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Allegation investigated: Staff denied client access to facility.

At approximately 10:15 a.m. on 08/19/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit. To investigate the allegation above, LPA conducted a file review at 4:00 p.m. on 08/18/26 of eviction notices and a telephone conversation with the administrator. Today, LPA toured the facility inside and out at 10:25 a.m., interviewed the administrator and four (04) residents between 10:30 a.m. and 12:00 p.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, sign-in sheets, eviction notice, and staff and client rosters at 12:30 p.m. Regarding the allegation "Staff denied client access to facility" it was alleged Resident #1 (R1) was not allowed back in this facility after being denied admission to their new facility. File review of R1’s eviction notices revealed the administrator issued multiple 30-day evictions to R1 on 06/01/26 and 07/26/26. Unsubstantiated Interview with the administrator at 10:30 a.m. today revealed R1 violated multiple house rules, so they worked with R1’s Care Coordination Agency (CCA) to find a new home. On 08/11/26, R1 was discharged from the facility and took all belongings with them. R1 returned about two (02) hours later after they were denied admission to the potential new facility. The Administrator had R1 wait with their CCA in front of the facility for about one (01) hour while the Administrator requested guidance from the Department. File review verified the phone conversation on 08/11/26 between the administrator and the Woodland Hills-South Regional Office. The Administrator readmitted R1 to the facility after that phone conversation. Interviews with four (04) out of four (04) residents revealed they were all comfortable and well cared for in the home. Zero (00) out of four (04) stated they had been denied access to the facility. R1 was unavailable for interview. Record review of R1’s files revealed no pertinent information to the investigation. Based on interviews and record review, there is insufficient evidence to verify the above allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns observed during today’s visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Aug 19, 2026 · control 31-AS-20260811163045

Allegation investigated: Resident sustained an injury due to staff neglect or physical abuse. Staff did not meet a resident's hygiene needs while in care. Staff did not ensure a resident had appropriate incontinent care products.

Licensing Program Analyst (LPA) Michael Cava conducted an unannounced complaint investigation visit regarding the above allegation(s). LPA met with the administrator, Gayane Manukyan and explained the reason for the visit. During today’s visit LPA conducted a tour of the facility between 9:30am to 10:30am, interviewed administrator, staff, and five (5) residents. LPA also reviewed and requested copies of the following documents: Incident Report and picutes from the occurance on 07/29/26, Resident 1's (R1) Physician's Report, R1's Home Health Certification and Plan of Care, Information from Law Enforcement. Regarding allegation: Resident sustained an injury due to staff neglect or physical abuse, it was reported that on the morning of July 29, 2026, during R1's dialysis appointment, R1 was observed with approximately a one-inch circular wound on the left upper arm. No witnesses identified by the reporting party to confirm where this injury could have occurred. Interviews with the administrator and staff deny the allegation of Unsubstantiated neglect or abuse. Administrator stated that the injury to R1 must've occurred at the dialysis center or on route there because when R1 left the facility, R1 had no injuries. Interview with R1's family deny the allegation of neglect or abuse, also stating injuries could have been sustained in route to the dialysis center. When family last seen R1, no wounds to R1's arm were observed. Interviews with five residents do not corroborate with the allegation of neglect of abuse. R1 stated injury to left arm occurred at the dialysis center. Review of the Incident Report (IR), submitted by the administrator on 07/29/26 reveal that the IR was being submitted to document that the redness and wounds to R1's arms were not sustained at the facility, but associated with R1's dialysis treatments as R1 goes for dialysis treatment three times per week. When R1 returns to the facility, R1 would complain that these bandages causes discomfort. Law Enforcement were also notified on 07/29/26 to follow up with R1's mark or wound to the arm. They concluded with no evidence of elder abuse. Based on the department’s observations, interviews and record review which were conducted, there was insufficient evidence to prove that Resident sustained an injury due to staff neglect or physical abuse. Therefore, the allegation is deemed Unsubstantiated at this time. Regarding allegation: Staff did not meet a resident's hygiene needs while in care, it was reported that during R1’s dialysis appointment, R1 had a strong body odor possibly by not being properly bathed or washed. Interviews with the administrator and staff deny this allegation. No shower logs or schedule is maintained by staff, but according to both the administrator and staff, R1 has home health to assist with bathing. In addition to home health, facility staff also assists R1 with bathing twice a week, or as needed if R1 has an accident due to incontinent care. Interview with R1's family reveal no complaints or concerns regarding care and supervision that the facility provides. Interview with five residents deny any allegations of their needs not being met. Residents expressed no complaints or concerns regarding the care and supervision provided. Moreover, interview with R1 confirm that their needs, including hygiene needs are met. Based on the department’s observations, interviews and record review which were conducted, there was insufficient evidence to prove that Staff do not meet the resident's hygiene needs while in care. Therefore, the allegation is deemed Unsubstantiated at this time. Regarding allegation: Staff did not ensure a resident had appropriate incontinent care products, it was reported that R1 needs larger diapers, as the current size was causing R1 pain. When a request was made to administrator to provide a larger sized diaper, the administrator refused. Interviews with the administrator and staff deny the allegation. Administrator stated that R1 is a big individual, and the facility does provide either a large or extra large diaper for R1. Both stated that R1 has never expressed discomfort do them regarding their diaper. Interview with R1's family also expressed no complaint or concerns regarding R1's incontinent care. Interview with one other resident, who also requires incontinent care expressed no complaints or concerns regarding the diapers or incontinent products provided by facility. Interview with R1 also do not corroborate with the allegation. R1 expressed no complaints or concerns with the incontinent products, including the diapers provided by the facility. In addition to interviews, LPA observed R1s diaper size to be large. Based on the department’s observations, interviews and record review which were conducted, there was insufficient evidence to prove that Staff did not ensure a resident had appropriate incontinent care products. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Aug 6, 2026 · control 31-AS-20260730091523

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Michael Cava conducted a Pre-Licensing Inspection with the applicant/administrator, Gayane Manukyan, and her consultant, Ripa Tavitian. An Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on June 18, 2025. The facility is a one story building. A fire clearance was approved on July 7, 2025 for five (5) non-ambulatory residents and one (1) bedridden resident, for a total capacity of six. The applicant is also requesting a hospice waiver to retain six (6) residents. The smoke alarms are hard wired and inter-connected. The carbon monoxide detector is functional and installed in the hallway. The fire extinguishers is located by the entrance. It was purchased on June 21, 2025. A tour of the physical plant was initiated at approximately 10:00am and the following was observed: KITCHEN: The kitchen area is equipped with a refrigerator, stove/oven, and sink. At this time, perishable food items not required as there are zero (0) residents. Applicant advised to purchase perishable food items once facility is licensed and operational. There is an adequate supply of nonperishable/emergency food supply. BEDROOMS: There are four (4) bedrooms designated for resident use. Bedroom #1 and #2 are private. Bedrooms #3 and #4 are shared. Bedroom #1 is approved for bedridden (per STD 850). The applicant furnished the resident bedrooms with beds, night stand, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space. BATHROOMS: The facility has three (3) bathrooms. Two (2) bathrooms are designated for resident use, and one for staff. Bedroom #2 has it's own bathroom. The bathrooms designated for resident use were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water in resident bathrooms were measured between 108 to 111 degrees. COMMON AREAS: These included the living room and dining room. The living room is furnished with adequate seating, couches, table and television. The dining area has a table large enough to seat up to six (6) residents. There is no fireplace. Floors were clean and in good repair. Passageways and hallways were clear of obstruction. LAUNDRY: The laundry area is located at the side of the home. MEDICATIONS: The medication cabinet is located by the dining room. LPA observed storage bins for resident use. A complete first aid kit and manual is also maintained in the medication cabinet. GARAGE: There is no garage. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home were clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility backyard has sufficient yard space. There is no swimming pool or any other bodies of water. In addition to the Pre-Licensing inspection, a Component III power point presentation was held at the start of the visit. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment is compliant and ready for licensure. CAB will be advised and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 14, 2025