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Inspection visit

Follow-up on corrections

VALLEY VILLAGE SENIOR LIVING, INC.License 1976100515 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Angela Barutyan and Quoc Huynh conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control #29-AS-20260429152318). The purpose of the visit is to issue citations for deficiencies observed during the initial complaint investigation. During the visit on 04/30/2026, LPAs observed Staff #1 (S1) and Staff #2 (S2) without a criminal record clearance transfer. Staff and Administrator Sargis Ayvazyan stated that S1 has been working at the facility for a few months and S2 started today on 04/30/2026. Upon record review, LPAs observed that incident and death reports for Resident #1 (R1) were not submitted to the Woodland Hills North Regional Office. The Administrator stated that the incident report of R1’s hospitalization was submitted via email but was unable to provide proof. The Administrator additionally confirmed that R1’s death report was not submitted. LPAs reviewed medications for R1 and observed R1’s centrally stored medication and destruction record (CSMDR) was not up to date. Medications did not have a physician’s order on file. Staff stated that the medications for R1 were destroyed, however, no written documentation could be provided. At 03:40PM, LPAs observed R1’s PRN Senna Tab 8.6mg at the facility. Staff #3 (S3) stated they kept the medication as they were using it for their stomach pain. Administrator destroyed the medication during the visit. The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22. Civil penalties were issued in the amount of $850 for criminal record clearance ($600) and repeat violation ($250) for CCR section 87465(e) ci ted on 07/02/2025 regarding physician’s orders to be maintained for medications. Failure to correct the deficiencies may result in additional civil penalties. Exit interview was conducted. A copy of the report and appeal rights were provided.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87211(a)(1)Type B

    Reporting Requirements (a) Each licensee shall furnish...(1) A written report shall be submitted to the licensing agency...within seven days of the occurrence of any of the events specified in (A) through (D) below...This requirement is not met as evidenced by: Based on record review and observation, the licensee did not comply as incident and death reports for Resident #1 (R1) were not submitted to the Department which poses a potential health and safety risk to persons in care.

  • 87465(e)Type A

    (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file...This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited as Resident #1 (R1)'s medications did not have physician's orders on file which posed an immediate health and safety risk.

  • 87465(h)Type A

    Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored:This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply as Resident #1 (R1)'s centrally stored medication and destruction record (CSMDR) was not up to date which poses an immediate health and safety risk to persons in care.

  • 87355(e)(3)Type A

    Criminal Record Clearance (e) All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility:(3) Request a transfer of a criminal record clearance...This requirement is not met as evidenced by: Based on record review, observation, and interview, the licensee did not comply as two (2) out of three (3) staff members observed at the facility did not have a transfer of criminal record clearance which poses an immediate health and safety risk to persons in care.

  • 87465(i)Type A

    (i) Prescription medications which are not taken with the resident upon termination of services...shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record...This requirement is not met as evidenced by: Based on interview, record review, and observation, the licensee did not comply as R1's medications were not properly destroyed nor documented upon their termination of services which poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 30, 2026 inspection of VALLEY VILLAGE SENIOR LIVING, INC.?

This was a other inspection of VALLEY VILLAGE SENIOR LIVING, INC. on April 30, 2026. 5 citations were issued: 4 Type A (serious) and 1 Type B.

Were any citations issued to VALLEY VILLAGE SENIOR LIVING, INC. on April 30, 2026?

Yes, 5 citations were issued (4 Type A, 1 Type B). The first citation was for: "Reporting Requirements (a) Each licensee shall furnish...(1) A written report shall be submitted to the licensing agency..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.