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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603413
Report Date: 01/30/2026
Date Signed: 01/30/2026 04:54:39 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
08/29/2025 and conducted by Evaluator Antonia Alvizar-Ettima
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20250829141015
FACILITY NAME:SAGE GLENDALE SENIOR LIVINGFACILITY NUMBER:
198603413
ADMINISTRATOR:SMITH,ANGELAFACILITY TYPE:
740
ADDRESS:525 W ELK AVETELEPHONE:
(818) 245-6378
CITY:GLENDALESTATE: CAZIP CODE:
91204
CAPACITY:113CENSUS: 74DATE:
01/30/2026
UNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Lindsay Schroeder, Executive Director (ED)TIME COMPLETED:
03:34 PM
ALLEGATION(S):
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Staff are not properly supervising residents who may be a fall risk
Staff are not answering resident call buttons in a timely manner
Staff are not meeting residents bathing needs
Staff are not properly notifying responsible parties of residents change in condition
Staff did not seek timely medical attention for resident in care
Staff did not adequately ensure residents room was clean and orderly
Staff did not ensure residents laundry was washed
Staff were not properly addressing pests in the facility
INVESTIGATION FINDINGS:
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At 9:55am, Licensing Program Analyst (LPA Antonia Alvizar Ettema and Licensing Program Manager (LPM) Naira Margaryan conducted unannounced complaint visit to the facility to conduct additional investigation and resolve the above noted allegations.
During Initial visit conducted on 09/05/25, LPA Alvizar inspected the facility. At 11:25 am, LPA spoke with Executive Director (ED) and Residents Care Director (RCD). LPA requested and received facility records, including but not limited to Resident(s) Identification information, physician report, preplacement appraisal, need and service plan and other relevant documents.

At the time of this visit at 10:30am, LPA Alvizar and LPM Margaryan spoke with ED and at 12:15am LPA conducted inspection of physical plants and between 11:00am and 1:00pm, LPA and LPM interviewed five (5) staff and between 1:30pm-2:30pm interviewed six (6) out of seventy-four (74) residents.

Staff are not properly supervising residents who may be a fall risk.
Cont. on LIC 9909-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
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-20250829141015
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: SAGE GLENDALE SENIOR LIVING
FACILITY NUMBER: 198603413
VISIT DATE: 01/30/2026
NARRATIVE
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Cont. from LIC 9099

It was alleged that the resident #1 (R1) fell out of bed the day he was admitted to the facility. Staff revealed that fall risk residents are identified during initial assessment. Based on initial assessment, if the resident is a fall risk, they draft specific plan of action with preventive measures. R1 was fully independent and not a fall risk resident. Although R1 was not a fall risk, they requested assistance two (2) times. First time for fall incident and second time after injuring themselves in the bathroom. For both incidents R1 was assisted by the staff and no medical attention was required. Residents interviewed during this investigation did not address any concerns regarding their assistance. A review of R1’s facility file revealed that R1 was admitted as an independent resident. R1 was not identified as a fall risk and did not require frequent checks or specific supervision to prevent falls. No information or evidence was available to support the allegation. Therefore, based on interviews, and record review, the allegation is unsubstantiated at this time.

Staff are not answering resident call buttons in a timely manner.
It was alleged that R1 pushed the button on their neck alert and no one came to his room. R1 called family members to call the Facility so that they could pick him up. The Staff call 911 to lift R1.
Staff interviewed during this visit revealed that when residents push their pendant usually, they try to respond as soon as possible. Sometime residents not only push call buttons, but also either call front desk or their responsible party may call front desk. Average time to respond is between 7 to 10 min. Staff #1 (S1) and staff #2 (S2) stated that R1 used their pendant 2 times and both times they responded within 5-7 minutes. The information provided during investigation does not support the allegation. Therefore, based on interviews, observation, and record review, the allegation is unsubstantiated at this time.
Staff are not meeting residents’ bathing needs.
It was alleged that on June 26, 2025, when R1 was getting ready for the doctor’s appointment, R1 smelled as if they hadn’t been bathed/showered in days. Staff indicated that they have shower schedule and they are following shower shceduel. Staff were unable to recall providing shower assistance to the R1. Other residents interviewed during this visit did not address any concerns regarding their bathing assistance. A review of R1’s record verifies that R1 did not require bathing assistance.
The information provided during investigation does not support the allegation. Therefore, based on interviews and record review, the allegation is unsubstantiated at this time.
Cont. on LIC 9099-C
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20250829141015
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: SAGE GLENDALE SENIOR LIVING
FACILITY NUMBER: 198603413
VISIT DATE: 01/30/2026
NARRATIVE
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Cont. LIC 9099-C
Staff are not properly notifying responsible parties of residents change in condition
Staff did not seek timely medical attention for resident in care
It was reported that R1’s foot was scratched and inflamed, and shown signs of infection and the facility did not report R1’s responsible party. R1 had inflammation on their foot and facility did not seek medical attention. R1 was sent to ER when they visited the doctor for routine appointment. Staff interviewed during investigation were unable to recall seeing R1’s foot swollen. They stated R1 was able to ambulate and never complained about their foot or legs getting swollen. S1 and S2 verified that there were 2 instances when they assisted R1 and both times R1 was assisted by the caregivers and med techs and did not articulate any pain or discomfort. R1 insisted that he does not require medical care. A review of R1’s file revealed that a resident did not have a health condition requiring specific follow up or medical assistance/care. R1’s health condition was not changed during their stay in the facility. Records verified the information provided by staff. Other residents interviewed during investigation did not reveal any information regarding their medical care or timely medical assistance. Based on interviews and record review, there is not enough information and/or evidence to verify the allegations. Therefore, the allegations are deemed unsubstantiated at this time.

Staff did not adequately ensure residents’ room was clean and orderly
Staff did not ensure residents laundry was washed
Staff were not properly addressing pests in the facility
It was reported that R1 room often had rotting food, trash was piled, laundry was not being washed, and there were bugs all over R1’s bed, clothes, and in the linen closet."
During facility inspection LPA did not observe any food, piled trash or dirty laundry in residents’ rooms.
Staff revealed that residents’ rooms are checked every day. The trash is picked up every morning and as needed. R1 was always ordering food in his room. They would take the tray there and after an hour they would go and pick up the food. No staff had seen rotten food or bugs all over R1’s room including closets. Staff also revealed that R1 was getting laundry service as per request. When R1 wanted their clothes to be washed or bed to be changed, they informed staff to come and pick up the laundry.
Other residents interviewed during this visit had no issues regarding housekeeping or laundry services.
The information available during this visit does not verify the allegations. Therefore, based on inspection, observation, interviews and record review, the allegations are unsubstantiated at this time.

Exit interview conducted. Copy of this report was provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3