374604781-2-11-2026-08-AS-SJAB-DRMUXY-20260225145906

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604781
Report Date: 02/11/2026
Date Signed: 02/11/2026 05:18:38 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/11/2026 and conducted by Evaluator Dang Nguyen

COMPLAINT CONTROL NUMBER: 08-AS-20260211154239

FACILITY NAME:	LILOS TENDER SENIOR CARE INC I		FACILITY NUMBER:	374604781
ADMINISTRATOR:	BEBEKYAN, NVARD		FACILITY TYPE:	740
ADDRESS:	4149 ROLANDO BLVD		TELEPHONE:	(818) 284-2502
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY:	6	CENSUS: 6	DATE:	02/11/2026
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Caregiver Ashley Vidaurre Cruz and House Manager Stephanie Molina		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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-Licensee's staff touched a resident in a sexual manner.
-Licensee infringed a resident’s right to receive their visitor.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to commence a Complaint Investigation regarding the above allegations. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Ashley Vidaurre Cruz. LPA then met with House Manager Stephanie Molina, who arrived shortly after. LPA also spoke via phone with Licensee Anna Petrosyan, via phone.

The Complainant alleged that Licensee’s staff touched a resident in a sexual manner, and that Licensee infringed a resident’s right to receive their visitor. CCLD’s investigation involved an unannounced facility tour/welfare check and interviews of all residents in care, multiple pertinent staff, and outside sources. The Department also reviewed relevant care records, work schedule, and staff log notes.

[CONTINUED ON LIC 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20260211154239

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: LILOS TENDER SENIOR CARE INC I	FACILITY NUMBER: 374604781
	VISIT DATE: 02/11/2026

NARRATIVE

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[CONTINUED FROM LIC 9099] Specifically, the Complainant said on a date in early February 2026, Staff #1 (S1) touched Resident #1’s (R1’s) private parts in a sexual manner during incontinence care. [See LIC811 Confidential Names List for a description of person identifiers used in this report.] The Complainant also said that on 02/09/2026, facility manager Staff #3 (S3) refused to allow R1 to receive their Visitor #1 (V1) at the facility.

Records and interviews aligned to show: R1 was incontinent and routinely required assistance of two (2) caregivers to be cleaned in bed, and to have their Depends changed. During the alleged incident, R1 was assisted by both S1 and Staff #2 (S2) with incontinence care. Since R1 had soiled themselves, S1 used a wet wipe to thoroughly clean skin in R1’s peri areas. S1 denied touching R1 in a sexual manner. S2 said they were sure they did not see S1 touch R1 in a sexual manner. R1 themselves confirmed to LPA that S1 cleaned them that day due to their own incontinence episode, and that S1 did not touch R1’s peri areas beyond using wet wipes. R1 confirmed that S1 did not try to fondle R1’s genitals or try to digitally penetrate them.

LPA interviewed all staff who were witness to the 02/09/2026 visitation incident. Staff interviews, corroborated by a resident interview, showed that on this date, V1 was argumentative with facility staff and loud. V1 was heard by a neighbor who lived across the street from the facility. Because V1 could not be redirected to calm down, and because this threatened to disturb other residents’ peaceful enjoyment of the premises, S3 asked V1 to leave. V1 initially refused to leave. After S3 phoned police, V1 left the premises. Interviews showed: Staff told V1 that they could try visiting the facility again on another day. At no point was V1 told they were banned from visiting the facility in the future.

LPA interviewed all five (5) of R1’s housemates/peers: All these residents denied facility staff ever physically abusing them or touching them in a sexual manner. All these residents also denied facility staff ever impeding or interfering with their own ability to receive their visitors. Based on records and interviews, a preponderance of evidence does not exist to show that Licensee’s staff touched a resident in a sexual manner, or that Licensee infringed a resident’s right to receive their visitor. These allegations are therefore Unsubstantiated, and no deficiencies were cited for them.

An exit interview was conducted with House Manager Stephanie Molina. A copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided to Licensee during today’s visit.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026

LIC9099 (FAS) - (06/04)

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