<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610475
Report Date: 10/04/2025
Date Signed: 10/04/2025 03:59:25 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
02/27/2025 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20250227144825
FACILITY NAME:LOVEBIRD SENIOR LIVING INCFACILITY NUMBER:
197610475
ADMINISTRATOR:SARGSIAN, ARMINEFACILITY TYPE:
740
ADDRESS:13153 CONSTABLE AVENUETELEPHONE:
(818) 284-2502
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 6DATE:
10/04/2025
UNANNOUNCEDTIME BEGAN:
08:28 AM
MET WITH:Karina VargasTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not safeguard resident's personal belongings
Staff did not serve residents food free from contamination
Staff is charging resident for services not rendered
Staff did not provide a comfortable environment for resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Michael Cava conducted a subsequent visit to the facility to conclude the investigation regarding the above allegations. The initial visit was made by LPA Cava on 03/04/25. LPA met with staff Karina Vargas, and advised her of the complaint. Today’s investigation consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection and reviewed resident records. Investigation is as follows:

Staff did not safeguard resident’s personal belongings:
In regards to the allegation, it was reported that the licensee did not safeguard two pairs of Resident 1’s (R1) pants, and two shirts. R1 only stayed at this facility for a month. When R1 conducted an inventory of their belongings, at the new facility that R1 moved to, these items were missing.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2025
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 4
Control Number 31-AS-20250227144825
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: LOVEBIRD SENIOR LIVING INC
FACILITY NUMBER: 197610475
VISIT DATE: 10/04/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Interviews conducted with the administrator and two (2) of two staff held between 8:00am-9:00am deny the allegation. The administrator confirmed that R1 only stayed at the facility from 11/03/24 to 12/07/23. Both administrator and staff stated that when R1 moved out, all of R1’s personal belongings were taken with them and accounted for. Approximately 9:00am-10:00am, LPA conducted a record review of R1s records. LIC 621 (Client/Resident Personal Property and Valuables) was observed on file. There were no entries for pants and shirts on the inventory. Only item listed is R1’s cell phone. Approximately 10:00am-11:00am, interviews were conducted with six (6) of six residents. These residents expressed no complaints or concerns regarding safeguarding or any loss of their property.

Based on the information obtained, it could not be proven that staff failed to safeguard R1’s personal belongings. There was no evidence that R1’s pants and shirts was in R1’s possession during R1’s stay at the facility as it was not entered on the LIC 621. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff did not serve residents food free from contamination
In regards to the allegation, it was reported that facility staff served food that was not kept in the refrigerator, or properly sealed, exposing food to contamination. As a result of this, residents got sick. Dates and times were not indicated to this allegation. Nor were there any residents or witnesses identified to corroborate the food contamination caused illness to residents.

Interviews conducted with the administrator and two (2) of two staff held between 8:00am-9:00am deny the allegation. Administrator and staff had no past or current incidents of any food sicknesses to report. Staff stated food is properly sealed and labeled once served. Nothing is left open to contamination. Approximately 10:00am-11:00am, interviews were conducted with six (6) of six residents. These residents had no complaints of getting sick due to contaminated food, or and concerns that food is not being sealed properly once served. Approximately 11:00am-12:00pm, LPA conducted a physical plant inspection. LPA observed the food service/kitchen area to be clean, safe and sanitary. Perishable food in the refrigerator was observed properly sealed, labeled and nothing open and exposed. Non-perishable food kept in the kitchen pantry was observed closed, sealed and to date.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20250227144825
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: LOVEBIRD SENIOR LIVING INC
FACILITY NUMBER: 197610475
VISIT DATE: 10/04/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on the information obtained, it could not be proven that staff do not keep food free from contamination. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff is charging resident for services not rendered
In regards to the allegation, it was reported that the licensee charged R1 $800 from 10/01/24 to 10/04/24, but R1 did not move into the facility until November 2024. No documentation or records submitted to prove the $800 transaction.

Interview conducted with the administrator held between 8:00am-9:00am deny the allegation. The administrator confirmed that R1 moved in 11/03/24 and moved out on 12/07/24. Administrator stated there is a pre-admission fee, but stated this fee was waived and denies that an $800 fee was charged for the periods of 10/01/24 to 10/04/24. Approximately 9:00am to 10:00am, LPA conducted a record review and observed R1 had a monthly fee of $4000. R1 did not opt for any optional services, nor was any provided to R1 during their stay. LPA observed the Pre-Admission fee was crossed out, as indicated by the administrator that this fee was never charged.

Based on the information obtained, it could not be proven that R1 was charged for services not rendered. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff did not provide a comfortable environment for resident
In regards to the allegation, it was reported that a male staff entered R1’s room unannounced while R1 was undressed. No time or date given to when this incident had occurred. Moreover, there was no names provided to identify this male staff or any witnesses identified to corroborate with this allegation.

Interviews conducted with the administrator and two (2) of two staff held between 8:00am-9:00am deny the allegation. Staff state they always knock and make an announcement before entering any of the resident rooms. Approximately 10:00am-11:00am, interviews were conducted with six (6) of six residents. These residents expressed no concerns or complaints of any personal rights violations or not being provided a comfortable environment. Approximately 11:00am-12:00pm, during the physical plant inspection, LPA did not observe any personal rights violation while observing facility operations.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 31-AS-20250227144825
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: LOVEBIRD SENIOR LIVING INC
FACILITY NUMBER: 197610475
VISIT DATE: 10/04/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on the information obtained, it could not be proven that staff are not providing residents with a comfortable environment. Therefore, the allegation is deemed Unsubstantiated at this time.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4