197609748-2-18-2026-31-AS-TAGD-DRTTZU-20260303141056

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609748
Report Date: 02/18/2026
Date Signed: 02/18/2026 12:01:05 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
02/11/2026 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260211123251

FACILITY NAME:	GRANADA GOLDEN YEARS		FACILITY NUMBER:	197609748
ADMINISTRATOR:	ARUTYUNYAN, SEVAK		FACILITY TYPE:	740
ADDRESS:	17201 LAHEY ST		TELEPHONE:	(818) 535-9693
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	6	CENSUS: 3	DATE:	02/18/2026
		UNANNOUNCED	TIME BEGAN:	09:37 AM
MET WITH:	Bibigul Batyrbekova, Caregiver		TIME COMPLETED:	12:05 PM

ALLEGATION(S):

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Due to improper transfer assistance, the resident experienced a fall incident
Staff did not ensure resident was fed resulting in extreme weight loss

INVESTIGATION FINDINGS:

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On 02/18/26, at 9:37am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Caregiver,Bibigul Batyrbekova. LPA explained the purpose of this visit was to gather information, interview staff and residents and deliver findings for this complaint.

On 02/18/26, LPA Saucedo asked for the census, staff, and resident rosters. On 02/18/26, at 10:15am, LPA Saucedo conducted a physical tour. On 02/18/26, at 10:20am, LPA Saucedo started to conduct resident and staff interviews. Furthermore, LPA reviewed and obtained, Resident #1 (R1)'s preplacement appraisal, admission agreement, Medical Assessment and Identification and Emergency Information.

LIC 9099C-continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

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-20260211123251

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: GRANADA GOLDEN YEARS	FACILITY NUMBER: 197609748
	VISIT DATE: 02/18/2026

NARRATIVE

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Regarding the allegation: Due to improper transfer assistance, the resident experienced a fall incident. It is being alleged that while staff were transferring resident #1 (R1), R1 fell and broke their right hip. LPA obtained an Unusual Incident Report on 12/31/25, where it says R1 fell while in their room and 911 along with their spouse were notified immediately. LPA interviewed three (3) staff that have confirmed R1 fell in their room without any assistance. Staff #1 (S1) confirmed that they heard a loud noise and ran to R1’s room but R1 was already on the floor. Staff #2 (S2) confirmed they were helping another resident when S1 requested for their assistance with R1 to help get R1 up from the floor. S1 and S2 immediately called the administrator and 911 was called. In addition, staff reported that "R1 had dementia, had a walker but at times R1 would forget to ask for help and use the walker and would get up on their own." LPA spoke to R1’s spouse and R1’s spouse confirmed that R1 had dementia was fragile and had mobility problems and that the facility immediately called them when R1 fell and R1 was also transferred to a hospital that day. R1’s spouse also confirmed that "R1 was transferred to a skilled nursing a couple days after they went to the hospital and does not blame the facility for what happened to R1 because R1 was already deteriorating at a fast pace when R1 was taken to the facility the beginning of December 2025." Furthermore, LPA interviewed one (1) out of 3 (three) residents that confirmed they were there when R1 fell in their room, there was three (3) staff present and the ambulance came for R1. Therefore, based on the record reviews and interviews conducted the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff did not ensure resident was fed resulting in extreme weight loss. It is being alleged that resident #1 (R1) was losing weight prior to moving to the above facility and lost an additional 10-15lbs while at the facility. This allegation can be referenced to control number-31-AS-20251230162335. It was recently investigated on 01/07/26. R1's medical assessment on 12/03/25, shows that R1 weighed 134llbs and R1's nurse visit on 12/16/25 (under Palliative Care) indicated that R1 weighed 150lbs and actually gained weight while at the facility. Let it be noted, R1 was transferred to a hospital on 12/30/25 and did not return to the above facility. Therefore, based on the record review and interviews conducted the allegation is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

LIC9099 (FAS) - (06/04)

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