195850091-7-16-2025-29-AS-KHEN-DKZ6AJ-20250828203823

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 195850091
Report Date: 07/16/2025
Date Signed: 07/16/2025 02:01:15 PM

Unsubstantiated

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
07/09/2025 and conducted by Evaluator Angela Barutyan

COMPLAINT CONTROL NUMBER: 29-AS-20250709121859

FACILITY NAME:	PRESERVE AT WOODLAND HILLS, THE		FACILITY NUMBER:	195850091
ADMINISTRATOR:	SUSAN WEISBARTH		FACILITY TYPE:	740
ADDRESS:	6221 FALLBROOK AVENUE		TELEPHONE:	(747) 226-5834
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91367
CAPACITY:	60	CENSUS: 46	DATE:	07/16/2025
		UNANNOUNCED	TIME BEGAN:	11:54 AM
MET WITH:	Susan Weisbarth		TIME COMPLETED:	02:05 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not ensure a facility door is safe for the residents while in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct an initial complaint investigation for the allegation listed above 11:54AM. Upon arrival, LPA met with staff and Executive Director (ED) Susan Weisbarth. Entrance interview conducted.

During today's visit, LPA conducted a physical plant tour of the common areas at 11:54AM, interviewed four (4) staff members between 12PM-12:30PM, reviewed and obtained copies of pertinent documents relevant to the investigation between 12:20PM-12:30PM, and discussed allegation with ED at 12:35PM.

REPORT CONTINUED ON LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025

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 29-AS-20250709121859

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: PRESERVE AT WOODLAND HILLS, THE	FACILITY NUMBER: 195850091
	VISIT DATE: 07/16/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During today’s visit at 11:55AM, LPA observed the double doors leading to the staff area by the corner of the common area. LPA observed a surveillance camera installed facing the door and a hole drilled in above the door for the camera’s cables. There were no signs on the community-facing side of the door, but LPA observed two (2) framed signs on the staff-side door that state “ATTENTION: PLEASE OPEN DOOR WITH CAUTION.” LPA also observed a staff member opening the door with relative caution at 11:57AM. ED stated that the facility is installing a surveillance camera to monitor the double door. The camera does not contain an audio component and is direct feed, no video surveillance will be stored or saved. A monitor screen will be installed next to the staff-side of the door for staff to check if residents are in the door path prior to opening. LPA reviewed proof of purchase and receipts for the camera installation. During a previous complaint visit for complaint control #29-AS-20250305161155, it was alleged that the facility door poses a safety concern for residents as there are no windows or cameras to alert staff if residents are in the way of the door. LPA visited the facility on 03/11/2025 and observed caution signs on the door on both the staff and community sides. LPA interviewed five (5) staff members on 03/11/2025 and confirmed that staff had been advised to open the door cautiously and to redirect residents when they are observed to be near door paths. LPA unsubstantiated the allegation due to there being no regulations in the California Code of Regulations, Title 22 and/or California Health and Safety Code that require facility doors to have windows, cameras, or other equipment for staff to observe if residents are behind a door, and there being no evidence of lack of supervision. On 03/11/2025, LPA had a conversation with ED about minimizing the potential risk of the facility door and ED informed the maintenance director who stated they will inquire about having a window placed on the door or some other feature that could allow staff to check for residents in the way. Information obtained through interview, record review, and observation for this investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation “Staff do not ensure a facility door is safe for the residents while in care” is deemed UNSUBSTANTIATED at this time.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2