191201966-3-19-2021-29-AS-KHEN-C2HVNA-20210428163450

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191201966
Report Date: 03/19/2021
Date Signed: 03/19/2021 03:39:36 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/18/2021 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20210318172434

FACILITY NAME:	MOTION PICTURE & TELEVISION FUND		FACILITY NUMBER:	191201966
ADMINISTRATOR:	LORENA SORIA		FACILITY TYPE:	740
ADDRESS:	23388 MULHOLLAND DRIVE		TELEPHONE:	(818) 876-1208
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91364
CAPACITY:	241	CENSUS: 144	DATE:	03/19/2021
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Lorena Soria		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Resident is forced to engage in inappropriate interactions.
Resident is being abused while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a complaint investigation telephonically/virtually with Administrator due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures.
At aproximately 1pm LPA spoke with Administrator explained the reason for the call/virtual visit. A copy of the resident and staff roster was obtained. LPA and Administrator reviewed the resident roster together. It was reveled that the resident/victim does not reside at this facility. It was determined that the resident/victim could be a resident of the skilled facility on campus, Administrator obtained and provided a copy of the skilled facility residents. Based on the review of both Residential and Skilled facility roster the resident/victim resides at the skilled facility on campus. The skilled facility is not licensed by Community Care Licensing. Therefore, the complaint allegations are deemed unfounded at this time. A finding of unfounded means that the allegation is either false, could not have happened, and/or is without a reasonable basis.
A telephonic exit interview was conducted with Administrator, and a hard copy was provided via email for signature.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2021

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

LIC9099 (FAS) - (06/04)

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