197602434-5-29-2026-29-AS-KHEN-DVJ25P-20260629170553

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197602434
Report Date: 05/29/2026
Date Signed: 05/29/2026 04:42:06 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
05/26/2026 and conducted by Evaluator Christine Yee

COMPLAINT CONTROL NUMBER: 29-AS-20260526150210

FACILITY NAME:	GARDENS AT PARK BALBOA, THE		FACILITY NUMBER:	197602434
ADMINISTRATOR:	DION D GALLARZA		FACILITY TYPE:	740
ADDRESS:	7046 KESTER AVENUE		TELEPHONE:	(818) 787-0462
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91405
CAPACITY:	120	CENSUS: 103	DATE:	05/29/2026
		UNANNOUNCED	TIME BEGAN:	01:09 PM
MET WITH:	Laura Diaz, Health Services Director		TIME COMPLETED:	04:50 PM

ALLEGATION(S):

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1. Staff do not provide adequate food service

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christine Yee conducted an unannounced complaint visit to investigate the above allegation and met with Laura Diaz, Health Services Director until 1:30pm, when she had to leave for the day. The remainder of the visit was conducted with Theresa Danielis, Business Office. Dion Gallarza, Executive Director was off today. The reason for today's visit was provided.

On today's visit, LPA Yee conducted an interview with Laura Diaz and Theresa Danielis at 1:25pm, Staff #1 at 1:40pm and Resident #1 at 2:51pm.

Per information received during the investigation, one or two residents have small complaints such as the food is not hot enough or that the food service is slow. Per explanation provided for these complaints is that

continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026

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 29-AS-20260526150210

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: GARDENS AT PARK BALBOA, THE	FACILITY NUMBER: 197602434
	VISIT DATE: 05/29/2026

NARRATIVE

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the food is hot but not as hot as they like and residents like to come down to the dining room, about 15-30 minutes before the dining room opens and wait for their food order to be taken and complain about the long wait.

Per investigation into the allegation that Staff do not provide adequate food service, the investigation revealed that on 5/26/26, Resident #1 had ordered a patty melt with American cheese to go, during lunch. Staff #2 had taken the order and Staff #3 handled the order. When Resident #1 opened the box to check the order, they observed that the staff had screwed up the order. Inside the box was a tuna melt with white cheese. Resident #1 got angry and upset and called the kitchen staff incompetent, idiots and stupid. Staff offered to re-do the order but the resident stated that they like tuna anyway and left the dining room. Per Resident #1 they screw up the orders all the time. They ask for a hot dog without the bun and it comes with a bun, They eat the hot dog and left the bun. They ask for iceberg lettuce, avocado, beets and they get purple lettuce, cucumbers and things they don't like. They want what they ordered. This incident was addressed internally with Dion Gallarza, Executive Director. Per Staff, Resident #1 complains about everything and they do their best to accommodate the resident. Per Staff #1, the order was read incorrectly and mistakes happen. Per interview with Resident #1, they did not file this complaint and never intended it to rise to the level of a complaint.

Based on the information received on today's visit, there is insufficient evidence to support the allegation that Staff do not provide adequate food service, therefore the allegation is unsubstantiated at this time.

Exit interview was conducted and a copy of this report was provided

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026

LIC9099 (FAS) - (06/04)

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