197608267-8-12-2025-31-AS-TAGD-DMERWQ-20251013132331

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 08/12/2025
Date Signed: 08/12/2025 02:17:21 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/18/2025 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20250418110154

FACILITY NAME:	CEDARS ASSISTED LIVING, THE		FACILITY NUMBER:	197608267
ADMINISTRATOR:	STEPHAN SARMAZIAN		FACILITY TYPE:	740
ADDRESS:	17300 ROSCOE BLVD.		TELEPHONE:	(818) 344-2042
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91325
CAPACITY:	175	CENSUS: 108	DATE:	08/12/2025
		UNANNOUNCED	TIME BEGAN:	09:48 AM
MET WITH:	Mary Jane Reyes		TIME COMPLETED:	02:39 PM

ALLEGATION(S):

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Staff hit resident.
Staff did not safeguard resident's personal belongings.
Staff left resident in soiled diaper for extended period of time.
Staff made inappropriate comments towards resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced initial complaint visit to the facility to investigate the above allegations. LPA met with Mary Jane Reyes and explained the reason for the visit.

--- Staff hit resident.

It was alleged that Staff #1 (S1) and Staff #2 (S2) came in Resident #1’s (R1) room and hit R1 in the head with own hand and no injuries noted. To investigate the allegation, on 04/24/2025 LPA interviewed three (03) staff from 11:00a.m. to 12:30p.m. and fifteen (15) residents from 12:30p.m. – 3:00p.m. During interviews with staff, all staff stated they have never forced R1 to hit themselves in the head with their own hand. During interviews with residents, one (01) resident stated they think staff hit them but not certain.

(CONT. on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20250418110154

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: CEDARS ASSISTED LIVING, THE	FACILITY NUMBER: 197608267
	VISIT DATE: 08/12/2025

NARRATIVE

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All other residents stated they were not physically abused by staff or forced to abuse themselves.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time.

--- Staff did not safeguard resident's personal belongings.

It was alleged that someone stole R1’s clothes and slippers. To investigate the allegation, on 04/24/2025 LPA requested documents at around 10:30a.m., interviewed three (03) staff from 11:00a.m. to 12:30p.m. and fifteen (15) residents from 12:30p.m. – 3:00p.m. A review of R1’s Safeguard Personal Valuables inventory does not show alleged missing items. During interviews with staff, all staff stated they did not take R1’s slippers or clothes. During interviews with residents, one (01) resident stated staff take their clothing items such as Garfield slippers, Scooby Doo slippers and workout clothes. All other residents stated their belongings have not gone missing.

Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time.

--- Staff left resident in soiled diaper for extended period of time.

It was alleged that staff left R1 sitting in urine and poop for eight (08) hours. To investigate the allegation, on 04/24/2025 LPA interviewed three (03) staff from 11:00a.m. to 12:30p.m. and fifteen (15) residents from 12:30p.m. – 3:00p.m. During interviews with staff, all staff stated they check on and change incontinent residents every two (02) or as needed. Staff added residents are not left soiled for an extended time, that calls for service are answered within four (04) minutes. During interviews with residents, one (01) resident stated they are left soiled for an extended time. All other residents stated they are checked on often and all incontinent residents stated they are not left soiled for an extended time.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time.
(CONT. on LIC9099-C)

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20250418110154

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: CEDARS ASSISTED LIVING, THE	FACILITY NUMBER: 197608267
	VISIT DATE: 08/12/2025

NARRATIVE

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--- Staff made inappropriate comments towards resident.

It was alleged that staff S1 was standing at the end of the bed watching and laughing. To investigate the allegation, on 04/24/2025 LPA interviewed three (03) staff from 11:00a.m. to 12:30p.m. and fifteen (15) residents from 12:30p.m. – 3:00p.m. During interviews with staff, all staff stated they treat all residents with respect and dignity. Staff #1 (S1) added they do not taunt or laugh at residents. During interviews with residents, one (01) resident stated staff are not kind and taunt them. All other residents stated they are treated with respect and dignity.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time.

No health and safety hazards noted during the visit.

Exit interview conducted. A copy of the report was issued.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025

LIC9099 (FAS) - (06/04)

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