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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850091
Report Date: 06/23/2026
Date Signed: 06/23/2026 01:14:07 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
06/15/2026 and conducted by Evaluator Angela Barutyan
COMPLAINT CONTROL NUMBER: 29-AS-20260615122439
FACILITY NAME:PRESERVE AT WOODLAND HILLS, THEFACILITY NUMBER:
195850091
ADMINISTRATOR:SUSAN WEISBARTHFACILITY TYPE:
740
ADDRESS:6221 FALLBROOK AVENUETELEPHONE:
(747) 226-5834
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:60CENSUS: 53DATE:
06/23/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Angel CatonTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Staff confine resident to facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct an initial complaint investigation for the allegation listed above at 10:30AM. Upon arrival, LPA met with Resident Care Coordinator (RCC) Angel Caton. Entrance interview conducted.

During today's visit, LPA interviewed three (3) staff and one (1) resident, conducted a physical plant tour, reviewed and obtained copies of pertinent documents relevant to the investigation, and discussed allegation with ED telephonically.

REPORT CONTINUED ON LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2026
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 2
Control Number 29-AS-20260615122439
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: 06/23/2026
NARRATIVE
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It was alleged that Resident #1 (R1) was being held in the facility against their will and they were unable to move out. LPA interviewed staff who stated that on 06/14/2026, R1 was attempting to leave the facility unassisted to board a flight. Staff stated that R1’s physician had determined that R1 is unable to leave the facility unassisted and R1 requires assistance with activities of daily living (ADLs). LPA interviewed R1 who stated that their physician determined that R1 has the capacity to live independently and that on 06/14/2026, R1 was attempting to leave the facility independently. LPA reviewed a letter from R1’s primary care physician signed and dated on 12/30/2024 that states that “due to medical conditions, [R1] is unable to manage [their] own affairs/estate, including all medical and financial responsibilities. [R1’s] care requires structured assisted living care.” LPA observed a letter from a second physician signed and dated 01/06/2025 that documents that “due to [R1’s] cognitive decline, [R1] is unable to manage [their] personal, legal, and financial affairs.” LPA reviewed R1’s most recent physician’s report by their primary care physician signed and dated 04/15/2025 that documents that R1 has “dementia” and is unable to “leave the facility unassisted.” LPA observed a letter from a third physician signed and dated 11/19/2025 stating that R1 “has major neurocognitive impairment that has rendered [R1] unable to manage instrumental activities of daily living including but not limited to [their] personal, legal, and financial responsibilities.” Lastly, LPA observed a neuropsychological assessment by a fourth physician, R1’s neuropsychologist, signed and dated 03/27/2026 stating that R1 “has the capacity to make basic financial and health care decisions” and “ongoing monitoring and support from trusted advisors will be beneficial.” The assessment further states that due to R1’s “variable difficulties with memory and other cognitive challenges, [R1] may benefit from some support for [their] safety and decision-making.” R1 stated that they will now be moving from the facility with assistance from a responsible party. LPA did not observe documentation from R1’s physician(s) indicating that R1 is able to leave the facility unassisted. Per regulation, “’Elopement’ occurs when a resident who is at risk of harm due to their cognitive condition leaves the facility unsupervised, or while in the licensee's care, leaves another safe location unsupervised.” R1’s documentation from licensed medical professionals document that R1 is at risk if they leave the facility unassisted. Therefore, based on interview and record review, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation “Staff confine resident to facility” is deemed UNSUBSTANTIATED at this time.

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

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2026
LIC9099 (FAS) - (06/04)
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