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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850542
Report Date: 07/09/2026
Date Signed: 07/09/2026 04:24:36 PM

Unsubstantiated


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:
07/09/2026
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Hasmik 'Jasmine' KhachatryanTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff made changes to the facility without notifying licensing.
Staff did not maintain a comfortable temperature for residents in care.
Staff did not ensure that resident's bathroom is kept clean.
Facility did not ensure that staff are trained.
Staff did not keep facility from being in disrepair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Trevor Byrne arrived to the facility at 09:56 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 10:07 AM. Entrance interview was conducted and the reason for the visit was explained.

During today’s visit, the 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.

CONTINUED ON LIC 9099C.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
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 5
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: 07/09/2026
NARRATIVE
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The allegation of “Facility did not ensure that staff are trained” alleges that facility staff #1 (S1) did not complete the required medication training prior to assisting residents with administering medication. LPA reviewed S1’s employee file and observed S1 to have completed the required medication training and medication administration shadowing training on 11/19/2026. LPA observed S1 to have completed ten (10) hours of medication training which covered the required six (6) hours of initial training and four (4) hours of additional training or instruction which is required be completed within the first two weeks of employment. Additionally, S1 completed six (6) hours of hands-on shadowing training out of the required two (2) hours of training. LPA interviewed S1 who was able to appropriately identify proper medication administration procedures and instructions. S1 stated that trainings on medication administration instructions were provided at the facility by a nurse. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Facility did not ensure that staff are trained.” 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: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
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: 07/09/2026
NARRATIVE
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The allegation of “Staff made changes to the facility without notifying licensing” alleges that the facility began construction of an ADU on the property without notifying Licensing or facility residents. LPA interviewed Witness #1 (W1) and Resident #1 (R1) who both stated that the facility provided no notification to the residents of the facility that construction was going to commence on the property. LPA interviewed the Administrator who stated that they spoke with each resident of the facility separately to inform them of the proposed construction prior to construction beginning. LPA reviewed communications from the facility and observed an email that was sent to Community Care Licensing Division (CCLD) on 3/5/2026 at 11:15 AM which notified CCLD of planned construction of an ADU on the property. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff made changes to the facility without notifying licensing.” Therefore, the allegation is deemed Unsubstantiated at this time.

The allegation of “Staff did not maintain a comfortable temperature for residents in care” alleges that the facility was not kept at a comfortable temperature for residents. LPA interviewed W1 who stated that during Summer the facility was kept at an unreasonably hot temperature due to the AC not being turned on by staff. LPA interviewed R1 who stated that they are often cold so they prefer for the facility to be warmer. R1 did not report concerns about the facility temperature. LPA interviewed the Administrator who stated that there are two residents at the facility that prefer a warmer temperature and W1 preferred a colder temperature. The Administrator stated that they maintained the facility between 74-75 degrees Fahrenheit as a compromise for both preferences. During the physical plant tour LPA observed the facility to be at a comfortable temperature of approximately 75 degrees Fahrenheit. Additionally, LPA observed working heat/AC at the facility. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff did not maintain a comfortable temperature for residents in care.” Therefore, the allegation is deemed Unsubstantiated at this time.

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

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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: 07/09/2026
NARRATIVE
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The allegation of “Staff did not ensure that resident's bathroom is kept clean” alleges that facility staff did not clean a private resident bathroom for weeks. LPA interviewed W1 who stated that the private resident bathroom was not cleaned regularly due to facility staff being on their phone and not performing their duties. LPA interviewed R1 who stated the facility is always very clean and staff members are always cleaning. LPA observed the private resident bathroom of the facility during visits on 10/06/2025, 04/30/2026, and 07/09/2026. On all three (3) occasions the private resident bathroom appeared to be clean and in good repair. Additionally, on all three (3) occasions LPA observed the remainder of the facility to be clean and in good repair. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff did not ensure that resident's bathroom is kept clean.” Therefore, the allegation is deemed Unsubstantiated at this time.

The allegation of “Staff did not keep facility from being in disrepair” alleges that the private resident bathroom shower was in disrepair and flooded which caused water to leak into bedroom #5. LPA interviewed W1 who stated that between August-December of 2025 the private bathroom shower water flooded from the bathroom into the bedroom. W1 stated that these issues were caused as a result of a black rubber liner being in the wrong position. LPA interviewed the Administrator who denied any issues with the shower in the private resident's bathroom. The Administrator stated that concerns were brought to their attention about the shower not working so they hired a plumber to perform an inspection of the shower however no issue was found. LPA observed the private resident bathroom of the facility during visits on 10/06/2025, 04/30/2026, and 07/09/2026. On all three (3) occasions the private resident bathroom appeared to be clean and in good repair. LPA observed the black rubber liner to be a slip resistant mat installed in the shower. LPA tested the water flow in the private resident shower and observed water to appropriately drain. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff did not keep facility from being in disrepair.” Therefore, the allegation is deemed Unsubstantiated at this time.

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

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5