Villa Catherine Senior Care Facility

Type of visit: Office

On 04/02/2026, an Informal Conference was held at the Woodland Hills Adult and Senior Care Regional Office. In attendance included Licensing Program Manager (LPM) Desaree Perera, Licensing Program Analysts (LPAs) Trevor Bryne, Brian Balisi and Licensee Representative Areg Allen Sarkissian. The purpose of today’s Informal Conference is to discuss a complaint dated 02/10/2021 (Complaint Control # 29-AS-20210210152037). The Administrative Action process was explained to the licensee, as well as the role of an Informal Conference. On 02/10/2021, the Department received a complaint alleging financial abuse of a resident. The complaint was substantiated on 08/26/2021 and citations were issued for Enumerated Rights and Administrator Qualifications. Additionally, the Department conducted a Case Management and issued citations for violations observed during the course of the investigation that were not alleged in the complaint. These citations included Resident Records, and Personal Rights of a Resident. All citations were appealed by the licensee, and an appeal response letter was sent to the licensee on 07/22/2022, informing that all citations are upheld due to licensee not providing justifications to support the dismissal. CONTINUED ON LIC 809C. Discussions were held regarding excluded individuals being present at the facility and having access to residents. Additionally, LPM discussed the importance of ensuring all residents are accorded a safe environment free from financial exploitation. Licensee representative explained that the excluded individual was a referral agent who helped to admit a resident to the facility. The Licensee representative stated that the family of this resident worked with the referral agent and had minimal communication with the facility at the time of admission. The Licensee representative reiterated that the referral agent was not an employee of the facility but the Licensee representative took full responsibility for the actions of the facility. The Licensee representative stated that they understand the importance of safeguarding resident’s cash resources. Additionally, the Licensee representative understood the importance of vetting individuals prior to allowing them access to residents of the facility. Exit interview conducted and a copy of report was issued.the state’s words, verbatim · CDSS document, Apr 2, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:27 AM. LPA contacted the facility Administrator Ruzanna Sukiassyan. The Administrator informed the LPA that the facility does not currently have any residents and no staff were located on site. The Administrator arrived to the facility at 10:01 AM. Entrance interview conducted and the reason for the visit was explained. Beginning at 10:05 AM, the LPA, along with the facility Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: BEDROOMS: There are four (4) bedrooms in the facility; three (3) are dual occupancy rooms and one (1) is a single occupancy room. LPA and facility Administrator toured all four (4) bedrooms. All bedrooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. All bedrooms were observed to contain direct exits to the outside of the facility. BATHROOMS: There are three (3) bathrooms at the facility. Two (2) bathrooms are designated as shared resident bathrooms and one (1) is designated as a staff bathroom. All bathrooms were observed to be clean and in good repair and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets, all were properly secured. The water temperature was measured between 113.4 and 120 degrees Fahrenheit, which is in compliance with regulation. Continued on LIC 809C. KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. LPA observed a secured drawer which contained knives and other sharp objects. LPA observed secured cabinets designated to contain resident medication. LPA observed a camera covering the kitchen area. LPA confirmed with the facility Administrator that audio is not recorded. LPA observed a fire extinguisher mounted in the kitchen to be fully charged and last serviced on 02/05/2025. COMMON AREAS: This included the living room, hallway, and dining room. LPA observed the dining room to be clean and properly furnished at the time of the visit. The dining room contained a dining table with adequate seating for resident use. The living room was observed to be clean and in good repair. The living room contained adequate seating and activities for resident use. LPA observed an appropriately screened fireplace located in both the living room and dining room. The facility’s combination fire and carbon monoxide alarms, as well as the facility fire doors, were tested at 10:42 AM. LPA observed Bedroom #1 to be missing a fire alarm and Bedroom #1’s fire doors to failed to close at the time of the test. LPA observed cameras located throughout the common areas of the facility. LPA observed all required postings located at the front entrance to the facility. LPA observed the PUB 475 poster to be smaller than the required 20" x 26" in size. LPA observed unsecured cleaning chemicals throughout the facility. LPA informed the Administrator that all noted corrections will need to be made prior to accepting clients into the facility’s care. The Administrator expressed understanding and agreed to comply. OUTDOOR SPACE: The facility has three (3) emergency exit gates located on the perimeter fence of the facility; LPA observed clear passageways for emergency exit use. The facility had adequate shaded seating outdoors for resident use. LPA observed a locked storage building to contain facility maintenance supplies, and extra care supplies. An outdoor deck was observed to be connected to the living room and bedroom #1, bedroom #2, bedroom #3, and bedroom #4. All railings on the deck were properly secured and ramps appeared well lighted and non-slip. LPA observed cameras throughout the outdoor spaces of the facility. LPA observed an appropriately fenced off pool that was made inaccessible to potential clients in care. LPA observed a covered laundry area located on the side of the facility to contain a washer and dryer along with appropriate storage for cleaning chemicals. LPA observed a fountain at the front of the facility. Continued on LIC 809C. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. As there were no residents in the care of the facility at the time of the inspection file review, medication review, and interviews were not conducted during today’s inspection. During today’s visit LPA obtained a copy of the facility’s LIC 500, and liability insurance. LPA observed the liability insurance to be in the amount of at one million dollars ($1,000,000) per occurrence and two million dollars ($2,000,000) in the total annual aggregate. LPA informed the Administrator that the liability insurance is required to be in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate. The Administrator agreed to obtain the proper liability insurance prior to accepting clients into the facility’s care. No deficiencies were cited during today’s inspection as no clients were in the care of the facility. Exit interview conducted and copy of the report was issued.the state’s words, verbatim · CDSS document, Jan 6, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 12:47 PM. LPA contacted the facility administrator Ruzanna Sukiassyan. The Administrator informed the LPA that the facility does not currently have any clients and no staff were located on site. The Administrator agreed to meet with LPA and arrived to the facility at 01:50 PM. Entrance interview conducted and the reason for the visit was explained. Beginning at 01:50 PM, the LPA, along with facility administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. LPA observed a secured drawer to contain knives and other sharp objects. LPA observed a secured cabinets designated to contain resident medications and a first aid kit. LPA observed a camera covering the kitchen area. LPA confirmed with the facility administrator that audio is not recorded. LPA observed a fire extinguisher mounted in the kitchen to be fully charged and last serviced on 11/20/2023. COMMON AREAS: This includes the living room, hallway, and dining room. LPA observed the dining room to be clean and properly furnished at the time of the visit. The dining room contains a dining table with adequate seating for resident use. The living room was observed to be clean and in good repair. The living room contained adequate seating and activities for resident use. LPA observed an appropriately screened fireplace located in both the living room and dining room. The facility’s combination fire and carbon monoxide alarms, as well as the facility fire doors, were tested at 02:28 PM. LPA observed three (3) fire doors to fail to close at the time of the test. The doors were attached to bedroom #1, bedroom #2, and bedroom #3. LPA observed cameras located throughout the common areas of the facility. LPA observed all required postings located at the front entrance to the facility. Continued on LIC 809C. BEDROOMS: There are four (4) bedrooms in the facility; three (3) are dual occupancy rooms and one (1) is a single occupancy room. At the time of the inspection bedroom #4 is designated as the staff bedroom. LPA and facility administrator toured all four (4) bedrooms. All bedrooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. All bedrooms were observed to contain direct exits to the outside of the facility. Bedroom #1 and bedroom #2 were observed to contain beds blocking the emergency exits. At the time of the visit the Administrator and staff rearranged the bedrooms so both exits were clear from obstruction. BATHROOMS: There are three (3) bathrooms at the facility. All three (3) bathrooms are designated as shared resident bathrooms. All resident bathrooms were observed to be clean and in good repair and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets, all were properly secured. The water temperature was measured between 113.2 and 119.3 degrees Fahrenheit, which is in compliance with regulation. OUTDOOR SPACE: The facility has three (3) emergency exit gates located on the perimeter fence of the facility; LPA observed clear passageways for emergency exit use. The facility has adequate shaded seating outdoors for resident use. LPA observed a locked storage building to contain wheelchairs, emergency food and water supplies, facility maintenance supplies, and extra care supplies. An outdoor deck was observed to be connected to the living room and bedroom #1, bedroom #2, bedroom #3, and bedroom #4. All railings on the deck were properly secured. LPA observed cameras throughout the outdoor spaces of the facility. LPA observed an appropriately fenced off pool that was made inaccessible to potential clients in care. LPA observed a covered laundry area located on the side of the facility to contain a washer and dryer along with appropriate storage for cleaning chemicals. LPA observed a fountain at the front of the facility to be empty of water. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s administrator. Continued on LIC 809C. As no residents were residing at the facility at the time of the inspection file review, medication review, and interviews were not conducted during today’s inspection. During today’s visit LPA obtained a copy of the facility’s LIC 500, and liability insurance. No deficiencies were observed during today’s inspection as no clients were in the care of the facility. Exit interview conducted and copy of the report was issued.the state’s words, verbatim · CDSS document, Jan 28, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual inspection visit. The LPA spoke with the staff at arrival and introduced myself. Staff called the Administrator, and the administrator stated that they would arrive at the facility soon. The Administrator, Ruzanna Sukiassyan arrived at the facility shortly thereafter. LPA Urena explained the reason for the visit. The LPA and staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The family room furniture was observed to be in good condition. The LPA observed sharp objects and toxins to be locked away, and inaccessible from residents. BEDROOMS: The LPA observed three residents’ bedrooms, which were furnished appropriately with clean linens, furnishings and sufficient lighting. Bedrooms #1, #2 and #3 were occupied. RESTROOMS: Residents’ restrooms are clean, and sanitary and in operating condition with grab bars and non-skid surfaces. Bathrooms are sufficiently stocked with hand liquid soap, and paper towels. COMMON SPACES: The common areas, walls, flooring and furniture were checked for cleanliness and were in good condition. Required postings were observed in the entryway. Exits had a functioning auditory device. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers were fully charged and were last serviced on 11/20/2023. The LPA observed required postings throughout the common space. Continues on LIC 809C… OUTDOOR AREA: The facility has a pool, which is gated, and was inaccessible to residents at the time of the visit. The LPA observed the backyard to be free of clutter and debris and observed outdoor patio/furniture for residents’ use. The front outdoor area has a water fountain, and at the time of the visit, the water fountain did not have water. The washer and dryer are located outside and were observed to be behind a gate. There were no toxins or detergents observed in the area. RECORDS: Records review began at 1:44 p.m., Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. MEDICATIONS: Medications review began at 2:30 p.m.; medications are centrally stored and locked in a cabinet in the kitchen area; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. INFECTION CONTROL: The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The LPA reviewed the following documents: - LIC500 Personnel Report - LIC9020 Client Roster No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jan 19, 2024