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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197602540
Report Date: 11/18/2025
Date Signed: 11/18/2025 04:12:37 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
11/17/2025 and conducted by Evaluator Evelin Rios
COMPLAINT CONTROL NUMBER: 31-AS-20251117094024
FACILITY NAME:BELLAMAR LANCASTERFACILITY NUMBER:
197602540
ADMINISTRATOR:ANALILIA ZARZGOZAFACILITY TYPE:
740
ADDRESS:43454 30TH STREET WESTTELEPHONE:
(661) 949-2177
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY:68CENSUS: 42DATE:
11/18/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Kortnie Spitznogle, Executive Director TIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff does not provide resident with a comfortable sleeping environment.
INVESTIGATION FINDINGS:
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On 11/18/2025, Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced complaint visit to investigate the above-mentioned allegation. LPA was greeted by Kortnie Spitznogle, the Executive Director (ED). At approximately 1:30 p.m., an entrance interview was conducted with the ED.

At 1:40 p.m., LPA requested the staff roster, personnel report (LIC500) and personnel record for Staff #1 (S1). At 1:45 p.m., LPA initiated a physical plant tour of the facility to ensure the health and safety of the residents in care. Between 1:55 p.m. to 3:00 p.m. LPA interviewed five (5) residents and four (4) staff. LPA reviewed LIC 500 and identified overnight staff. LPA’s attempts to contact overnight staff by telephone were unsuccessful.

(Continue to LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
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 31-AS-20251117094024
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: BELLAMAR LANCASTER
FACILITY NUMBER: 197602540
VISIT DATE: 11/18/2025
NARRATIVE
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(Continued from LIC9099)

Allegation: Staff does not provide resident with a comfortable sleeping environment. It was reported that Resident #1 (R1) is disturbed during the night by Staff #1 (S1), who allegedly plays loud music, makes noise, and bangs on the walls which do not allow R1 to sleep.



According to the administrator Staff #1 (S1) has stayed over night in a vacant room to provide assistance when it was needed. LPA’s interview with four (4) out of four (4) staff indicated they have not witnessed disruptions during their shift. One (1) out of four (4) staff stated they had heard from other staff members that R1 had complained of loud music and loud conversations going on in the hallway outside of their room at night but had not personally witnessed it or heard it from R1. LPA verified with S1 they had stayed in a room across from R1.

LPA’s interview with R1 stated that on two occasions someone has entered their room without permission and were “loud”. R1 could not see them as a wall is blocking their view. R1 stated on the last occasion about two weeks ago they heard someone walk in without permission and they were playing loud music. During this incident R1 heard a male and female voice speaking loudly as well. R1 did not mention other loud noises or banging on the walls. LPA’s interview with four (4) out of five (5) residents (R2 through R5) of which three (3) reside on the same hallway as R1 did not corroborate the allegation, stating they have not heard loud music, noise, banging on the walls or experience someone entering their room without permission. One (1) staff member indicated they had observed other staff enter rooms without knocking but could not identify specific individuals or the reason for it. Staff indicated they have not personally received any complaints or concerns from residents regarding individuals entering rooms without permission or disturbing their sleep.

Based on observations and interviews, there is insufficient information to conclude that staff does not provide resident with a comfortable sleeping environment. Therefore, the allegation is deemed Unsubstantiated at this time.

No deficiencies were cited. Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2