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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610483
Report Date: 07/09/2025
Date Signed: 07/09/2025 02:58:20 PM

Unsubstantiated


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
06/06/2025 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20250606140409
FACILITY NAME:LIFELONG SENIOR LIVINGFACILITY NUMBER:
197610483
ADMINISTRATOR:KAPIKYAN, ANDRANIKFACILITY TYPE:
740
ADDRESS:16003 LUDLOW STTELEPHONE:
(818) 371-5979
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 6DATE:
07/09/2025
UNANNOUNCEDTIME BEGAN:
09:39 AM
MET WITH: Louis NdendeTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff did not treat resident with diginity and respect
Staff did not allow resident to leave the facility
Staff did not allow resident to have access to a telephone
Staff did not provide food service to resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facilty to investigate the above allegations. LPA met with staff, Louis Ndende, and advised him of the complaint. The administrator, Adranik Kapikyan, was notified over the telephone. Today's investigation consisted of interviews with administrator, staff and residents. A physical plant inspection also made to insure the health and safety for the residents in care.

Staff did not treat resident with dignity and respect/Staff did not allow resident to leave the facility:
In regards to the above allegations, it was reported that staff do not allow for Resident 1 (R1) to leave the facility, or assist R1 in arranging transportation /appointments for medical needs. Most recently, when R1went out to the front of the facility, R1 was yelled at by staff. It's also alleged that the licensee has forged R1's signature on agency placement forms to keep R1 from moving out. Interviews with the administrator and staff deny the allegation. Both administrator and staff state R1 is allowed to leave and return to
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
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 2
Control Number 31-AS-20250606140409
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: LIFELONG SENIOR LIVING
FACILITY NUMBER: 197610483
VISIT DATE: 07/09/2025
NARRATIVE
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the facility without any violation of R1's rights. R1 is legally blind, and requires supervision when going out, which is provided. Transportation for medical appointments and needs is also provided, with staff accompanying R1 for supervision. Transportation via share ride, ACCESS, or taxi, paid by the licensee. Administrator and staff both adds R1 has house visits by their doctor scheduled. Regarding R1 wanting to move out, administrator acknowledges that right, but R1's responsible party prefers for R1 to continue to reside in the facility. Interview with R1 could not confirm the report of staff yelling at R1 or allowing for R1 to leave. R1 could not provide or identify any witnesses to corroborate the allegations. Interviews with five (5) of five residents also could not confirm allegations. Some residents that were interviewed confirmed licensee assistance for transportation to their doctor appointments. These residents also state staff treat them with dignity and respect. Based on the information obtained, there wasn't enough evidence to prove that staff do not treat residents with dignity or respect, and not allowing for residents to leave the facility. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff did not allow resident to have access to a telephone:
In regards to the allegation, it was reported that staff do not allow R1 access to the facility telephone. Interviews with the administrator and staff deny the allegation, stating R1 has access to the land line, and utilizes the land line at all times. Interviews with Five (5) of five residents deny the allegation, confirming they have access to the facility phone. During the investigation, LPA observed R1 with the facility telephone on hand, making a phone call. Based on the information obtained, there is insufficient evidence to corroborate the allegation of staff not allowing residents access to the facility telephone. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff did not provide food service to resident:
In regards to the allegation, it was reported that facility staff have refused to provide R1 meals since R1 is vegetarian. Interviews with the administrator and staff deny the allegation. Both administrator and staff state they try to accommodate all their resident's dietary needs. In the case for R1, although R1 does not require a special diet (vegetarian), alternative meals, fresh vegetables, non-meat food items such as peanut butter and jelly, tofu, is offered and served at no charge. LPA conducted an inspection of the facility food supply and observed fruits, vegetables and non-meat food items on stock to accommodate R1. Interviews with five (5) of five residents could not confirm staff not providing them any food service, or have any complaints regarding food service. Review of R1's physician report does not indicate that R1 requires a special diet. Based on the information obtained, there is insufficient evidence to corroborate the allegation of staff not providing food service to residents. Therefore, the allegation is deemed Unsubstantiated at this time.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2