197600430-6-12-2020-31-AS-MVAO-BQPQRV-20200618122430

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197600430
Report Date: 06/12/2020
Date Signed: 06/12/2020 04:16:36 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/15/2020 and conducted by Evaluator Manya Lefian

COMPLAINT CONTROL NUMBER: 31-AS-20200115095017

FACILITY NAME:	VALLEY VIEW RETIREMENT CENTER		FACILITY NUMBER:	197600430
ADMINISTRATOR:	GLORIA PADILLA		FACILITY TYPE:	740
ADDRESS:	7720 WOODMAN AVE.		TELEPHONE:	(818) 997-6756
CITY:	PANORAMA CITY	STATE: CA	ZIP CODE:	91402
CAPACITY:	116	CENSUS: 79	DATE:	06/12/2020
		UNANNOUNCED	TIME BEGAN:	03:45 PM
MET WITH:	Judith Muro		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Resident being sexually abused
Resident not taking medication

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Manya Lefian delivered complaint investigation findings to the facility for the allegations listed above. Due to the situation surrounding the Corona virus Disease 2019 (COVID-19), and to implement mitigation measures, today’s visit was conducted telephonically with Judy Muro.

Regarding Allegation of Resident being sexually abused: LPA Lefian conducted an initial visit on 1/16/2020 and documentation was gathered. This complaint investigation was conducted by Christine Ferris, Investigator from Community Care Licensing Division’s Investigations Branch (IB). On 1/24/2020 the investigation consisted of interviews with facility staff and resident #1(R1). Additionally, facility records of R1 were obtained and reviewed. R1 denies ever being sexually abused and does not recall saying that to anyone. Therefore, the allegation that Resident being sexually abused is deemed UNSUBSTANTIATED at this time.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alex Estrada	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Manya Lefian	TELEPHONE: (747) 230-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2020

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 31-AS-20200115095017

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: VALLEY VIEW RETIREMENT CENTER	FACILITY NUMBER: 197600430
	VISIT DATE: 06/12/2020

NARRATIVE

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Regarding Allegation of Resident not taking medication: LPA Lefian conducted an initial complaint investigation visit on 1/16/2020 and interviewed staff and gathered documentation. Facility records revealed that resident has been taking medications consistently without missing any doses. On 1/24/2020, resident #1 (R1) was interviewed by Christine Ferris, Investigator from Community Care Licensing Division’s Investigations Branch (IB) and R1's stated that they had been taking medications regularly in the morning and had not missed any doses. Per interviews with staff and resident #1 as well as record review the information obtained could not prove that facility resident not taking medication. Therefore, this allegation that resident not taking medication is UNSUBSTANTIATED at this time.

SUPERVISOR'S NAME: Alex Estrada	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Manya Lefian	TELEPHONE: (747) 230-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2020

LIC9099 (FAS) - (06/04)

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