197608267-8-19-2025-31-AS-TAGD-DMESPZ-20251013140358

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 08/19/2025
Date Signed: 08/19/2025 02:34:43 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
04/29/2025 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20250429145855

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: 106	DATE:	08/19/2025
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Mary Jane Reyes, Resident Care Director		TIME COMPLETED:	02:40 PM

ALLEGATION(S):

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Staff are not meeting residents' care needs.

INVESTIGATION FINDINGS:

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This is an addendum to the previous licensing report delivered to the facility on 05/15/2025.

On 08/19/25, at 9:15am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Resident Care Director, Mary Jane Reyes. LPA explained the purpose of this visit was to gather additional information, interview staff and residents and deliver findings for this complaint.

On 05/06/25, LPA Leizl DeLaCerra conducted an initial visit, interviewed staff and residents. On 05/15/25, LPA Leizl DeLaCerra delivered findings for this complaint. On 08/19/25, at 9:55am, LPA Saucedo conducted a physical tour and interviewed additional staff and residents and received relevant documentation.

LIC 9099C-continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025

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-20250429145855

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: 08/19/2025

NARRATIVE

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Regarding the allegation: Staff are not meeting residents' care needs. It is being alleged that the facility staff does not assist residents that were temporarily relocated from the Pasadena Villa Senior Facility (due to an emergency disaster). Furthermore, Residents needed to wait for Pasadena Villa Senior Facility staff to assist them. Due to the short notice of Pasadena Villa Senior Facility moving because of the fire evacuation, some residents were placed in rooms located in the memory care unit of the above facility and were told to wait for Pasadena Villa Facility staff to assist them.

To investigate this allegation, on 5/06/2025 LPA DeLa Cerra between 10:30am to 11:55am conducted a physical plant tour, interviewed six (06) staff members and between 12:00pm to 1:30pm interviewed ten (10) residents and between 2:30pm to 3:10pm, LPA DeLa Cerra conducted a record review.

LPA Dela Cerra’s observation, during the physical plant tour confirmed that the five (5) residents from Pasadena Villa Senior Living (198603286) temporarily placed in memory care were no longer present. Staff #1 (S1) further indicated that due to safety measures, the access code was not provided to the residents placed in the memory care unit. However, staff members from both facilities were always available to assist these residents in and out of memory care. Interviews with facility caregivers revealed that they were assisting all residents including those that were relocated from Pasadena Villa Senior Facility. Staff revealed that during certain incidents when a staff member was assisting temporary residents, which they are not familiar with, the staff member would also ask for assistance from the caregiver who was more knowledgeable of that resident so the appropriate care can be provided.

LIC 9099C-continued

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20250429145855

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: 08/19/2025

NARRATIVE

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During this visit, LPA Saucedo interviewed additional facility staff and residents. LPA Saucedo interviewed ten (10) residents from the above facility confirming that all caregivers were able to meet their needs. LPA Saucedo also interviewed four (4) staff that confirmed regardless of where the resident came from they were providing different types of care. Four (4) out of the four (4) staff also confirmed that due to safety measures, the access code was not provided to the residents placed in the memory care unit housed from Pasadena Senior Villa Facility but they were also able to call the front desk to let them in and out and also ask any staff available to let them in and out of the memory care area of the facility to have access to going outside, the dining area, and any other part of the facility. LPA Saucedo also conducted three (3) phone interviews with Pasadena Villa Senior Living (198603286) residents confirming that their needs were being met and while housed in memory care they were able to enter and leave when they wanted. Furthermore, LPA Saucedo interviewed two (2) Pasadena Villa Senior Living Facility staff via telephone that also confirmed any staff regardless from what facility they worked for were providing help to all residents. Let it be noted, that Pasadena Villa Senior Living staff and residents transferred back to Pasadena in April of 2025.

LPA Saucedo also received a reporting log for maintenance that involved staff from both facilities being trained on the maintenance log in case any staff needed any repairs done to their room.

Therefore, based on LPA Saucedo’s observations, interviews of staff and residents and record review allegation(s) is UNSUBSTANTIATED at this time.

An exit interview conducted, and copy of the report was signed and given to the Resident Care Director.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025

LIC9099 (FAS) - (06/04)

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