CALIFORNIA STATE HEALTH GROUP LLC

9526 SALOMA AVE, North Hills CA 91343

Facility 197610111 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Feb 26, 2026Licensed

Additional info
Licensee
CALIFORNIA STATE HEALTH GROUP LLC
Administrator
ANDRANIK KAPIKYAN
Contact
ANDRANIK KAPIKYAN
License first date
Jan 27, 2021
License effective date
Jan 27, 2021
District office
WOODLAND HILLS S.RO · (818) 596-4334
Regional office
31
Clients served
935 - ELDERLY

Summary

The available records show 8 Type A and 10 Type B deficiencies for this facility.

Most recent inspection
Jan 27, 2026
Most recent deficiency
Sep 10, 2024

5 later reports, from Nov 7, 2024 through Feb 26, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 24 reports for this facility: 8 inspections, 15 complaint investigations, and 1 licensing or administrative record.

Those records contain 8 Type A and 10 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
8

More than the typical 4

1 in the last 12 months

Recorded deficiencies
18

Well above the typical 1

0 in the last 12 months

Type A deficiencies
8

Most this size have none

0 in the last 12 months

Type B deficiencies
10

Most this size have none

0 in the last 12 months

Substantiated complaints
6

Most this size have none

0 in the last 12 months

Repeated topics
1

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 2 cited · investigated over 3 visits

No deficiencies recorded in this report
Complaint

Part of the complaint whose outcome is recorded on Jan 27, 2025 · Control 31-AS-20240904133101

No deficiencies recorded in this report
Inspection
Not classified in the sourceType B
Official classification
Type B
Official code
874059(a)
Regulation authority
CCR

What the official deficiency says

When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have the qualifications adequate to be responsible and accountable for management and administration of the facility. Based on LPA’s observations and interaction with the administrator, the administrator refused to respond to the facility to provide records to the LPA and had no Designee to act in his stead. This resulted in a potential risk to the health and safety of residents in care.

Official plan of correction

Administrator or designee should provide proper records for LPA to review when a visit is conducted. The designee MUST be able to act in administrator stead including but not limited to accessing files and records at any time.

Deadline recorded: Sep 24, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Sep 24, 2024
Correction not verified in available records
View official report
Complaint

Part of the complaint whose outcome is recorded on Jan 27, 2025 · Control 31-AS-20240904133101

Facility condition and maintenanceType A
Official classification
Type A
Official code
87307(a)
Regulation authority
CCR

What the official deficiency says

Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement is not met as evidenced by: Based on LPAs interview that staff was sleeping in the living room couch. This poses a potential health, safety risk and personal rights violation to residents in care.

Official plan of correction

Staff should not be sleeping in the living room. Administrator will write LPA a letter and email to RO understanding this issue in order to be resolved.

Deadline recorded: Sep 11, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Sep 11, 2024
Correction not verified in available records
View official report
Facility condition and maintenanceType A
Official classification
Type A
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on LPAs observation that the facility tap worker was not working. This poses a potential health, safety risk and personal rights violation to residents in care.

Official plan of correction

Administrator needs to fix tap water faucet in the kitchen to have clean drinking water by 9.17.2024.

Deadline recorded: Sep 17, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Sep 17, 2024
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 6 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 3 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411
Regulation authority
CCR

What the official deficiency says

Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.

Official plan of correction

Administrator needs to have another hire and have at least two (2) staff in the facility during the visit. A new LIC 500 is needed, this would be sent via email from administrator. NO civil penalty has been issued.

Deadline recorded: Jan 10, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jan 10, 2024
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87625(b)(3)
Regulation authority
CCR

What the official deficiency says

Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.

Official plan of correction

Administator needs to updated on bowel and bladder plan for R2. An update on resident appraisal as well. Administrator will email to LPA. NO civil penalty has been issued.

Deadline recorded: Jan 10, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jan 10, 2024
Correction not verified in available records
View official report
Complaint

Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited

Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

The facility shall be clean, safe, sanitary at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees, and visitors. This requirement is not met as evidenced by: Based on inspection, and observation. The licensee did not ensure that the facility is safe and sanitary for wellbeing of residents and others.LPA observed mold and odor in residents’ bedrooms and facility entrance. This poses a potential health, safety risk and personal rights violation to residents in care.

Official plan of correction

The administrator will take all measures to maintain the facility free from odor and mold. Administrator will submit updated documentation of repair to LPA via email 1.22.2024. This is an AMEND that no civil penalty is issued in the facility.

Deadline recorded: Jan 10, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jan 10, 2024
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307(d)(2)
Regulation authority
CCR

What the official deficiency says

Personal Accommodations and Services (d) The following space & safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair & shall provide a safe & healthful environment. This requirement was not met as evidenced by: This was observed with LPM and LPA R1 used a white shoelace like rope to tie the handles of the cabinet to safeguard belongings. The allegation is substantiated and is an immediate health and safety risk to residents in care.

Official plan of correction

The administrator will need to provied a lock to keep the belongings safe for the residents by 1.20.2024

Deadline recorded: Jan 10, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jan 10, 2024
Correction not verified in available records
View official report
Complaint

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited

Facility condition and maintenanceType A
Official classification
Type A
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

The facility shall be clean, safe, sanitary at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees, and visitors. This requirement is not met as evidenced by: Based on inspection, and observation the licensee did not ensure that the facility is safe and sanitary for wellbeing of residents and others. LPA observed mold in residents’ bedroom # 3. This poses a potential health, safety risk and personal rights violation to residents in care.

Official plan of correction

The administrator will take all measures to maintain the facility free from mold. Administrator will submit updated documentation of repair to LPA via email for the invoice and picture of mold was removed on 1.21.2024.

Deadline recorded: Jan 10, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jan 10, 2024
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Inspection
Hazardous items and storageType A
Official classification
Type A
Official code
87309(a)
Regulation authority
CCR

What the official deficiency says

Storage Space: Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement has not been met as evidenced by: During a physical plant inspection, LPAs observed laundry detergent and toxins, in the laundry area, unattended and accessible to residents in care, which can pose an immediate health and safety risk to the residents in care.

Official plan of correction

Prior to the end of the visit, staff locked the laundry area making it inaccessible for residents to enter.

Deadline recorded: May 5, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline May 5, 2023
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Complaint

Allegations4 substantiated · 0 unsubstantiated · 0 unfounded · 4 cited

Not classified in the sourceType B
Official classification
Type B
Official code
87458.1(a)(3)
Regulation authority
CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidenced by: Based on interviews conducted, licensee failed to ensure that residents have access to the food/snacks at any time. This poses a potential health and safety or personal rights risk to the resident in care.

Official plan of correction

Licensee agrees to conduct training for themself and staff regarding residents' personal rights, specifically regarding food and submit a copy of proof of training to CCL on or before the POC date.

Deadline recorded: Apr 21, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Apr 21, 2023
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87224(f)
Regulation authority
CCR

What the official deficiency says

87224(f) Eviction Procedures. A written report of any eviction shall be sent to the licensing agency within five (5) days. This requirement is not met as evidenced by: Based on interviews and record review the licensee did not comply with the section cited above by not notifying the licensing of R1's eviction. This poses a potential Health and Safety and Personal Right risk to residents in care.

Official plan of correction

Licensee agreed to provide a written statement to CCL by the indicated date confirming their understanding and intent to abide by the cited regulation. Furthermore, all supervisory staff members shall be re-trained on proper eviction procedures.

Deadline recorded: Apr 21, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Apr 21, 2023
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(6)(A)
Regulation authority
CCR

What the official deficiency says

87465(h)(6)(A)-(F) 87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescriptions... (A)...(F)... This requirement is not met as evidenced by: Based on record reviews and interviews, licensee did not comply with the section above, as facility staff handling medications were not properly documenting prescribed medications on CSMDR, which poses an immediate health and safety risk to residents in care.

Official plan of correction

Administrator agreed to schedule vendorized training for all staff by 04/16/23 and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion by 04/26/2023

Deadline recorded: Apr 16, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Apr 16, 2023
Correction not verified in available records
View official report
Not classified in the sourceType A
Official classification
Type A
Official code
1569.73(a)(5)
Regulation authority
HSC

What the official deficiency says

1569.73(a) (5) An agreement has been executed between the facility and the hospice regarding the care plan for the terminally ill resident or terminally ill person to be accepted as a resident. The care plan shall designate the primary caregiver, identify other caregivers, and outline the tasks the facility is responsible for performing and the approximate frequency with which they shall be performed. The care plan shall specifically limit the facility’s role for care and supervision to those tasks allowed under this chapter. " This requirement is not met as evidenced by: Based on record review, LPAs did not observe a written plan care outlining R1's hospice care, specifically wound care. This posses an immediate health and safety risk to residents in care.

Official plan of correction

Administrator agrees to obtain and submit all hospice documents outling the care and responsibilites for R1 and all residents who recieve hospice services.

Deadline recorded: Apr 16, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Apr 16, 2023
Correction not verified in available records
View official report
Inspection
Dementia careType A
Official classification
Type A
Official code
87705(f)(2)
Regulation authority
CCR

What the official deficiency says

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. Based on observation, the Administrator did not comply with the section cited above in which LPA observed medicati near the kitchen, accessible to residents in care. This poses an immediate health and safety risk or personal rights risk to resdients in care.

Official plan of correction

The Administrator has stated in-house training will be conducted among all staff and a signed written statement will be submitted by the POC due date.

Deadline recorded: Feb 10, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Feb 10, 2023
Correction not verified in available records
View official report
Complaint

Allegations2 substantiated · 4 unsubstantiated · 0 unfounded · 2 cited

Resident rightsType A
Official classification
Type A
Official code
87468.1(a)(6)
Regulation authority
CCR

What the official deficiency says

Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights: To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This requirement has not been met as evidenced by the LPAs observing the sidegate being locked with a padlock. Although this gate doesn't serve as a direct exit, this may pose an immediate health and safety risk for the residents in care.

Official plan of correction

During the day's investigation, the administrator removed the lock. No further corrections required.

Deadline recorded: Jul 7, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 7, 2022
Correction not verified in available records
View official report
Incident reportingType B
Official classification
Type B
Official code
87211(a)(1)(D)
Regulation authority
CCR

What the official deficiency says

Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirment has not been met as evidenced by the administrator's admission that an Incident Report was not filed with the Licesing Agency. This may pose a potential health and safety risk for the residents in care.

Official plan of correction

As POC, the administrator will review this section of the regulation and self- certify that they read and understood this section of the regulation. Written self-certification is due to the licensing agency no later than 7/14/22.

Deadline recorded: Jul 14, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 14, 2022
Correction not verified in available records
View official report
Complaint

Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited

Licensing and administrationType B
Official classification
Type B
Official code
1569.657(a)
Regulation authority
HSC

What the official deficiency says

1569.657(a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate increase within two business days after initially providing services at the new level of care. This requirement is not met as evidenced by: Based on the interviews conducted and records reviewed, the facility did not ensure that an appropriately detailed rate increase letter was provided to R1's RP, which poses a potential risk to the personal rights of residents in care.

Official plan of correction

Administrator will provide a signed statement of understanding and intent to abide by the cited regulation. If the administrator still intends to raise the rate for R1, then an appropriate notice will be sent to their RP and a copy will be provided to licensing as well.

Deadline recorded: Feb 3, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Feb 3, 2022
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87224(a)(1)
Regulation authority
CCR

What the official deficiency says

87224(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5 (1) Nonpayment of the rate for basic services within ten days of the due date. This requirement is not met as evidenced by: The facility did not ensure that R1 was given 10 days to pay their rent nor was R1 given 30 days notice of eviction which poses a potential risk to the health, safety or personal rights of residents in care.

Official plan of correction

Administrator will provide a signed statement of understanding and intent to abide by the cited regulation. Administrator will also notify LPA in writing of their plan to either retain R1 as a resident of the facility, or issue a proper eviction notice.

Deadline recorded: Feb 3, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Feb 3, 2022
Correction not verified in available records
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology