197603560-7-15-2026-29-AS-KHEN-DXDS6U-20260828133632

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197603560
Report Date: 07/15/2026
Date Signed: 07/15/2026 06:19:56 PM

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
07/13/2026 and conducted by Evaluator Christine Yee

COMPLAINT CONTROL NUMBER: 29-AS-20260713111756

FACILITY NAME:	COURTYARD PLAZA		FACILITY NUMBER:	197603560
ADMINISTRATOR:	EVELINA PAPAZYAN		FACILITY TYPE:	740
ADDRESS:	6951 LENNOX AVENUE		TELEPHONE:	(818) 780-5005
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91405
CAPACITY:	195	CENSUS: 87	DATE:	07/15/2026
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Marilou Mendoza, Administrator		TIME COMPLETED:	06:25 PM

ALLEGATION(S):

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1. Licensee is not ensuring faucets used by residents for personal care deliver hot water

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 Marilou Mendoza, Administrator. The reason for the visit was provided.

On today's visit LPA Yee conducted an interview with Marilou Mendoza at 2:22pm and conducted a tour of the bathrooms located in bedrooms #301, #303, #304, #305 and #306 beginning at 2:56pm together with the Administrator and Julio Argueta, Maintenance. The water temperature taken in bedroom #301 read 104.9 degrees and then dropped down to 93.0 degrees, bedroom #303 read 102.0degrees and dropped to 94.3 degrees, bedroom #304 read 102.0 degrees and then dropped to 96.3, bedroom #305 read 109.4 degrees and fluctuated slightly and bedroom #306 read 108.9 degrees and also fluctuated but held at the noted temperature. The water temperature in bedrooms #301, #303 and #304 never attained the required

Continued on LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026

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-20260713111756

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: COURTYARD PLAZA	FACILITY NUMBER: 197603560
	VISIT DATE: 07/15/2026

NARRATIVE

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temperature range of 105-120 degrees Fahrenheit on today's visit.

Per interviews conducted with the Administrator and verified with Maintenance, repairs were conducted each time the facility was cited for the lack of hot water. The facility was previously cited on 11/25/25 and again on 6/25/26 for the lack of hot water for resident use. Facility records, indicate repairs were made on 7/2/26 and evidence was submitted to the Department that the deficiency was corrected by 7/9/26. Despite the evidence provided for the correction, the Department received a third complaint on 7/13/26 that the licensee is not ensuring faucets used by residents for personal care deliver hot water. The repairs conducted are not permanently addressing the ongoing problem with the faucets not consistently delivering hot water within the range of 105-120 degrees Fahrenheit. The water temperature taken today in the rooms identified as not receiving hot water confirm the allegation in the complaint. Based on today's visit and tour of the bathrooms there is sufficient evidence to support the allegation that Licensee is not ensuring faucets used by residents for personal care deliver hot water, therefore the allegation is substantiated at this time.

Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Civil penalties of $250.00 were assessed.

Exit Interview was conducted, Appeals Rights were discussed and a copy was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20260713111756

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: COURTYARD PLAZA	FACILITY NUMBER: 197603560
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/15/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/22/2026 Section Cited CCR 87303(e)(2)	1 2 3 4 5 6 7	Maintenance and Operation. Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	The Licensee will contact their plumbing vendor to have them diagnose the ongoing problem with the lack of hot water that should have been corrected on 7/2/26 and to conduct any additional repairs. The Licensee will also conduct daily water temperature checks in various residents
	8 9 10 11 12 13 14	Based on observation, the licensee did not comply with the section cited above, as water temperature measured in three (3) out of the five (5) resident rooms were below 105 degree F; This poses a potiential health and safety risk to residents in care. Civil Penalties were assessed for repeat violation within 12 months.	8 9 10 11 12 13 14	rooms and maintain a log to document and ensure the water temperature is stablized and attains the required range of 105-120 degrees Fahrenheit. Provide a copy of the repairs completed by 7/22/26 and weekly logs to LPA for a month after the repairs are completed.
	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: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026

LIC9099 (FAS) - (06/04)

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