191201867-7-28-2026-29-AS-KHEN-DWHUQL-20260731154719

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191201867
Report Date: 07/28/2026
Date Signed: 07/28/2026 02:53:36 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
06/23/2026 and conducted by Evaluator Quoc Huynh

PUBLIC

COMPLAINT CONTROL NUMBER: 29-AS-20260623101240

FACILITY NAME:	EISENBERG VLG OF THE LA JEWISH HOME FOR THE AGING		FACILITY NUMBER:	191201867
ADMINISTRATOR:	GLASS, KATHLEEN K.		FACILITY TYPE:	740
ADDRESS:	18855 VICTORY BOULEVARD		TELEPHONE:	(818) 774-3000
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY:	271	CENSUS: 72	DATE:	07/28/2026
		UNANNOUNCED	TIME BEGAN:	02:08 PM
MET WITH:	Kathleen Glass - Executive Director		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff do not ensure that the facility has an appropriate auditory system for residents in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Quoc Huynh conducted a subsequent visit to deliver findings for the above allegation. The LPA arrived at 2:08PM and met with Executive Director (ED) Kathleen Glass. Entrance interview conducted.

On 07/01/2026, the LPA conducted an initial visit. Between 11AM and 3:40PM, the LPA toured the physical plant and interviewed six (6) residents, one (1) private companion, five (5) staff, and the ED. The LPA additionally reviewed and obtained pertinent documents.

During today’s visit, the LPA and Administrative Assistant toured the physical plant at 2:16PM and no immediate concerns were observed. The following was then determined:

Report Continued on LIC 9099-c

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

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 4

Control Number 29-AS-20260623101240

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: EISENBERG VLG OF THE LA JEWISH HOME FOR THE AGING	FACILITY NUMBER: 191201867
	VISIT DATE: 07/28/2026

NARRATIVE

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Allegation: “Staff do not ensure that the facility has an appropriate auditory system for residents in care”

It was reported that the facility’s call system was non-operational and residents were given a whistle to utilize as a replacement. A physical plant tour conducted on 07/01/2026 confirmed that the call system was not functional. Interviews revealed that the call system was on and off operational for approximately two (2) months. The ED reported that towards the end of May, the system had worsened and the facility acted by inquiring with third parties regarding a system replacement. The ED expressed that the project would take awhile due to the building’s old system in addition to the approval process. Residents were reportedly given a whistle to utilize due to the inoperable call system. Prior to providing the whistles, staff stated that each resident tested the whistles to ensure they could successfully utilize it.

Residents reported no concerns regarding the call system and expressed that they do not often utilize the system. Instead, the residents typically use their personal phones to call the nurses’ station or will walk to find staff for assistance. Residents confirmed that they were provided bracelets with whistles attached to utilize in lieu of the call system.

Review of the facility’s communications revealed that on 05/19/2026, the ED contacted the Information Technology (IT) team on the status of the call light system. The IT team reported that the call lights were presumed to be operational stating, “The IT team has restored the Newman Nurse Call system twice in the last week.” On 05/22/2026, the facility’s Maintenance team contacted IT reporting that the pull cords were not communicating with the base station and were inoperable.

The LPA determined that although the call system is inoperable, the facility took immediate action to rectify the situation and provided residents with a temporary alternative solution. Additionally, the violation did not present an immediate risk to residents in care; therefore, the allegation is deemed SUBSTANTIATED and considered a TECHNICAL VIOLATION. No citation was issued.

The LPA discussed the importance of maintaining an efficient and functional call system to maintain compliance. The ED agreed to streamline the call system replacement project and to provide the Department with the facility’s project plan and estimated completion date.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

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
06/23/2026 and conducted by Evaluator Quoc Huynh

PUBLIC

COMPLAINT CONTROL NUMBER: 29-AS-20260623101240

FACILITY NAME:	EISENBERG VLG OF THE LA JEWISH HOME FOR THE AGING		FACILITY NUMBER:	191201867
ADMINISTRATOR:	GLASS, KATHLEEN K.		FACILITY TYPE:	740
ADDRESS:	18855 VICTORY BOULEVARD		TELEPHONE:	(818) 774-3000
CITY:	RESEDA	STATE:CA	ZIP CODE:	91335
CAPACITY:	271	CENSUS: 72	DATE:	07/28/2026
		UNANNOUNCED	TIME BEGAN:	02:08 PM
MET WITH:	Kathleen Glass - Executive Director		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff do not respond to residents' care needs in a timely manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Quoc Huynh conducted a subsequent visit to deliver findings for the above allegation. The LPA arrived at 2:08PM and met with Executive Director (ED) Kathleen Glass. Entrance interview conducted.

On 07/01/2026, the LPA conducted an initial visit. Between 11AM and 3:40PM, the LPA toured the physical plant and interviewed six (6) residents, one (1) private companion, five (5) staff, and the ED. The LPA additionally reviewed and obtained pertinent documents.

During today’s visit, the LPA and 2:16PM toured the physical plant and no immediate concerns were observed. The following was then determined:

Report Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 29-AS-20260623101240

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: EISENBERG VLG OF THE LA JEWISH HOME FOR THE AGING	FACILITY NUMBER: 191201867
	VISIT DATE: 07/28/2026

NARRATIVE

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Allegation: “Staff do not respond to residents’ care needs in a timely manner”

It was reported that due to the facility’s inoperable call system, residents’ needs were not attended to in a timely manner. Interviews with staff and residents revealed no concern regarding staff response times. Although the facility’s call system is non-operational, residents were provided whistles to use; however, residents reported that they do not often need to utilize the call system or whistles. Some residents stated they are independent and do not request staff assistance, while others reported that staff response times range between immediate to approximately ten (10) minutes. Staff reported, and were observed, conducting routine checks with residents throughout the day and night, and more frequently when residents do not show up for meals or medication administration.

Staff stated that when a resident blows their whistle, they respond immediately and check every room in the area the sound originated from until they locate the resident needing assistance. Staff and residents indicated that individuals regularly walk through the hallways and can hear whistles or calls for help, allowing them to respond at any moment. It was also reported that residents look out for one another other and assist by notifying staff when someone needs help, particularly those in shared rooms. Staff reported no issues with the whistle system and stated they have not received complaints from residents or families regarding response times.

Based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

LIC9099 (FAS) - (06/04)

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