was conducted by Department’s representative on 1/2/2026. Department’s representative requested the following documents: staff roster (LIC 500), resident roster (LIC 9020), resident #1 (R1) physician’s report, appraisals needs and service plan, identification and emergency information (LIC 501), home health care plan, and other documents. LPA reviewed resident’s records from 3:35 PM until 3:45 and requested copies. LPA took a tour of the physical plant with the assistance of the administrator at 2:00PM. LPA interviewed four (4) residents and three (3) staff from 2:40 PM until 3:30 PM. Continue to LIC 9099-C Substantiated On 1/9/2026, LPA requested R1’s Home Health medical records. Regarding allegation: Resident sustained severe pressure injury due to staff neglect. It is alleged that on 12/28/25 R1 was admitted to the hospital with a stage 3 sacral wound. R1 was admitted to the facility on 10/25/25, record review, physician report, revealed that R1 did not have any skin breakdown. R1 was no longer present at the facility during LPA visit and was still at the hospital. All of the residents interviewed during the investigation did not address any concerns regarding their care at the facility. Home health records review revealed R1 had developed pressure injuries on their sacral, groin, heel- right and left, and buttocks. Wound started developing on December 1, 2025. An interview with staff revealed repositioning assistance was provided to avoid or relief pressure injuries, S2 and S3 provided repositioning. Interview with R1 family revealed that they are happy with the care given by the facility and were not aware that R1 should be at a higher level of care. Record reviews revealed that the staff S2 and S3 are trained and were following home health instructions on how to care for R1’s wounds . A review of home health records revealed R1 was admitted to home health on November 18, 2025. On December 1, 2025 a sacral wound stage 1 was noted by home health. On December 8, 2025 home health noted sacral wound as a stage 2, additional wound was noted to the groin area as a stage 1. On 12/12/25 , Supportive Health Group (wound specialist) noted R1 had a stage 3 pressure injuries to the left (L) buttock, which measured 6.0 cm x 5.5 cm x 0.1 cm and stage 1 pressure injuries to the right and left heel. Although R1 was receiving home health care services for wound care with wound care specialist from home health and staff were providing required assistance, pressure injuries were not healing and develop into stage 3 wound on 12/12/25. On 12/28/25, R1 was then brought to the hospital for a stage 3 wound. Facility staff retained R1 from 12/12/25 to 12/28/25 with a stage 3 wound. Therefore, the allegation is substantiated. Based on observation, interviews, and record review, there is sufficient evidence. Therefore the allegation is deemed substantiated California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099-D . An immediate Civil Penalty of $500.00 will be issued during this visit due to neglect/lack of care by providing care to R1 with a prohibited health condition. An additional civil penalty may be assessed at a later time based on Health and Safety Code 1569.49. An exit interview was conducted. Appeal rights a copy of the report, LIC 9099D, were provided.the state’s words, verbatim · CDSS document, Mar 26, 2026 · control 31-AS-20251231143108

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87615(a)(1) · Plan of correction due date: Mar 27, 2026

Persons who require health services for or have a health condition, including, but not limited to, Stage 3 and 4 pressure injuries, shall not be admitted or retained in a residential care facility for the elderly. This requirement was not met, as evidenced by Based on observation medical records received and interviews with staff, confirming R1 sustaining multiple stage 3 wounds and stayed at the facility.the state’s words, verbatim · CDSS document, Mar 26, 2026

Plan of correction: The administrator will provide written plan of action explaining steps they will take to avoid similar issues from happening again. Written statement should verify that a Licensed consultant will be hired to provide additional training to address this section of the regulation. A copy of the training log, the training topic, and attendance shall be submitted to the Licensing agency by POC 3.27.2026.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA met with staff Joyce San Pedro, explained the reason for the visit. At 1:10 PM Yuliya Asatryan who is the administrator met with LPA, explained the reason for the visit. At 1:59 PM, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. At 2:40 PM the smoke alarms were tested and are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen. The charge date is 12/4/2024. During the visit the facility is at 74 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents; 6 maybe bedridden; 6 hospice waiver. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen cabinet. Bedrooms: There were five (5) bedrooms designated for residents' use. Bedroom #1 is shared, bedroom #2, bedroom #3, bedroom #4, and bedroom #5 is private, the bedrooms are used by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Continue to LIC 809-C Bathrooms: There are three (3) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 106.8 degrees Fahrenheit for bathroom #1 located in the hallway beside bedroom #5. Bathroom #2 is beside bedroom #4. Hot water temperature was measured at 108.1 degrees Fahrenheit. Bathroom #3 is inside bedroom #1. Hot water temperature was measured at 106.8 degrees Fahrenheit. There was enough clean linen available in the cabinets in the hallway. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. Fire place is closed, non-operational, and blocked. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Infection control: Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does not have a swimming pool or body of water. The garage is attached and was lock and is used for storage for PPE and cleaning supplies. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in lock storage in the laundry area and is located in the garage. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Office space is by the hallway. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances, training, health screening, TB test, and current First Aid. Continue to LIC 809-C Medications are in a centrally stored and not in a locked place, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and current. Resident records were reviewed for requirements and legibility: LPA reviewed client’s files for current appraisal. Planned activities are offered. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were found, exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Dec 3, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA met with staff Joyce San Pedro, explained the reason for the visit. At 1:05 PM Yuliya Asatryan who is the administrator met with LPA, explained the reason for the visit. At 1:02 PM, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen. The charge date is 12/28/2023. During the visit the facility is at 74 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents; 6 maybe bedridden; 4 hospice waiver. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen cabinet. Bedrooms: There were five (5) bedrooms designated for residents' use. Bedroom #1 is shared, bedroom #2, bedroom #3, bedroom #4, and bedroom #5 is private, the bedrooms are used by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Continue to LIC 809-C Bathrooms: There are three (3) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 105.1 degrees Fahrenheit for bathroom #1 located in the hallway beside bedroom #5. Bathroom #2 is beside bedroom #4. Hot water temperature was measured at 105.4 degrees Fahrenheit. Bathroom #3 is inside bedroom #1. Hot water temperature was measured at 107 degrees Fahrenheit. There was enough clean linen available in the cabinets in the hallway. LPA found scissor and razor in bathroom, deficiency will be cited on LIC 809-D. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. Fire place is closed, non-operational, and blocked. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Infection control: Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does not have a swimming pool or body of water. The garage is attached and was lock and is used for storage for PPE and cleaning supplies. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in lock storage in the laundry area and is located in the garage. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Office space is by the hallway. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances, training, health screening, TB test, and current First Aid. Continue to LIC 809-C Medications are in a centrally stored and not in a locked place, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. S2, R4 and R5 medication were seen at the kitchen cabinet and resident bedroom dresser. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and current. Resident records were reviewed for requirements and legibility: LPA reviewed client’s files for current plan. Planned activities are offered. Deficiencies are cited in LIC 809-D. Appeal rights are explained. Exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Oct 3, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA met with staff Joyce San Pedro, explained the reason for the visit. At 10:00 am Yuliya Asatryan who is the administrator met with LPA, explained the reason for the visit. At 10:57 am, with the assistance of administrator, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen. The charge date is 12/28/2023. During the visit the facility is at 73 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents; 6 maybe bedridden; 4 hospice waiver. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked cabinet in the kitchen. The menu was posted on the refrigerator for review, snacks and beverages are available for the resident in the facility when they want. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen, but the storage in the garage is kept unlock, which is accessible to the residents. Bedrooms: There were five (5) bedrooms designated for residents' use. Bedroom #1 is shared, bedroom #2, bedroom #3, bedroom #4, and bedroom #5 is private, the bedrooms are used by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Continue to LIC 809-C Bathrooms: There are three (3) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 106.1 degrees Fahrenheit for bathroom #1 located in the hallway beside bedroom #5. Bathroom #2 is beside bedroom #4. Hot water temperature was measured at 105.4 degrees Fahrenheit. Bathroom #3 is inside bedroom #1. Hot water temperature was measured at 107.6 degrees Fahrenheit. There was enough clean linen available in the cabinets in the hallway. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. Fire place is closed, non-operational, and blocked. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Infection control: Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does not have a swimming pool or body of water. The garage is attached and was UNLOCK and is used for storage for PPE and cleaning supplies. Citation will be issued in LIC 809-D. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in UNLOCK storage in the laundry area and is located in the garage. Citation will be issued in LIC 809-D Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Office space is by the hallway. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances and current First Aid. Staff is missing LIC 9052 for two staff and the administrator file was NOT reviewed, file is not available in the facility, citation will be cited in LIC 809-D. Continue to LIC 809-C Medications are in a centrally stored and locked place, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and current. Resident records were reviewed for requirements and legibility: LPA reviewed client’s files for current plan. Planned activities are offered. LPA reviewed all of residents file and one (1) of the six (6) residents file are missing appraisal. Deficiencies are cited in LIC 809-D. Appeal rights are explained. Exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Mar 12, 2024