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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610429
Report Date: 09/26/2025
Date Signed: 09/26/2025 03:28:13 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/21/2025 and conducted by Evaluator Angela Panushkina
COMPLAINT CONTROL NUMBER: 31-AS-20250921123305
FACILITY NAME:SIMPLE TOUCH BOARD AND CARE INCFACILITY NUMBER:
197610429
ADMINISTRATOR:SARKISYAN, KARINEFACILITY TYPE:
740
ADDRESS:22317 MOBILE STTELEPHONE:
(747) 444-8506
CITY:CANOGA PARKSTATE: CAZIP CODE:
91303
CAPACITY:6CENSUS: 2DATE:
09/26/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Karine Sarkisyan, Administrator TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff left residents unattended in the facility for an extended period of time.
INVESTIGATION FINDINGS:
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At 09:00am, Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced initial 10-day complaint investigation regarding the above allegations. LPA met with Staff 1 (S1), who granted access to the facility. The Administrator arrived shortly after, and LPA explained the reason for the visit.

During course of the investigation, interviews and record review were conducted. At 09:05am, LPA requested resident and staff roster. At 09:10am, LPA requested copies of pertinent information which include, but not limited to Admission Agreement, Physician's Report, relevant to the investigation. At approximately 09:15am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 09:20am – 11:00am, LPA conducted an interview with the Administrator, one (1) staff and attempted to interview two (2) out of two (2) residents. However, due to their metal condition/diagnoses, residents were not able to communicate and or answer questions.
Continue on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
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 3
Control Number 31-AS-20250921123305
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: SIMPLE TOUCH BOARD AND CARE INC
FACILITY NUMBER: 197610429
VISIT DATE: 09/26/2025
NARRATIVE
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Allegation: Staff left residents unattended in the facility for an extended period of time.

It was alleged that on 09/10/25, S1 was locked out of the facility for approximately three hours, from 3:30pm to 6:30pm, leaving two (2) residents inside unattended. LPA conducted an interview with S1 and was informed that on 09/10/25, S1 took the trash out (about 3:30pm) and when tried to go back inside the house, the wind shut the front door and due to the knob disrepair, the door got locked and there was no other way to get inside. S1 stated that the phone was left inside the house and S1 was unable to contact the Administrator. Moreover, S1 was unable to go around the house because both side doors/gates were locked. LPA was also informed that the two (2) neighbors, across the street, have dogs and S1 was afraid to approach the house and ask for help. Instead, S1 waited for the next-door neighbor to arrive home before the help was provided. S1 asked the neighbor #1 (N1) for help and N1 contacted neighbor #2 (N2) to find the phone number for the Administrator. N2 was able to locate the phone number online and S1 contacted the Administrator at 5:55pm. However, the Administrator informed S1 that she would be there in an hour. With the help of neighbors, S1 checked the windows and discovered one that was unlocked and S1 crawled into the house through the window at 6:30pm. LPA was not able to interview two (2) out of two (2) residents due to their mental condition. However, LPA conducted interviews with two (2) neighbors/witnesses who confirmed the statement provided by S1. During today’s visit, LPA observed the front doorknob, from the inside, is still in disrepair. Interview with the Administrator revealed that she was not aware of this issue. LPA also observed that both side doors/gates have padlock and require a key to open. Interview with the Administrator revealed that they keep the gates locked due for security purposes. Therefore, based on interviews and information gathered during today’s visit, this allegation is Substantiated.

Deficiency is cited on LIC 9099-D.
Exit interview conducted. Appeal rights explained and copy of this report signed and delivered.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20250921123305
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SIMPLE TOUCH BOARD AND CARE INC
FACILITY NUMBER: 197610429
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/28/2025
Section Cited
CCR
87468.2(a)(4)
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(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities... (4) To care, supervision, and services that meet their individual needs and are delivered by staff... ... to meet thier needs.
This requirement is not met as evidenced by:
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Administrator agreed to schedule vendorized training for all staff by 09/28/25 and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion
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Based on interviews conducted, licensee did not comply with the section cited above by leaving two (2) residents unattended in the facility from 3:30pm to 6:30pm, which posed an immediate health and safety risk to persons in care
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*** Civil Penalties Assessed on LIC421M***
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
LIC9099 (FAS) - (06/04)
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