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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197603165
Report Date: 06/30/2026
Date Signed: 06/30/2026 02:40:25 PM

Document Has Been Signed on 06/30/2026 02:40 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:GLEN PARK AT VALLEY VILLAGEFACILITY NUMBER:
197603165
ADMINISTRATOR/
DIRECTOR:		VIRGINIA SUMULONGFACILITY TYPE:
740
ADDRESS:5527 LAUREL CANYON BLVDTELEPHONE:
(818) 769-6626
CITY:VALLEY VILLAGESTATE: CAZIP CODE:
91607
CAPACITY: 100CENSUS: 48DATE:
06/30/2026
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:28 PM
MET WITH:Virginia SumulongTIME VISIT/
INSPECTION COMPLETED:
02:13 PM
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Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced Case Management-Other visit to deliver findings for the allegation listed above. During today’s visit, LPA Urena met with … and explained the reason for the visit.

On 03/12/2025, the Community Care Licensing Department (CCLD) received an Incident Report for Residents (R1) and (R2) submitted by facility staff. The report indicated that a Detective with the Los Angeles Police Department (LAPD) arrived at the facility to investigate an incident involving residents (R1 and R2). On 03/17/2025, the case was referred to the Investigations Branch (IB) and Investigator Laura Garcia was assigned.




On 03/19/2025, Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced Case Management - Incident visit to follow up on the Incident Report received by the Department. LPA Urena met with Executive Director (ED) David Aguiniga and Assistant Administrator (AA), Virginia (Gigi) Sumulong explained the reason for the visit. At approximately 11:30 a.m., LPA Urena and the AA conducted a physical plant tour, and obtained documents pertinent to the investigation (Video, staff and resident roster). The ED was advised that the case was referred to the Investigation Branch (IB).


Continues on LIC 809C...page 2.
NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Sandra Urena
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/30/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: GLEN PARK AT VALLEY VILLAGE
FACILITY NUMBER: 197603165
VISIT DATE: 06/30/2026
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Page 2.
On 04/15/2025, at approximately 1:30 p.m., an interview was conducted with Executive Director, David Aguiniga. Aguiniga reported that they received a text message from staff indicating that residents (R1 and R2) were observed inappropriately touching each other while watching a movie in the Theatre room located on the second floor of the facility. Aguiniga explained that while monitoring the surveillance camaras, a staff member noticed that the residents were touching each other inappropriately. Facility staff immediately went to separate the residents and proceeded to escort R2 to R2’s room and conducted a visual examination of R2’s body. Additionally, staff immediately dialed 911 and filed a police report with Los Angeles Police Department (LAPD). Staff also contacted R2’s’ relatives and informed them of the incident. Aguiniga denied the allegations of neglect/ lack of care and stated that as soon as staff noticed that the residents were engaging in inappropriate behaviors, staff intervened and separated the residents. Aguiniga stated that staff are required to assist the residents and conduct hourly checks. Aguiniga confirmed that R2 did not require a one-on-one caregiver assist. Aguiniga indicated he would email a copy of the video footage for review to the IB Investigator. On 08/06/2025, at approximately 4:46 p.m., after several previous attempts, an interview was conducted with Assistant Administrator Virginia (Gigi) Sumulong via telephone. Sumulong denied the allegation of neglect/ lack of care and indicated that staff do an excellent job of caring for the residents. Facility staff are required to constantly monitor and check on the residents every two hours, however, staff are constantly monitoring and checking on the residents via door knocks or monitoring surveillance. Sumulong stated that on the date of the incident both residents (R1 and R2) were in the theater room watching a movie. As soon as the staff noticed that there was inappropriate touching, staff immediately responded and called for assistance. The residents were immediately separated, and R2 was evaluated for any bruises or marks. Additionally, staff made the necessary notifications including filing a police report. Sumulong stated that staff are constantly redirecting any type of inappropriate behaviors by residents. Sumulong denied witnessing any type of neglect/ lack of care by staff members.
Additional facility staff interviews revealed that staff are required to check at least every hour, however, there is constant facility staff movement that allows every employee to constantly monitor and supervise the residents. Staff denied any neglect/lack of care by any of the staff members. Staff stated that there is always some sort of monitoring of the residents. Staff stated that there are surveillance cameras throughout the common areas and are constantly being monitored. Staff stated that a lapse of 16 minutes passed when they realized that the residents were engaging in inappropriate behavior.
Continues on LIC 809C...page 3.
NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Sandra Urena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: GLEN PARK AT VALLEY VILLAGE
FACILITY NUMBER: 197603165
VISIT DATE: 06/30/2026
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Page 3.
On 08/12/2025, at approximately 11:30 a.m. an interview was conducted with R2’s responsible party (RP). The following is a summary of the statements provided by RP. The RP indicated that there was not any type of neglect/ lack of care from the facility staff at Glen Park at Valley Village. RP stated that facility staff acted appropriately to the situation and were in constant communication with the RP. RP stated that they could not visit R2 often, however, the staff at the facility kept informing RP about R2’s condition and/or any type of incident. RP reiterated that they did
not have any complaints or issues with the level of care and supervision that was provided to R2 by the
facility staff members from Glen Park at Valley Village.
On 08/13/2025, at approximately 11:30 a.m. an interview was conducted with the responsible party for Resident 3 (R3). The following is a summary of the statements provided by the RP. The RP indicated that R3 has been residing at the Glen Park at Valley Village facility for over two years. The RP denied having any issues or concerns with the level of care provided to R3. Furthermore, the RP indicated that R3 tells RP that if R3 needs anything, staff immediately tend to R3 and make sure that R3 is well taken care of. RP described the staff as having a “great line of communication” and stated that staff do a great job taking care of R3 and other residents.
On 03/17/2025, the police report and other relevant documentation to the investigation were requested and reviewed. On 03/25/2025, at approximately 1:00 p.m., the Investigator reviewed the police incident report. On 04/15/2025, at approximately 2:53 p.m., from Glen Park Valley Village a copy of the mp4 videos via email, a copy of timestamps provided by the virtual security guard were received. On 04/22/2025, at approximately 8:30 a.m., the first video footage was reviewed. On 05/07/2025, at approximately 1:00 p.m., a review of a second video footage was conducted. Note: The total video footage length between two clips was approximately 16:80 minutes. The following is a summary of what was observed.
The first video footage depicts two residents (R1 and R2) engaging in inappropriate touching, which appears to be consensual. The second video footage depicts R1 and R2 continuing to engage in inappropriate touching. On this video two facility staff are see entering the room and subsequently R1 and R2 stop touching each other. The two staff are seen assisting R2 and transferring R2 to the wheelchair, at the same time, R1 stands up and leaves the room. Staff exit the room with R2.
Continues on LIC809C... page 4.
NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Sandra Urena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: GLEN PARK AT VALLEY VILLAGE
FACILITY NUMBER: 197603165
VISIT DATE: 06/30/2026
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Page 4.
The first video footage depicts two residents (R1 and R2) engaging in inappropriate touching, which appears to be consensual. The second video footage depicts R1 and R2 continuing to engage in inappropriate touching. On this video two facility staff are see entering the room and subsequently R1 and R2 stop touching each other. The two staff are seen assisting R2 and transferring R2 to the wheelchair, and R1 stands up and leaves the room. Staff exit the room with R2.

Although R1 and R2 engaged in inappropriate activity in a common area of the facility, the activity was stopped by facility staff and staff reported the incident to law enforcement, and the CCLD. Based on the information obtained though interviews and record review during the Department’s investigation, the investigation did not provide sufficient evidence to prove that the residents engaged in inappropriate activity due to the facility’s staff neglect and or lack of care. No deficiencies are being cited at this time.

Exit interview was conducted. A copy of the report was issued.

NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Sandra Urena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2026
LIC809 (FAS) - (06/04)
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