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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191290706
Report Date: 09/12/2024
Date Signed: 09/12/2024 01:25:36 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.ASC, 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
07/25/2023 and conducted by Evaluator Tuesday Cabiness
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20230725081427
FACILITY NAME:HAMILTON HOUSEFACILITY NUMBER:
191290706
ADMINISTRATOR:PETERSON, JANICEFACILITY TYPE:
735
ADDRESS:739 W. GLENOAKS BLVD.TELEPHONE:
(818) 502-9188
CITY:GLENDALESTATE: CAZIP CODE:
91202
CAPACITY:11CENSUS: 3DATE:
09/12/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mannie George & Kathy SolorzanoTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff are not allowing resident to attend outside social activities
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tuesday Cabiness met with Administrator Mannie George and Direct Service Provider Kathy Solorzano, and informed them the reason of the visit; which is to deliver the final findings of the allegation mentioned above. The following information was provided:

During today's visit, from 10am to 145pm, LPA interviewed staff, and residents. It was reported that staff was not allowing resident to attend outside social activities. From the information obtained, it was revealed that the Licensee, The Campbell Center, was paying transportation for residents from all facilities, to attend activities at Club Maple. Resident #1 (R1) had been attending Club Maple for years; but because of the pandemic, the club center shut down, and did not re-open until May 2023. Also, the transportation company had limited service of operation,and could no-longer provide rides. The Licensee attempted to hire staff to provide transportation, but was not immediately successful. It was explained to (R1), and activities were being provided by staff at the facility. LPA attempted to interview (R1), but (R1) was at day program out in the community. At this current time, (R1) has been attending Club Maple regularly, and interviews by
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
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 2
Control Number 31-AS-20230725081427
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: HAMILTON HOUSE
FACILITY NUMBER: 191290706
VISIT DATE: 09/12/2024
NARRATIVE
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residents during today's visit revealed that the facility does provide activities; but some residents had jobs, and others choose to do what they preferred. Therefore, based on interviews, the allegation is Unsubstantiated.

Exit interview and copy of report provided.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2