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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610227
Report Date: 03/16/2026
Date Signed: 03/16/2026 11:10:04 AM

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
01/27/2026 and conducted by Evaluator Gina Saucedo
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20260127155509
FACILITY NAME:GARDEN GROVE ASSISTED LIVING, INCFACILITY NUMBER:
197610227
ADMINISTRATOR:ALVINA GALUSTYANFACILITY TYPE:
740
ADDRESS:8525 GARDEN GROVE AVENUETELEPHONE:
(818) 678-9858
CITY:NORTHRIDGESTATE: CAZIP CODE:
91325
CAPACITY:6CENSUS: 3DATE:
03/16/2026
UNANNOUNCEDTIME BEGAN:
10:28 AM
MET WITH:Alvina Galustyan, AdministratorTIME COMPLETED:
11:25 AM
ALLEGATION(S):
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Staff did not prevent a resident from developing a pressure injury while in care.
Staff did not feed a resident in care.
Staff did not provide sufficient drinking water to resident in care.
Staff did not allow resident to receive telephone calls.
INVESTIGATION FINDINGS:
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On 03/16/26, at 10:28am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Administrator, Alvina Galustyan. LPA explained the purpose of this visit was to gather additional information and deliver findings for this complaint.

On 01/30/26, LPA Saucedo conducted the initial visit. On 01/30/26, LPA Saucedo asked for the census, staff, and resident rosters. On 01/30/26, LPA Saucedo conducted a physical tour and obtained relevant documents pertaining to resident #1 (R1)-Pre-Placement Appraisal, Medical Assessment, Identification and Emergency Information. On 03/16/26, LPA Saucedo conducted another physical tour.

LIC 9099C-continued

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026
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 3
Control Number 31-AS-20260127155509
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: GARDEN GROVE ASSISTED LIVING, INC
FACILITY NUMBER: 197610227
VISIT DATE: 03/16/2026
NARRATIVE
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Regarding the allegation: Staff did not prevent a resident from developing a pressure injury while in care. It is being alleged that Resident #1 (R1) had a pressure injury in their sacral area. LPA obtained medical records from Northridge Hospital, and it was determined that R1 had a Stage 1 pressure injury on their sacrum. Staff #1 (S1) confirmed that R1 was under “Prosper Home Health,” which provided services to R1 such as taking blood work, issuing medication, and assisting R1 with showers. During LPA’s record review of the facility and medical records from Northridge Hospital, it was determined that R1 had Stage 4 choriocarcinoma cancer with metastasis. During LPA’s interview with the nurse who was providing care to R1 through Home Health, the nurse stated, “R1 was not being provided wound care because R1 did not have a wound.” Therefore, based on the record review and interviews conducted, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff did not feed a resident in care. It is being alleged that Resident #1 (R1) was not being fed due to them not being able to walk to the dining area. LPA interviewed two (2) residents who confirmed they receive all their meals regardless of whether they eat in the dining area or not. One (1) resident confirmed that if they do not feel well, the caregiver brings the meal to their room. During LPA’s interview with R1’s sister, they stated that when they visited R1, R1 had leftover food in their room. During LPA’s staff interviews, both staff confirmed that R1 became very sick and would not eat all the time. Both stated, “Even if we would take the food to R1’s room, it would sometimes stay untouched.” During LPA’s interview with Staff #1 (S1), S1 confirmed that R1 had cancer and was declining very quickly. S1 also stated that R1’s medical assessment had to be updated because when R1 first arrived at the facility, R1 did not have a special diet and did not require incontinence care; however, due to the health decline, R1 was later placed on a special diet and required incontinence assistance. During LPA’s record review of the facility and medical records from Northridge Hospital, it was determined that R1 had Stage 4 choriocarcinoma cancer. Therefore, based on the record review and interviews conducted, the allegation is UNSUBSTANTIATED at this time.


LIC 9099C-continued
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20260127155509
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: GARDEN GROVE ASSISTED LIVING, INC
FACILITY NUMBER: 197610227
VISIT DATE: 03/16/2026
NARRATIVE
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Regarding the allegation: Staff did not provide sufficient drinking water to a resident in care. It is being alleged that Resident #1 (R1) seemed extremely thirsty at times. LPA interviewed two (2) residents who confirmed they receive all their meals and do not have any issues obtaining drinks. One (1) resident stated they like to drink sodas, and the other resident stated they can drink whatever beverages the facility has available. During LPA’s physical tour of the garage, cases of bottled water were observed. During LPA’s interview with R1’s sister, they stated that when they visited R1, R1 had drank multiple water bottles. During LPA’s staff interviews, two (2) staff confirmed that there is plenty of food and different drinks available for the residents, including water. Both staff also confirmed that R1 was diabetic and at times drank a lot of water and had multiple water bottles in their room. During LPA’s record review, it was determined that R1 was diabetic. Therefore, based on the record review and interviews conducted, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff did not allow a resident to receive telephone calls. It is being alleged that Resident #1 (R1) had no phone privileges. During LPA’s visit on 01/30/26, LPA observed the facility phone ring, and it was for a resident who did not have their own cell phone; the resident was able to use the facility phone. LPA interviewed two (2) other residents who have their own cell phones and do not need to use the facility phone. During LPA’s interview with Staff #1 (S1), who stated that R1 did not have their own cell phone but did receive phone calls from their sister at the facility. S1 also stated that at times R1 was too sick to speak with their sister and would decline the phone calls. Staff #2 (S2) stated that R1 was able to walk when they first came to the facility, but when their health declined, R1 preferred to stay in their room and not speak to anyone. Therefore, based on the record review and interviews conducted, the allegation is UNSUBSTANTIATED at this time.


An exit interview was conducted, no citation(s) issued, and a copy of this report was given to the Administrator.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3