195850276-5-14-2026-29-AS-KLOZ-DWFSAK-20260729134227

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 195850276
Report Date: 05/14/2026
Date Signed: 05/14/2026 11:15:37 AM

Substantiated

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
01/30/2026 and conducted by Evaluator Trevor Byrne

COMPLAINT CONTROL NUMBER: 29-AS-20260130124305

FACILITY NAME:	WILKINSON HOME		FACILITY NUMBER:	195850276
ADMINISTRATOR:	HASTINGS, SUZIE		FACILITY TYPE:	735
ADDRESS:	7719 WILKINSON AVE		TELEPHONE:	(818) 764-3004
CITY:	NORTH HOLLYWOOD	STATE: CA	ZIP CODE:	91605
CAPACITY:	4	CENSUS: 4	DATE:	05/14/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Suzie Hastings		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility withheld resident's P&I for three months

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Trevor Byrne conducted a follow-up complaint visit for the above allegation. LPA arrived to the facility at 09:30 AM. LPA contacted the facility Administrator Suzie Hastings via telephone call. The Administrator arrived to the facility at 09:50 AM. Entrance interview conducted and the reason for the visit was explained.

On 02/25/2026 LPA conducted a physical plant, collected copies of pertinent documents, and conducted interviews with the Administrator, two (2) staff members, and two (2) residents between 10:50 AM and 04:10 PM. On 02/11/2026 LPA conducted a collateral visit and conducted an interview with one (1) client between approximately 12:05 PM and 02:00 PM. During today’s visit, LPA conducted an interview with the Administrator and delivered findings between 09:50 AM and 11:00 AM.

CONTINUED ON LIC 9099C.

Substantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

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 11

Control Number 29-AS-20260130124305

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: WILKINSON HOME	FACILITY NUMBER: 195850276
	VISIT DATE: 05/14/2026

NARRATIVE

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The allegation of “Facility withheld resident's P&I for three months” alleges that the facility withheld Client #1 (C1)’s P&I money for three (3) months between May-July. LPA interviewed C1 who stated that they did not receive P&I approximately between May and August of 2025. C1 stated they were not ever given a reason for the withheld funds. C1 stated that they eventually got the full amount of their P&I and confirmed that they are not missing any money to this day. C1 stated that they would hold on to their own money each month and confirmed that the facility did not hold on to their money for them. Additionally, C1 stated that the Administrator had taken their P&I money to pay for their gym membership as they had to give $25 each month to the Administrator. LPA interviewed the Administrator who stated that C1 cashed out their P&I money each month and confirmed that the facility did not manage C1’s funds. The Administrator stated that C1 had not received their P&I funds for one month in June of 2025. The Administrator stated that they received a check from Regional Center in June. The Administrator stated that they had been waiting for a check for another client of the facility who had not received P&I between the months of January-June. The Administrator stated that they assumed the whole check was for the other client based on the fact that the check came in June and the other client should have received a check for the months Jan-June 2025. The Administrator admitted that this was an error on their part but denied pocketing any money or purposefully withholding C1’s P&I. LPA observed P&I ledgers for C1 and observed C1’s signatures indicating that the funds were received for the months of April, May, July, and August. Regarding the $25 monthly gym payment the Administrator denied ever charging C1 for a gym membership. The Administrator stated that C1 had signed up for a local gym on their own. The Administrator stated that after a couple of months C1 approached them and notified the Administrator that they were accruing late charges on their account. The Administrator stated that they and C1 went to the gym to attempt to dispute the late charges in the amount of $182.96 but the gym was unwilling to dismiss the charges. The Administrator stated that they did not want late charges to continue accruing on C1’s account so they paid the late fees for C1. The Administrator stated that C1 was grateful and wanted to pay the Administrator back. The Administrator denied ever asking C1 to pay them back for the late fee payment. The Administrator stated that C1 offered to pay $20 per month until they had paid back the fees. The Administrator stated that the client paid them a total of $40 over two (2) months and then ceased paying the Administrator. The Administrator denied ever asking C1 to continue payments after this. The Administrator provided a copy of the invoice which showed that their card made a $182.96 payment to the gym on 03/18/2025.

CONTINUED ON LIC 9099C.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 11

Control Number 29-AS-20260130124305

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: WILKINSON HOME	FACILITY NUMBER: 195850276
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/14/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type B 05/14/2026 Section Cited CCR 80026(b)	1 2 3 4 5 6 7	80026 Safeguards for Cash Resources... (b) If such a client is accepted for or maintained in care, his/her cash resources...shall be safeguarded... This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Administrator repaid the missing P&I amount of $179.00 to NLARC on 02/19/2026. The Administrator repaid the $40 of reimbursment payments for the gym that the client paid to NLARC on 02/25/2026. Administrator provided proof of the submitted payments at the time of the visit. POC cleared.
	8 9 10 11 12 13 14	Based on interview and record review the licensee did not comply with the section cited above as One client's P&I money was given to another client of the facility which posed a potential personal rights risk to clients in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 11

Control Number 29-AS-20260130124305

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: WILKINSON HOME	FACILITY NUMBER: 195850276
	VISIT DATE: 05/14/2026

NARRATIVE

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Additionally, the Administrator stated that C1 cancelled their card on 04/08/2025 which triggered the gym to begin charging the Administrator’s card as it was the only one on file. The Administrator stated that the last time C1 checked into the gym was on 06/30/2025. The Administrator confirmed that the $40 was repaid to C1 and was sent to North Los Angeles Regional Center’s Revenue services on 02/25/2026. Although there is insufficient evidence to support the allegation that C1 had to pay the Administrator $25 a month for their gym membership or that the facility withheld C1’s P&I for three (3) months; the facility did mistakenly provide C1’s P&I for the month of June to another client of the facility. Based on the information obtained during interviews there is sufficient evidence to support the allegation of “Facility withheld resident's P&I for three months.” Therefore, the allegation is deemed Substantiated at this time.

The following deficiency was cited (Refer to LIC 9099D). Exit interview was conducted, a copy of the report and appeal rights were provided.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 11

Control Number 29-AS-20260130124305

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: WILKINSON HOME	FACILITY NUMBER: 195850276
	VISIT DATE: 05/14/2026

NARRATIVE

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The allegation of “Facility staff coerced resident into signing an eviction notice” alleges that C1 was forced by the facility Administrator to sign an eviction notice. LPA interviewed C1 who stated that they were served a 30-day eviction notice by the facility’s Administrator, but they did not recall signing the eviction notice. C1 stated that they recalled attending a meeting with the Administrator, W1, and their Consumer Service Coordinator (CSC) but it was not until three (3) months later that they were informed that they had signed an eviction notice. C1 stated that the Administrator and their CSC did not make them aware that they were signing an eviction notice. C1 denied any member of the meeting mentioning that what they were signing was an eviction notice. C1 stated that they were under the impression that this was an IPP meeting. C1 stated they just signed the paperwork and had no idea what they were signing. C1 stated they only felt coerced into signing the eviction notice and never felt coerced into signing other forms at the facility. LPA interviewed the Administrator who stated that C1 was served with an eviction notice in August 2025. The Administrator stated that they and the CSC explained the eviction notice to C1 who did not express confusion or concern with the notice. The Administrator stated that the notice was read aloud to C1 and C1 replied “I understand” after the notice was read. The Administrator confirmed that C1 signed the notice and denied forcing C1 to sign the notice. LPA reviewed Regional Center notes from the date of the eviction notice meeting. The notes stated that, “Consumer understood reasons for notice and was compliant with request.” LPA interviewed W1 who confirmed that they were present during the 30-day eviction meeting. W1 confirmed that during the meeting the Administrator and CSC discussed their concerns, and the 30-day eviction notice with C1. LPA interviewed C3 who denied ever being forced or coerced into signing documents by the facility staff. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of “Facility staff coerced resident into signing an eviction notice.” Therefore, the allegation is deemed Unsubstantiated at this time.

A copy of the report was printed and exit interview was conducted.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

Page: 11 of 11

Control Number 29-AS-20260130124305

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: WILKINSON HOME	FACILITY NUMBER: 195850276
	VISIT DATE: 05/14/2026

NARRATIVE

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S1 denied ever telling C1 that it was C1’s job to clean the facility bathroom or attempting to force C1 to clean the bathroom. LPA interviewed C2 who stated that they do clean the bathroom on occasions but confirmed that they do this on their own and are not forced by staff to clean. LPA interviewed C3 who stated that the bathroom is always clean and denied staff ever forcing them to clean the bathroom. LPA conducted a physical plant tour and observed the facility bathroom to be clean. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of “Staff did not maintain facility bathroom clean.” Therefore, the allegation is deemed Unsubstantiated at this time.

The allegation of “Uncleared adult present in the home” alleges that an uncleared individual was present at the facility during the night. LPA interviewed C1 who stated that they observed S1’s partner present at the facility during the night and that the partner would stay in S1’s room overnight. C1 also stated that S1 and their partner would make out in their car in the driveway of the facility for extended periods of time forcing clients to wait outside of the home until they were finished before letting clients into the home. C1 denied S1’s partner ever interacting with the clients of the facility but stated that S1’s partner would make themselves known. LPA interviewed S1 who stated that the only uncleared individual they had observed was a plumber who came to the facility to perform repairs to the facility’s plumbing. S1 stated that their partner had dropped them off at the facility one (1) evening after an outing but denied their partner ever entering the facility at any point. LPA interviewed C2 who denied ever observing S1’s partner present inside of the facility. LPA interviewed C3 who denied ever observing S1’s partner present inside of the facility or anyone other than clients and staff spending the night at the facility. Both C2 and C3 confirmed that the only individual they observed to be present at the facility that did not work there was a plumber who was performing repairs. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of “Uncleared adult present in the home.” Therefore, the allegation is deemed Unsubstantiated at this time.

CONTINUED ON LIC 9099C.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

Page: 10 of 11

Control Number 29-AS-20260130124305

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: WILKINSON HOME	FACILITY NUMBER: 195850276
	VISIT DATE: 05/14/2026

NARRATIVE

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The allegations of “Staff locked resident outside of the facility” and “Staff did not provide adequate supervision” allege that Client #1 (C1) was locked outside of the facility without any supervision Monday - Friday from 8:00 AM to 2:00 PM. LPA interviewed C1 who stated that they were forced to leave the house each day beginning at 08:00 AM as facility staff had informed C1 that the house was closed between the hours of 08:00 AM to 02:00 PM. C1 confirmed that at the time they resided at the facility they had a cellphone in their possession with Staff #1’s (S1) and Staff #2’s (S2) phone numbers programmed into the phone. C1 stated that facility staff never informed them that they could contact them to be granted entry to the home between 08:00 AM and 02:00 PM. C1 stated that when they left the home between 8:00 AM to 2:00 PM they would go places like Planet Fitness, the LA river, the library, or Panera. C1 stated that they had attended a total of two (2) day programs throughout their stay at the facility. LPA interviewed the facility Administrator who recalled C1. The Administrator stated that on multiple occasions C1 would leave the home early in the morning and when questioned by facility staff on where they were going C1 would refuse to provide information and would tell staff to “lay off of me”. Administrator stated that it was normal behavior for C1 to leave the facility without notifying staff members where they were going or what time they would be back. Administrator stated that C1 would wake up between 4:00 AM and 5:00 AM to shower and C1 would leave the home before any other clients woke up. Administrator stated that C1 would often be out until 3:00 PM to 4:00 PM. Administrator confirmed that C1 had access to a cellphone and phone numbers for the facility and staff members. Administrator confirmed that staff phone numbers are posted on the wall of the facility and all clients of the facility are made aware that they can contact staff to be let in if they are ever sick or need to come home early from day program. Administrator stated they never received calls from C1 requesting entrance to the facility during the day. Administrator denied ever forcing C1 to stay out of the facility and denied ever telling C1 that the facility was closed between 08:00 AM to 02:00 PM. LPA interviewed S1 who stated that they work Monday-Sunday as a live-in staff member of the facility. S1 stated that during the day if no clients are at the home they run errands for the facility, including grocery shopping, or they attend appointments. S1 stated that if a client ever comes home to the facility during the day, the client notifies either them or the Administrator and S1 returns to the facility to grant the client access to the home. S1 stated that C1 would often leave the home in the morning without notifying facility staff, telling staff where they were going, or when they would be back. S1 stated C1 would often come home between 5:00 PM and 6:00 PM. S1 denied ever telling C1 that they were not allowed in the home during the day. S1 denied ever telling C1 they had to leave the home during the day.

CONTINUED ON LIC 9099C.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

Page: 6 of 11

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
01/30/2026 and conducted by Evaluator Trevor Byrne

COMPLAINT CONTROL NUMBER: 29-AS-20260130124305

FACILITY NAME:	WILKINSON HOME		FACILITY NUMBER:	195850276
ADMINISTRATOR:	HASTINGS, SUZIE		FACILITY TYPE:	735
ADDRESS:	7719 WILKINSON AVE		TELEPHONE:	(818) 764-3004
CITY:	NORTH HOLLYWOOD	STATE:CA	ZIP CODE:	91605
CAPACITY:	4	CENSUS: 4	DATE:	05/14/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Suzie Hastings		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility staff coerced resident into signing an eviction notice
Staff locked resident outside of the facility
Staff did not provide adequate supervision
Facility staff did not ensure that resident was adequately fed
Staff served spoiled food to resident
Staff did not maintain facility bathroom clean
Uncleared adult present in the home

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Trevor Byrne conducted a follow-up complaint visit for the above allegations. LPA arrived to the facility at 09:30 AM. LPA contacted the facility Administrator Suzie Hastings via telephone call. The Administrator arrived to the facility at 09:50 AM. Entrance interview conducted and the reason for the visit was explained.

On 02/25/2026 LPA conducted a physical plant, collected copies of pertinent documents, and conducted interviews with the Administrator, two (2) staff members, and two (2) residents between 10:50 AM and 04:10 PM. On 02/11/2026 LPA conducted a collateral visit and conducted an interview with one (1) client between approximately 12:05 PM and 02:00 PM. During today’s visit, LPA conducted an interview with the Administrator and delivered findings between 09:50 AM and 11:00 AM.

CONTINUED ON LIC 9099C.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

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

LIC9099 (FAS) - (06/04)

Page: 5 of 11

Control Number 29-AS-20260130124305

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: WILKINSON HOME	FACILITY NUMBER: 195850276
	VISIT DATE: 05/14/2026

NARRATIVE

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The allegation of “Staff served spoiled food to resident” alleges that C1 was given spoiled food at the facility. LPA interviewed C1 who stated that facility staff would leave cooked food out on the counter unrefrigerated for weeks at a time. C1 stated that at one point they were served soup that was made more than two weeks prior and was not properly stored. C1 stated that after food was cooked staff would leave it out on the counter for approximately one (1) week uncovered in the pot the food was cooked in. C1 stated that the other clients of the facility ate the spoiled food that was left out and that facility staff would often incorporate the spoiled food into other meals. C1 denied ever being served food that was obviously molded but stated that the food they ate tasted old which is how they knew it was expired. LPA interviewed facility staff who denied ever serving expired food to clients of the facility. LPA interviewed C2 and C3 who had no concerns with the food service at the facility. C2 and C3 stated that all food served at the facility is fresh and denied ever being served expired food. LPA conducted a physical plant tour of the facility. LPA inspected the facility’s supply of perishable and non-perishable foods. LPA did not observe any expired food items or food items left out on the counter. All food items observed were stored properly and labeled appropriately. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of “Staff served spoiled food to resident.” Therefore, the allegation is deemed Unsubstantiated at this time.

The allegation of “Staff did not maintain facility bathroom clean” alleges that facility staff did not maintain the bathroom in a clean state and that facility staff forced C1 to clean the bathroom. LPA interviewed C1 who stated that they had an issue with another client of the facility leaving the bathroom in an unclean state after use. C1 stated that facility staff forced them to clean up the bathroom after the other client was finished. Later in the interview C1 stated that after the other client had left a mess in the bathroom S1 tried to force C1 to clean the bathroom. C1 stated that another client exited their room and cleaned the bathroom prior to C1 utilizing the bathroom. C1 stated that they cleaned the bathroom again because they did not trust that the bathroom was cleaned properly the first time. C1 denied being forced by S1 to clean the bathroom this second time. LPA interviewed the Administrator who denied ever receiving complaints from the facility clients about the cleanliness of the facility’s bathroom. LPA interviewed S1 who stated that they recalled C1 approaching them and accusing another client of the facility of making a mess in the bathroom. S1 stated that they observed the mess in the bathroom, spoke with the other client, and cleaned the bathroom themself.

CONTINUED ON LIC 9099C.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

Page: 9 of 11

Control Number 29-AS-20260130124305

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: WILKINSON HOME	FACILITY NUMBER: 195850276
	VISIT DATE: 05/14/2026

NARRATIVE

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S1 stated that C1 always left on their own and was never forced out by facility staff. S1 stated that C1 was aware they could reach out to facility staff to be allowed entrance to the facility and that C1 was aware of the phone numbers they had to reach out to. S1 confirmed that C1 was in possession of a cell phone capable of making and receiving phone calls. S1 denied ever receiving a call from C1 requesting access to the facility during the day throughout C1’s stay at the facility. LPA interviewed S2 who reported that C1 would leave the facility without notice and would not say where they were going or what time they would be back. S2 stated that C1 had a cell phone and contact numbers for the facility and staff that were pre-programmed into the phone. S2 stated that C1 would leave the home early and would not communicate with staff or give any info about their intentions for the day. S2 denied C1 ever being told that they had to leave the facility at any time. S2 stated that facility clients are aware that they can contact S2 if they ever need to leave their program for any reason and S2 will return to the facility to allow them entrance into the home in approximately fifteen (15) minutes. S2 reported never receiving a call from C1 requesting entrance to the facility during the day throughout the time C1's stay at the facility. LPA interviewed Client #2 (C2) who stated that facility staff have informed them that they can call a facility staff member to be let into the facility if they ever return home earlier than expected during the day. LPA interviewed Client #3 (C3), who stated that in the past they have had to come home early and they know that they can contact facility staff to be let in. C3 stated that in the past they had returned to the home earlier than expected and contacted facility staff. C3 confirmed that staff had let them into the home. C3 stated that that the numbers for staff were posted on the wall and staff had let all of the clients know their phone numbers. C3 denied ever being denied entry to the facility during the day. LPA interviewed Witness #1 (W1) who stated that they recalled being present in a meeting between C1 and the Administrator where there was discussion about C1 not being present at the home during the day. W1 stated that they weren't sure if this discussion was to encourage C1 to attend a day program or if the home was truly closed during the day. W1 stated that C1 would go to fast food restaurants or around town while not in day program or at the home. W1 confirmed that C1 had access to a cellphone while residing at the facility. Although the allegations may have happened or are valid there is insufficient evidence to support the allegations of “Staff locked resident outside of the facility” and “Staff did not provide adequate supervision.” Therefore, the allegations are deemed Unsubstantiated at this time.

CONTINUED ON LIC 9099C.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

Page: 7 of 11

Control Number 29-AS-20260130124305

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: WILKINSON HOME	FACILITY NUMBER: 195850276
	VISIT DATE: 05/14/2026

NARRATIVE

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The allegation of “Facility staff did not ensure that resident was adequately fed” alleges that C1 was only provided with one (1) meal per day at the facility due to them not being allowed in the facility between 08:00 AM and 02:00 PM and that C1 was given smaller portions than other clients of the facility. LPA interviewed C1 who stated that when they first came to the facility they were given a smaller portion of food by S1. C1 denied ever asking staff for a smaller portion of food. C1 stated that they received a smaller portion because S1 was instructed by S2 to give them a smaller portion. C1 stated that they got mad at facility staff for the smaller meal but denied speaking to the Administrator about the smaller portion size. C1 stated that after they got mad at S1 they were given a larger portion for future meals. C1 confirmed that this was an isolated one-time incident. LPA interviewed the Administrator who stated that in the beginning of C1’s stay at the facility, C1 was actively going to the gym and was very health conscious. Administrator stated that C1 requested portion control for carbs as part of their workout/diet program. Administrator stated that C1 got upset after a few days of the portion control and brought up the issue with Administrator. Administrator stated that they asked if C1 had notified the staff members that they no longer wanted portion control but C1 stated that they had not notified staff that they wish to cease portion control. Administrator stated that after they were made aware that C1 no longer wished to have portion control as part of their diet they resumed providing normal sized portions to C1. Administrator stated that additional portions are available for all clients if they wish to have additional food at mealtime. Administrator stated that at no other time that C1 resided at the facility did they have any complaints about portion sizes. LPA interviewed S1 who stated that in the beginning when C1 was at the facility they had requested S1 to serve them smaller portions of carbs as part of their workout/diet routine. S1 stated that they would serve C1 one less portion of rice as part of this request. S1 stated that after a few days C1 asked why they were getting less food. S1 stated that they informed C1 that it was because they had asked for smaller portions as part of their diet. S1 stated that after this complaint was raised C1’s portions were returned to normal size and no other complaints about portion size were brought out throughout C1’s stay at the facility. LPA interviewed S2 who recalled C1 being on a diet at the beginning of their stay at the facility. S2 denied ever serving smaller portions of food to C1 or other facility clients. LPA interviewed C2 and C3 who had no concerns about the amount of food that was served at the facility. C3 confirmed that the portion sizes of food served are good and extra portions of food are available if clients want extra during mealtime. LPA conducted a physical plant tour and observed the facility to have an adequate supply of two (2) days of perishable and seven (7) days of non-perishable food supplies. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of “Facility staff did not ensure that resident was adequately fed.” Therefore, the allegation is deemed Unsubstantiated at this time. CONTINUED ON LIC 9099C.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

Page: 8 of 11