197604691-5-14-2025-31-AS-NMAN-DLSVDB-20250923162028

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197604691
Report Date: 05/14/2025
Date Signed: 05/14/2025 02:23:17 PM

Unsubstantiated

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
05/08/2025 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20250508110214

FACILITY NAME:	ANGIE'S HOME CARE, INC.		FACILITY NUMBER:	197604691
ADMINISTRATOR:	HEATH, ANGELA		FACILITY TYPE:	740
ADDRESS:	16456 LOS ALIMOS ST		TELEPHONE:	(818) 366-7906
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	4	CENSUS: 4	DATE:	05/14/2025
		UNANNOUNCED	TIME BEGAN:	08:43 AM
MET WITH:	Angela Heath		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff are administering expired medications to residents
Staff do not treat resident(s) with dignity and respect.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit ot the facility to investigate the above allegations. LPA met with the administrator, Angela Heath, and advised her of the complaint. Today's investigation consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection and record review.

Staff are administering expired medications to residents:
In regards to the allegation, it was reported that residents are being given expired medication. Report did not indicate what expired medicine was being administered, only that it was medications for the heart, diabetes and for Alzheimer's. Report also did not identify the residents expired medication was given to, staff assisting with the medicine, witnesses, and dates of when this expired medication was administered. Interview with the administrator and two (2) of two staff deny the allegation of assisting and giving the residents expired medicine. For refills, administrator stated the resident families are in charge. Family

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025

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-20250508110214

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: ANGIE'S HOME CARE, INC.	FACILITY NUMBER: 197604691
	VISIT DATE: 05/14/2025

NARRATIVE

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would call for the refill prescription, and deliver the resident medication to the facility themselves. LPA interviewed four (4) of four residents. Interviews with these four residents do not corroborate with the allegation of them being given expired medicine. In addition to interviews, LPA reviewed the facility medications and medication records for storage and documentation. Per review, LPA did not observe any expired medications kept, stored or recorded on file. Administrator stated medications that has expired have either been returned to the family or pharmacy for disposal. Based on the information obtained, there wasn't enough evidence to prove that staff are administering expired medications to the residents. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff do not treat resident(s) with dignity and respect:
In regards to the allegation, it was reported that garbage bags are placed around residents. It was also reported that licensee does not provide a clean and safe environment, only cleaning when the licensing agency shows up to the facility. Interview with the administrator and two (2) of two staff deny the allegation of garbage bags being left all around the residents, and not providing residents with a clean and safe environment. Interviews with four (4) of four residents have no complaints or concerns of staff not treating them with dignity and respect, staff leaving garbage bags all around them, or not providing them a clean and safe environment. All residents stated they are happy with the care and supervision provided to them, and that all their needs are met. In addition to interviews, LPA conducted a physical plant inspection of the facility to insure compliance with regulation. Per LPA's observation during the physical plant inspection, the facility was clean, safe, sanitary and in good repair. Based on the information obtained, there wasn't enough evidence to prove that staff do not treat the residents with dignity and respect. Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025

LIC9099 (FAS) - (06/04)

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