191290642-1-23-2024-28-AS-MVAO-D292EA-20240207161937

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191290642
Report Date: 01/23/2024
Date Signed: 01/23/2024 12:16:22 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
04/04/2023 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20230404105515

FACILITY NAME:	LEISURE VALE RETIREMENT HOTEL		FACILITY NUMBER:	191290642
ADMINISTRATOR:	CELIA GARCIA		FACILITY TYPE:	740
ADDRESS:	413 E. CYPRESS		TELEPHONE:	(323) 697-2248
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	199	CENSUS: 137	DATE:	01/23/2024
		UNANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Brandy Rangel		TIME COMPLETED:	01:05 PM

ALLEGATION(S):

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Unknown perpetrators are engaging in sexual activity with residents in care.

INVESTIGATION FINDINGS:

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On 01/23/24, at 10:35am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Assistant Administrator, Brandy Rangel. LPA explained the purpose of this visit was to gather information, interviews and deliver findings for this complaint.

On 04/11/2023, LPA Agard initiated the complaint investigation. On 01/23/24 at 10:45am, LPA Saucedo asked for the census, resident and staff roster. The Assistant Administrator, Brandy Rangel met with LPA Saucedo to conduct the physical tour at 11:10am. During the tour, 10 (ten) residents and four (4) staff were interviewed.

LIC 9099-C continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Troy Agard	TELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina Saucedo	TELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024

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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Control Number 28-AS-20230404105515

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: LEISURE VALE RETIREMENT HOTEL	FACILITY NUMBER: 191290642
	VISIT DATE: 01/23/2024

NARRATIVE

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Regarding the allegation: Unknown perpetrators are engaging in sexual activity with residents in care. It is being alleged that the residents are being enforced Scientologist beliefs during the night and having inappropriate behaviors with them.

According to the resident and staff interviews there is no visitors allowed in the facility during the night. The front door and all the doors accessing the facility close at 8:00pm. The residents can also lock their doors at anytime during the day and night. In addition, the visiting hours of the facility are from 9:00am to 8:00pm. If you are not a resident of the facility or worker you have to leave by 8:00pm. Furthermore, LPA received a copy of the House Rules which has visiting hours are 9:00am-8:00pm and it also states that if a resident is being picked up by family or day-care programs show they have to wait in the lobby. No entry is allowed for outsiders within the facility. LPA was also able to review the check-in and check-out book in the front of the lobby at the receptionist desk and was able to observe no entry of outsiders beyond 8:00pm. Based on LPA's interviews of staff and residents along with the House Rules documentation and front lobby check-in and out book, the allegation(s) above is unsubstantiated at this time.

An exit interview was conducted, no citations were issued for above allegation(s), and a copy of this report was given to the assistant administrator.

SUPERVISOR'S NAME: Troy Agard	TELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina Saucedo	TELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024

LIC9099 (FAS) - (06/04)

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