Troost Senior Care

Allegation investigated: Licensee housed residents in the garage Licensee did not provide adequate care and supervision, resulting in resident hospitalization Licensee abandoned resident

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a follow-up complaint visit at 10:58 AM. LPA met with facility staff who contacted the Administrator Erna Gevorgyan. Administrator arrived to the facility at 11:10 AM. Entrance interview was conducted and the reason for the visit was explained. On 06/09/2026 LPA Balisi conducted a physical plant tour, interviewed staff, and reviewed/obtained copies of pertinent documentation relevant to the investigation. On 06/18/2026 LPA Byrne conducted a physical plant tour, reviewed three (3) resident files, interviewed the Administrator, and collected copies of pertinent documentation. During today's visit LPA conducted a physical plant tour and delivered findings between approximately 11:11 AM and 11:45 AM. CONTINUED ON LIC 9099C. Unsubstantiated The allegations of “Licensee housed residents in the garage”, “Licensee abandoned resident”, and “Licensee did not provide adequate care and supervision, resulting in resident hospitalization” allege that the facility had illegally housed Individual #1 (I1) in the garage between May 2025-June 2026, that I1 had suffered a fall at the facility suffering a head injury, and that as a result of the injury facility staff abandoned I1 at an unlicensed location. LPA conducted a file review and observed the facility’s fire clearance to contain a comment which states, “Garage to be maintained as a garage only.” During the pre-licensing inspection which occurred on 11/03/2025 LPA conducted a physical plant tour and observed that the lot that the facility is on is split in half, North to South, by a fence with a gate. LPA observed the garage to be located on the back half of the property separated by the fence from the facility which is placed on the front half of the property. Although the facility sketch submitted with the application included the garage. LPA toured the garage and observed items including a bed and refrigerator which appeared to suggest that the garage was being utilized as a living area at the time of inspection. During the 11/03/2025 pre-licensing inspection LPA had a conversation with the Administrator and Applicant informing them of the facility’s fire clearance which stated that the garage was to be maintained as a garage. The Administrator and Applicant expressed understanding at the time and agreed to comply with the requirement. Records reflect the licensee is not the property owner. During the 06/18/2026 physical plant tour LPA observed ongoing construction taking place on the back half of the property. During the 06/18/2026 tour LPA did not observe signs which indicated that the garage was being inhabited. LPA interviewed the Administrator who denied having knowledge of I1 living in the garage on the property. The Administrator stated that after the pre-licensing inspection the facility did not have access to the back half of the property including the garage. The Administrator denied ever observing individuals accessing the back half of the property via the fence gate. The Administrator stated that on 01/30/2026 the property owner, hereby referred to as Witness #1 (W1), applied for a permit to split the property along the North to South fence line and to construct an ADU on the back half of the property. The Administrator stated that they were informed by W1 that the garage was being utilized to store items that were left over from when the facility was being operated as an Independent Living home prior to the licensure of the facility. The Administrator stated that they knew I1 had lived at the home while it was being operated as an Independent Living home but have never interacted with I1. CONTINUED ON LIC 9099C. The Administrator denied I1 ever being admitted as a resident of the facility and denied having any knowledge of I1 residing in the garage while the facility was licensed. LPA interviewed W1 who stated that they used to operate the home where the facility is located as an Independent Living home prior to the Licensee leasing the home and opening a licensed facility. W1 confirmed that I1 was a tenant at the Independent Living home and was under the care of W1. W1 confirmed that I1 resided in the garage while the licensed facility was in operation but denied the licensed facility having any involvement with I1 or the back half of the property. W1 stated that the garage was never part of the lease that the facility signed for the home and that anything going on with I1 or the garage “was my (W1’s) business.” LPA reviewed the lease agreement signed by the facility Licensee and W1 and observed that the lease indicated the tenant leased the premises at 8051 Troost Ave North Hollywood, CA 91605. LPA did not observe any indication that the tenant did not have access to the back half of the property or the garage indicated in the lease agreement. LPA reviewed resident files located at the facility. LPA did not observe any current or past file completed for I1. The Administrator confirmed that I1 was never admitted as a resident of the facility and at no time was I1 under the care of the licensed facility. Although the allegations may have happened or are valid there is insufficient evidence to support the allegations of, “Licensee housed residents in the garage”, “Licensee abandoned resident”, and “Licensee did not provide adequate care and supervision, resulting in resident hospitalization.” Therefore, the allegations are deemed Unsubstantiated at this time. Exit interview conducted and copy of report issued.the state’s words, verbatim · CDSS document, Aug 11, 2026 · control 29-AS-20260608160524

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPA) Trevor Byrne arrived at the facility unannounced to conduct a case management - deficiencies visit at 10:58 AM. LPA met with facility staff who contacted the Administrator Erna Gevorgyan. Administrator arrived to the facility at 11:10 AM. Entrance interview was conducted and the reason for the visit was explained. During today's visit LPA conducted a physical plant tour between approximately 11:11 AM and 11:45 AM. During a complaint investigation at the facility, it was revealed that an individual who was not a resident of the licensed facility had resided in the garage. LPA conducted a file review and observed the facility’s fire clearance to contain a comment which states, “Garage to be maintained as a garage only.” During the pre-licensing inspection which occurred on 11/03/2025 LPA conducted a physical plant tour and observed that the lot that the facility is on is split in half, North to South, by a fence with a gate. LPA observed the garage to be located on the back half of the property separated by the fence from the facility which is placed on the front half of the property. Although the facility sketch submitted with the application included the garage. LPA toured the garage and observed items including a bed and refrigerator which appeared to suggest that the garage was being utilized as a living area at the time of inspection. During the 11/03/2025 pre-licensing inspection LPA had a conversation with the Administrator and Applicant informing them of the facility’s fire clearance which stated that the garage was to be maintained as a garage. The Administrator and Applicant expressed understanding at the time and agreed to comply with the requirement. LPA interviewed the property owner for the address where the facility is located who is hereby referred to as Witness #1 (W1). CONTINUED ON LIC 809C. W1 stated that they used to operate the home where the facility is located as an Independent Living home prior to the Licensee leasing the home and opening a licensed facility. W1 confirmed that an individual resided in the garage while the licensed facility was in operation but denied the licensed facility having any involvement with the individual or the back half of the property. W1 stated that the garage was never part of the lease that the facility signed for the home and that anything going on with the garage or the individual who was residing in the garage “was my (W1’s) business.” LPA reviewed the lease agreement signed by the facility Licensee and W1 and observed that the lease indicated that the tenant leased the premises at 8051 Troost Ave. North Hollywood, CA 91605. LPA did not observe any indication that the tenant did not have access to the back half of the property or the garage indicated in the lease agreement. The Administrator informed LPA that on 01/30/2026 W1 applied for a permit to split the property along the North to South fence line and to construct an ADU on the back half of the property. LPA informed the Administrator that since individual had resided in the garage between approximately May 2025-June 2026 the individual resided in the unapproved garage which was under the facility’s lease between the date the facility was licensed (11/12/2025) until the property owner split the property (01/30/2026). LPA informed the Administrator that even though the individual was not a resident of the facility the garage was not being maintained as a garage which constituted a violation of the facility’s fire clearance. LPA informed the Administrator that this is a zero-tolerance violation and a civil penalty in the amount of $500 is being assessed on today’s date (08/11/2026). LPA informed the Administrator that the facility will need submit a new facility sketch and to request a new fire inspection/clearance to indicate that the garage is no longer part of the facility. Pursuant to Title 22 of the CA Code of Regulations the following deficiency was cited and civil penalty assessed (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.the state’s words, verbatim · CDSS document, Aug 11, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Aug 26, 2026

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: Based on interviews and record review the Licensee did not comply with the section cited above as I1 was housed in the facility garage while it was under the control of the facility and not approved for habitation which posed an immediate health and safety risk to clients in care.the state’s words, verbatim · CDSS document, Aug 11, 2026

Plan of correction: Administrator agreed to obtain a new fire clearance which does not include the garage as it is no longer part of the facility. Additionally, Administrator agreed to submit a new facility sketch which reflects that the garage is not part of the facility. Administrator agreed to submit the sketch and to... either complete the fire inspection or to submit proof that the inspection has been scheduled to CCLD no later than POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPA) Trevor Byrne arrived at the facility unannounced to conduct a case management - deficiencies visit at 03:06 PM. LPA met with facility staff who contacted the Administrator Erna Gevorgyan. Administrator arrived to the facility at 03:10 PM. Entrance interview was conducted and the reason for the visit was explained. During today's visit LPA conducted a physical plant tour, reviewed three (3) resident files, interviewed the Administrator, and collected copies of pertinent documentation. On 06/09/2026 Community Care Licensing Division (CCLD) received a notice from the Administrator that the facility had admitted Resident #1 (R1) to the facility. The Administrator informed CCLD that R1 had a prohibited health condition and did not qualify for enrollment with hospice. LPA informed the Administrator that persons with a prohibited health condition listed in regulations shall not be admitted or retained in a residential care facility for the elderly. The Administrator submitted the required documentation to process an exception request to retain this resident on 06/16/2026. During the physical plant tour LPA observed two (2) resident beds which contained full bed rails. LPA interviewed the Administrator who confirmed that neither resident was enrolled with a hospice company. LPA notified the Administrator that Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.the state’s words, verbatim · CDSS document, Jun 18, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87615(a)(2) · Plan of correction due date: Jun 19, 2026

87615 Prohibited Health Conditions (a) Persons who... have a health condition including...shall not be admitted or retained in a residential care facility for the elderly: (2) Gastrostomy tubes. This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as one resident was admitted to the facility with a prohibited health condition that was not being cared for by a hospice company which poses an immediate health risk to persons in care.the state’s words, verbatim · CDSS document, Jun 18, 2026

Plan of correction: Administrator agreed to submit statement of understanding confirming that they will not accept any future residents to the facility with prohibited health conditions without hospice involvement or a prior approved exception. Administrator agreed to submit the statement to CCLD no later than POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87608(a)(5)(B) · Plan of correction due date: Jul 2, 2026

87608 Postural Supports (a) Postural supports may be used under the following conditions. (5) ... (B) Bed rails that extend the entire length of the bed are prohibited... This requirement is not met as evidenced by: Based on observation and interview the licensee did not comply with the section cited above as two resident beds contained full bed rails and the residents were not enrolled with a hospice company which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 18, 2026

Plan of correction: Administrator removed the bed rails at the time of the visit. POC cleared.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Trevor Byrne conducted a pre-licensing visit to the above noted facility. The LPA met with Administrator Erna Gevorgyan and Applicant Representative Kazar Mkrtchian. This is a new facility. A dementia program was included in the plan of operation. A Hospice Waiver has been requested. The facility is a one story home. At 10:01 AM, a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for five (5) non-ambulatory residents and, one (1) bedridden resident. The facility has three (3) shared rooms, Rooms # 1, 2, and 3. Rooms two (2) and three (3) have direct exits to the outside and are the bedridden approved rooms. All resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket if needed and a bedspread. Lighting in the rooms appeared adequate. Bedrooms # one (1) and three (3) were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. Bedroom #2 was observed to contain two (2) resident beds which did not allow for easy passage between the beds and furniture with a wheelchair or walker. During the visit one (1) bed was removed from the room to allow for enough space for easy passage. LPA informed the Administrator and Applicant Representative that alternate furniture arrangements must be made if a second bed is added to bedroom #2 to ensure exits and passageways remain clear from obstruction. The Applicant Representative and Administrator expressed understanding. In addition, no bedroom was used as a passageway to another room, bath or toilet. There are no staff rooms awake night staff are required. All rooms were free of odors. All window screens were clean and maintained in good repair. Continued on LIC 809C. There are two (2) bathrooms in the hallway. The resident bathrooms have a shower with non-skid materials. The toilet and shower have grab bars. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 120*F. Resident and staff records are stored in a locked cabinet which is currently located in the hallway. Medications are centrally stored in a locked cabinet in the kitchen. The first aid supplies were complete, including a thermometer. A current version of a first aid manual was ordered and was expected to be delivered 11/04/2025. They were stored on the counter in the kitchen. Kitchen knives are stored in a locked drawer in the kitchen. Stove burners are rendered inaccessible to the residents by removing them when not in use. The supply of dishes, utensils, pots, pans and drinkware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. The supply of nonperishable food is adequate. There are no pesticides, poisons, or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Kitchen, laundry and house cleaning supplies are stored in locked cabinets located in the laundry room and facility hallway. No flies or other vermin were observed. The common areas were appropriately furnished, and the lighting was adequate. There was a television and other entertainment equipment, games and/or activity supplies in the living room and entryway. There was sufficient space to accommodate both indoor and outdoor activities. Night lights were maintained in hallways and passageways to nonprivate bathrooms. Stairways, inclines, ramps and open porches and areas of potential hazard to residents with poor balance or eyesight were made inaccessible to residents unless equipped with sturdy hand railings and unless well-lighted. All ramps were secure and non-slippery and were positioned at the level where wheelchairs and walkers may enter and exit the facility safely. There is an electric fireplace in the living room. It is screened and there are no tools. Alarms on all exterior doors were engaged at the time of visit and functional. In addition, the physical plant is consistent with the submitted facility sketch/floor plan. The facility had emergency lighting, which included flashlights and batteries. The facility has a furnace, which is able to heat rooms that residents occupy to a minimum of 68 degrees Fahrenheit; and, they have air conditioning and are able to cool rooms to a comfortable range, not to exceed 85 degrees Fahrenheit. Continued on LIC 809C. The facility smoke alarm system is hard wired. The smoke detector and carbon monoxide detectors were tested and functioned properly during the time of visit. There were two (2) fire extinguishers throughout the house. They were fully charged and did not exceed the expiration date. LPA observed a fire door of the facility to not be equipped with a magnetic catch. LPA informed the Administrator and Applicant representative that the fire door must remain closed when not in use and not propped open during operations. The Applicant representative and Administrator expressed understanding and agreed to comply. Hot water was tested in each bathroom, which included the resident bathrooms and the kitchen; and, the hot water ranged from 109.8 to 116.6 degrees Fahrenheit. The laundry area is located adjacent to the kitchen. The supply of extra bed and bath linens is adequate. Personal hygiene items, shampoos, and soaps were adequate and are stored in a locked cabinet in a shared resident bathroom. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted in each resident room and throughout the facility. The emergency telephone numbers are posted in the dining area. Other required postings are posted near the entryway of the facility. The exterior passageways were clean and clear of any obstructions. There is a shaded patio area at the front of the house with tables and chairs where residents can sit. The entire property is fenced. The back and garage of the house are separated from the front yard by a fence and gate. The gate to the driveway is moved automatically. There is a door w/gate with a self-latching mechanism for persons to enter the front yard. There are not any bodies of water on the premises at the present time. The garage is not accessible from the house. LPA had a conversation with the applicant representative and Administrator that the garage is to be used as a garage only. Both the applicant representative and Administrator expressed understanding. COMP III orientation was completed with the applicant during this pre-licensing inspection. The following item must be corrected prior to licensure. Submit proof of corrections, along with a copy of this report, to LPA Byrne so that your application may be completed. Continued on LIC 809C. This report will be sent to the Centralized Application Bureau (CAB) once all corrections are received. You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. 87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (8) If a facility has no medical unit on the grounds, a complete first aid kit shall be maintained and be readily available in a specific location in the facility. The kit shall be a general type approved by the American Red Cross, or shall contain at least the following: (A) A current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency.the state’s words, verbatim · CDSS document, Nov 3, 2025