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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850542
Report Date: 07/30/2026
Date Signed: 07/30/2026 03:28:02 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/27/2026 and conducted by Evaluator Trevor Byrne
COMPLAINT CONTROL NUMBER: 29-AS-20260327153057
FACILITY NAME:ROSE GARDEN SENIOR HOUSINGFACILITY NUMBER:
195850542
ADMINISTRATOR:TONOYAN, LILITFACILITY TYPE:
740
ADDRESS:7526 TROOST AVENUETELEPHONE:
(818) 601-3232
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY:6CENSUS: 3DATE:
07/30/2026
UNANNOUNCEDTIME BEGAN:
10:16 AM
MET WITH:Hasmik 'Jasmine' KhachatryanTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff did not administer medication to a resident in care.
Staff verbally abused a facility resident.
Staff overcharged a resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Trevor Byrne arrived to the facility at 10:16 AM to conduct a follow-up complaint investigation visit at the facility today. LPA met with facility staff who contacted the Designee Hasmik 'Jasmine' Khachatryan. The Designee arrived to the facility at 10:50 AM. Entrance interview was conducted and the reason for the visit was explained.

On 04/03/2026 LPA conducted a physical plant tour, conducted a file review for four (4) residents, obtained copies of pertinent documentation, interviewed one (1) resident, one (1) staff member, the Administrator, and attempted to interview one (1) additional resident between approximately 10:00 AM and 02:40 PM. On 07/09/2026 LPA conducted a physical plant tour, conducted a file review for three (3) residents and one (1) staff member, obtained copies of pertinent documentation, and conducted a medication review for three (3) residents between approximately 10:15 AM and 02:40 PM. During today’s visit, the LPA conducted a physical plant tour, interviewed one (1) resident, one (1) staff member, the Designee, and attempted to interview one (1) witness between approximately 10:18 AM and 03:00 PM. CONTINUED ON LIC 9099C.
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
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 11
Control Number 29-AS-20260327153057
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ROSE GARDEN SENIOR HOUSING
FACILITY NUMBER: 195850542
VISIT DATE: 07/30/2026
NARRATIVE
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The allegation of “Staff did not administer medication to a resident in care” Alleges that the facility mismanaged Witness #1 (W1)’s medications. LPA interviewed W1 who stated that the facility had mismanaged their medications by not informing W1 when they had run out of medications, by giving W1 someone else’s medications, by administering W1’s medications incorrectly and not as prescribed, and by withholding W1’s medications for hours prior to W1 leaving the facility. LPA interviewed the Administrator and asked why W1’s medications were withheld from W1 when they were leaving the facility. The Administrator explained W1 had asked for their medications the day prior to them leaving so they could pack them with their belongings. The Administrator stated they informed W1 that medications needed to remain locked up in a secure location and that they would provide the medications to W1 once their responsible party arrived to the facility the next day. The Administrator stated the next day the W1’s responsible party came to the facility and all medications that were present at the facility were handed over to the responsible party. On 07/09/2026 LPA conducted a medication audit for three (3) current facility residents. During the Audit LPA observed multiple discrepancies in the current pill counts and how many pills should be remaining in the bottles. Additionally, LPA reviewed the Centrally Stored Medication and Destruction Record Sheets (CSMDRs) for the three (3) residents and observed discrepancies between what was listed on the CSMDRs and on the prescription labels including: dosage of the medication, pill count, and prescription numbers. LPA interviewed the Administrator telephonically and asked why there were discrepancies observed during the audit. The Administrator was unable to explain why the pill counts were incorrect or why there were errors on the CSMDRs. The Administrator stated that they may have incorrectly counted the amount of pills that were originally in the bottle when received by the facility. Based on the information obtained during interviews and file review there is sufficient evidence to support the allegation of “Staff did not administer medication to a resident in care.” Therefore, the allegation is deemed Substantiated at this time.

The allegation of “Staff verbally abused a facility resident” Alleges that facility staff yelled and screamed at Resident #1 (R1) while at the facility. LPA interviewed W1 who stated that their room was near R1’s room and they had overheard facility staff yelling at R1 previously. LPA interviewed R1 who informed LPA that they have had a problem with facility staff “hollering” at them previously. R1 stated that they yelling occurred after a bout of incontinence which caused Staff to raise their voice and be mad at them. R1 stated that staff had yelled that they had already cleaned the facility three times that day. R1 stated that the Administrator talked to the staff member and since then the staff have been very nice and kind to R1. CONTINUED ON LIC 9099C.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 11
Control Number 29-AS-20260327153057
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ROSE GARDEN SENIOR HOUSING
FACILITY NUMBER: 195850542
VISIT DATE: 07/30/2026
NARRATIVE
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LPA interviewed the Administrator who stated they have trained all facility staff to be kind to the residents of the facility. The Administrator denied any staff ever raising their voice or yelling at the residents of the facility. The Administrator stated they did have a conversation with a staff member regarding the tone of their voice. The Administrator stated they had the conversation because they understand that the staff’s tone it may be interpreted as sounding harsher than it is meant to be. The Administrator denied ever disciplining facility staff for yelling at any residents of the facility. Based on the information obtained during interviews there is sufficient evidence to support the allegation of “Staff verbally abused a facility resident.” Therefore, the allegation is deemed Substantiated at this time.

The allegation of “Staff overcharged a resident in care” Alleges that the facility had charged W1 $1,700 /month however W1 was an SSI/SSP recipient and was overcharged. Additionally, the allegation alleges that the facility did not provide a notice to W1 when raising the monthly payment from $1,700 to $2,300 /month. LPA interviewed W1 who stated that the facility verbally informed W1 that they would be raising the rent by $600 /month or W1 would have to leave the private room that they had been moved in to. W1 stated that they had paid the increased amount to the facility for three (3) months before contacting their representative and informing the facility that they were being overcharged. W1 stated that after raising the issue with the facility they were refunded the full amount of $1,800 that they were overcharged for the previous three (3) months. LPA interviewed the Administrator who explained that W1’s rent at the facility was always $1,700 and there was no increase for W1. The Administrator stated that W1 was placed at the facility with the assistance of a long-term geriatric care consulting agency which was assisting in covering some of the rent for the facility. The Administrator stated that the actual cost for W1’s rent at the facility was approximately $5,600 but W1 only paid $1,700 of that amount each month. The Administrator stated that there was an issue with the agency providing their portion of the rent to the facility and during that time W1 was charged $2,300 /month for staying at the facility. The Administrator stated that no written notice was given to W1 or W1’s responsible party about the increase but they were both verbally informed of the increase prior to the implementation of the new rate.

CONTINUED ON LIC 9099C.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 11
Control Number 29-AS-20260327153057
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ROSE GARDEN SENIOR HOUSING
FACILITY NUMBER: 195850542
VISIT DATE: 07/30/2026
NARRATIVE
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LPA reviewed W1’s admission agreement and observed the section titled “Funding Source”. LPA observed the line where the resident’s funding source is disclosed to be blank. However, LPA observed “1700” written on the line which states “does include SSI/SSP funds. Additionally, LPA observed the admission agreement to contain the following, “The facility does not accept SSI/SSP-dependent residents and cannot accept SSI/SSP-issued Personal and Incidental Needs monies as higher payment for services. Facility does not accept voluntary contributions from others as payment. Failure to reveal to the facility the SSI status of the resident may void this contract.” Based on the information obtained during interviews and file review there is sufficient evidence to support the allegation of “Staff overcharged a resident in care.” Therefore, the allegation is deemed Substantiated at this time.

This report was read to the Administrator via telephone call. The following deficiencies were cited (refer to LIC 9099D). A copy of the report and appeal rights were provided, and exit interview was conducted.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 11
Control Number 29-AS-20260327153057
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: ROSE GARDEN SENIOR HOUSING
FACILITY NUMBER: 195850542
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/13/2026
Section Cited
CCR
87456(a)(4)
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87465 Incidental Medical and Dental Care
(a) ... by compliance with the following:
(4) The licensee shall assist residents with self-administered medications as needed.
This requirement was not met as evidenced by:
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Administrator agreed to submit a signed statement of understanding confirming that they are aware of the importance of accurately logging medications and that they will appropriately log all medications in a timely manner. Administrator agreed to submit the statement to CCLD no later than...
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Based on interviews and record review the Licensee did not comply with the section cited above as during a medication audit discrepancies were observed between the pill counts and info recorded on the CSMDR which poses a potential health risk to clients in care.
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...the POC due date.
Type B
08/13/2026
Section Cited
CCR
87468.1(a)(1)
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87468.1 Personal Rights of Residents...
(a) ... shall have all of the following personal rights:
(1) To be accorded dignity in their personal relationships with staff...
This requirement is not met as evidenced by:
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S1 received a training on how to appropriately address facility clients. Facility clients reported that S1 has not spoken inappropriately towards them since the issue was addressed. POC cleared.
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Based on interviews the Licensee did not comply with the section cited above as S1 spoke inappropriately towards R1 previously at the facility which posed a potential personal rights risk to clients in care.
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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.
SUPERVISOR'S NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 11
Control Number 29-AS-20260327153057
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: ROSE GARDEN SENIOR HOUSING
FACILITY NUMBER: 195850542
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/13/2026
Section Cited
HSC
1569.655(a)
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§1569.655 Increase in fee rates...
(a) If a licensee... increases the rates of fees for residents ...shall provide no less than 90 days’ prior written notice to the residents or the residents’ representatives...
This requirement is not met as evidenced by:
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Administrator agreed to submit a signed statement of understanding confirming that they are aware of, and will comply with the required notification timeframe and requirements for all future rate increases. Administrator agreed to submit the signed statement to CCLD...
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Based on interview and record review the Licensee did not comply with the section cited above as W1 was charged an increased rate from the original agreed upon amount without prior written notice which poses a potential personal rights risk to clients in care.
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...no later than POC due date.
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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.
SUPERVISOR'S NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 11
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/27/2026 and conducted by Evaluator Trevor Byrne
COMPLAINT CONTROL NUMBER: 29-AS-20260327153057

FACILITY NAME:ROSE GARDEN SENIOR HOUSINGFACILITY NUMBER:
195850542
ADMINISTRATOR:TONOYAN, LILITFACILITY TYPE:
740
ADDRESS:7526 TROOST AVENUETELEPHONE:
(818) 601-3232
CITY:NORTH HOLLYWOODSTATE:CAZIP CODE:
91605
CAPACITY:6CENSUS: 3DATE:
07/30/2026
UNANNOUNCEDTIME BEGAN:
10:16 AM
MET WITH:Hasmik 'Jasmine' KhachatryanTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff did not dispose of trash.
Staff is unable to effectively communicate with residents in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Trevor Byrne arrived to the facility at 10:16 AM to conduct a follow-up complaint investigation visit at the facility today. LPA met with facility staff who contacted the Designee Hasmik 'Jasmine' Khachatryan. The Designee arrived to the facility at 10:50 AM. Entrance interview was conducted and the reason for the visit was explained.

On 04/03/2026 LPA conducted a physical plant tour, conducted a file review for four (4) residents, obtained copies of pertinent documentation, interviewed one (1) resident, one (1) staff member, the Administrator, and attempted to interview one (1) additional resident between approximately 10:00 AM and 02:40 PM. On 07/09/2026 LPA conducted a physical plant tour, conducted a file review for three (3) residents and one (1) staff member, obtained copies of pertinent documentation, and conducted a medication review for three (3) residents between approximately 10:15 AM and 02:40 PM. During today’s visit, the LPA conducted a physical plant tour, interviewed one (1) resident, one (1) staff member, the Designee, and attempted to interview one (1) witness between approximately 10:18 AM and 03:00 PM. CONTINUED ON LIC 9099C.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 7 of 11
Control Number 29-AS-20260327153057
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ROSE GARDEN SENIOR HOUSING
FACILITY NUMBER: 195850542
VISIT DATE: 07/30/2026
NARRATIVE
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The allegation of “Staff did not dispose of trash” alleges that the trash in Witness #1 (W1)’s room was not emptied in a timely manner and W1 had to constantly ask facility staff to empty the trash can. LPA interviewed Resident #1 (R1) who informed LPA that the facility is always very clean and facility staff members are always cleaning. LPA observed the private resident bedroom of the facility during visits on 10/06/2025, 04/30/2026, 07/09/2026, and 07/30/2026. On all four (4) occasions the private resident bedroom appeared to be clean and in good repair. Additionally, on all four (4) occasions LPA observed the remainder of the facility to be clean and in good repair. LPA interviewed the Administrator and facility staff who informed LPA that W1 had placed a “Do not enter” sign on the door to the bedroom while they resided at the facility. The Administrator and staff stated that when staff attempted to clean the room W1 would become verbally aggressive with staff which sometimes led to delays in the cleaning of R1’s room. The Administrator and staff stated that despite the delays W1’s room was cleaned daily and denied any substantial buildup of trash in W1’s room. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff did not dispose of trash.” Therefore, the allegation is deemed Unsubstantiated at this time.

The allegation of “Staff is unable to effectively communicate with residents in care” alleges that facility staff are unable to effectively communicate with residents in care due to a language barrier. On 04/03/2026 LPA interviewed facility staff #1 (S1) via telephonic translation services for clarity and to ensure no information was missed while investigating allegations related to this complaint. During the interview S1 was able to demonstrate appropriate understanding of both verbal and written English. LPA provided S1 with an example of medication administration instructions written in English. S1 was able to appropriately read the instructions and appropriately explained the dosage instructions back to LPA. On 07/30/2026 LPA interviewed S1 again without the use of interpretation services. During this interview S1 stated that although they can still struggle to respond fluently in English, they understand English well and are able to respond to resident’s requests. S1 stated that they have been taking English proficiency classes for the last two (2) months and utilize translation apps when needed. Additionally, S1 was able to appropriately respond when LPA provided examples of common requests including asking for water, asking for food, telling S1 it was time for medications, and when asking for assistance with transferring.

CONTINUED ON LIC 9099C.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 8 of 11
Control Number 29-AS-20260327153057
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ROSE GARDEN SENIOR HOUSING
FACILITY NUMBER: 195850542
VISIT DATE: 07/30/2026
NARRATIVE
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 LPA interviewed the Administrator who informed LPA that although S1 did not speak English well they are able to understand the residents of the facility and provide for their needs. The Administrator stated that Google Translate is utilized to help ease any communication issues between S1 and residents. The Administrator stated that S1 is studying English proficiency and is improving their English communication skills. LPA interviewed R1 during today’s visit. R1 stated that although they had some problems with communicating with facility staff previously S1’s English proficiency has greatly increased since they came to the facility. R1 stated that they have no concerns with the ability of S1 to communicate with residents of the facility at this point. LPA interviewed the Designee who stated that both they and the Administrator are always available via telephone call in the event of an emergency if S1 is unable to communicate with emergency personnel. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff is unable to effectively communicate with residents in care.” Therefore, the allegation is deemed Unsubstantiated at this time.

This report was read to the Administrator via telephone call. Exit interview conducted and a copy of this report was provided.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 9 of 11