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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610318
Report Date: 04/22/2026
Date Signed: 04/22/2026 12:49:29 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
02/03/2026 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20260203211352
FACILITY NAME:EMERALD SENIOR CARE,INC.FACILITY NUMBER:
197610318
ADMINISTRATOR:HOVHANNES PAPAZYANFACILITY TYPE:
740
ADDRESS:10401 ENCINO AVE.TELEPHONE:
(747) 300-2232
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 5DATE:
04/22/2026
UNANNOUNCEDTIME BEGAN:
08:32 AM
MET WITH:Hayk Margaryan, Hovhannes PapazyanTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff did not seek medical treatment for resident's injury in a timely manner
Staff did not address a significant change in the resident's weight
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Cava conducted an unannounced subsequent complaint investigation visit regarding the above allegations. LPA met with administrators, Hayk Margaryan and Hovhannes Papazyan, who were both advised the reason for the visit. The initial visit to this complaint was made on 02/10/26. That visit consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection and record review. Today, investigation consisted of a physical plant inspection (held between 8:45am and 9:45am, interviews with both administrator and one staff (between 9:45am to 11:00am), Interviews with five (5) residents (between 11:00am to 12:00pm). LPA also reviewed and requested copies of the following documents: Resident 1's (R1) Admission Agreement, Physician Report, Needs & Services, Photo ID. On 4/22/26 LPA delivered findings.

Regarding allegation: Staff did not seek medical treatment for resident's injury in a timely manner, it was reported that R1 fell out of bed, hit their head on the floor and sustained a concussion. There were no
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026
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 2
Control Number 31-AS-20260203211352
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: EMERALD SENIOR CARE,INC.
FACILITY NUMBER: 197610318
VISIT DATE: 04/22/2026
NARRATIVE
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dates or time provided to when this incident had occurred. There also wasn't any witnesses identified to confirm R1's fall. LPA interviewed one of R1's relatives (Relative #1), who confirmed the fall, but could not provide date, time and witnesses. Relative #1 also does not know if R1 sustained a concussion as this incident was heard threw third person. Relative #1 was not there to observe this incident, nor places fault or neglect with facility. LPA interviewed another one of R1's Relative, (Relative #2), who was also aware of R1's fall, and was notified of this incident. Relative #2 stated no concussion was sustained, and did not express any concerns regarding this allegation. Relative #2 stated administrator offered to send R1 to the hospital, but R1 declined. Interviews made with both administrator and staff reveal that R1 fell out of their recliner on or around 12/26/25, but no injury was sustained. Paramedics were called, and R1 was assessed with no serious injuries. R1 also declined to go to the hospital. Interview with R1 confirms a fall, but R1 could not recall time and date. R1 stated no injuries were sustained, and confirmed administrator called paramedics, but declined hospitalization. Interviews with four (4) residents do not corroborate with the allegation.

Based on the information obtained through interviews and observation, there was insufficient evidence to prove that Staff did not seek medical treatment for resident's injury in a timely manner. Therefore, the allegation is deemed Unsubstantiated at this time.

Regarding allegation: Staff did not address a significant change in the resident's weight, it was reported that R1 used to weigh 170 lbs. When last checked R1 now weighs 158 lbs. Both Relative #1 and #2 were interviewed, but could not explain the weight loss. Relative #2 states R1's weight can fluctuate as R1 can have a poor appetite at times. Relative #2 stated there doesn't appear to be a significant change in weight as in speaking with R1's primary, adults weighing average in R1's age range and height is between 150lbs to 185lbs. Relative #2 also stated it can be an adjustment with R1's medications. Interview with both administrator deny the allegation of not addressing R1's significant weight change. Both stated R1's weight can fluctuate due to loss of appetite or medication adjustment. They do notify R1's physician, who gave them the same reasons. They were both advised R1 is still within normal weight range for their age. Interview with R1 deny neglect. R1 stated they experience moods with a poor appetite. Review of R1's records show a fluctuation with weight. R1's weight on their ID is 160lbs, while on their physician report, it lists R1 at 185lbs. Interviews with four (4) residents also do not corroborate with the allegation.

Based on the information obtained through interviews and record review, there was insufficient evidence to prove that Staff did not address a significant change in the resident's weight. Therefore, the allegation is deemed Unsubstantiated at this time.
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2