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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850542
Report Date: 04/30/2025
Date Signed: 04/30/2025 02:24:33 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/22/2025 and conducted by Evaluator Trevor Byrne
COMPLAINT CONTROL NUMBER: 29-AS-20250422081655
FACILITY NAME:ROSE GARDEN SENIOR HOUSINGFACILITY NUMBER:
195850542
ADMINISTRATOR:TONOYAN, LILITFACILITY TYPE:
740
ADDRESS:7526 TROOST AVENUETELEPHONE:
(818) 601-3232
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY:6CENSUS: 2DATE:
04/30/2025
UNANNOUNCEDTIME BEGAN:
10:06 AM
MET WITH:Lilit TonoyanTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Insufficient Staffing.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced complaint investigation visit at the facility at 09:56 AM. LPA met with facility Administrator Lilit Tonoyan. The reason for the visit was explained and entrance interview was conducted.

During today’s visit LPA conducted a physical plant tour, reviewed five (5) employee files, obtained copies of pertinent documentation, and interviewed the Administrator, two (2) staff, one (1) witness, and two (2) residents between 10:06 AM and 12:50 PM.

Continued on LIC-9099C
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 29-AS-20250422081655
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ROSE GARDEN SENIOR HOUSING
FACILITY NUMBER: 195850542
VISIT DATE: 04/30/2025
NARRATIVE
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The allegation of “Insufficient Staffing.” alleges that the facility did not employ a sufficient number of staff to care for the facility residents. LPA Byrne observed the facility to currently have two (2) residents at the time of the inspection. LPA interviewed two (2) of two (2) residents. LPA interviewed resident #1 (R1) who confirmed that facility staff are present at all times. R1 stated that the facility Administrator is present throughout the week during the day. Both residents stated that facility staff assist them in caring for their needs. LPA interviewed one (1) staff member, staff #1 (S1). S1 confirmed that they work as a caregiver at the facility and stated that they just began working at the facility today (04/30/2025). S1 described their schedule as Wednesday – Monday from 7 AM to 6:30-7 PM. S1 had no concerns with insufficient staffing at the facility. LPA Byrne interviewed the facility Administrator. The Administrator confirmed that S1’s works as a caregiver and is scheduled Wednesday - Monday 7 AM – 7 PM, with S1’s day off being Tuesdays. The Administrator stated that staff #2 (S2) works as the awake night staff Monday – Sunday 7 PM – 7 AM. The Administrator informed LPA that a former caregiver was let go on 04/21/2025. The Administrator stated that staff #3 (S3) was hired to cover the vacant position in the meantime. LPA interviewed S3 who stated that they only worked for the facility from 04/21/2025-04/29/2025. S3 did not express concerns with adequate staffing at the facility. LPA reviewed the facility’s LIC 500 Personnel Roster. LPA observed this roster to contain the following work schedules: Administrator, Monday – Friday 08:00 AM – 04:00 PM, Saturday – Sunday 07:00 AM – 07:00 PM. S2 Monday – Sunday 07:00 PM – 07:00 AM. S1 Wednesday – Monday 07:00 AM – 07:00 PM. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Insufficient Staffing.” Therefore, the allegation is deemed Unsubstantiated at this time.

A copy of the report was printed and exit interview was conducted.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2