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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197605175
Report Date: 03/25/2026
Date Signed: 03/25/2026 11:09:38 AM

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
01/28/2026 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20260128152339
FACILITY NAME:GOCHIN CARE FACILITYFACILITY NUMBER:
197605175
ADMINISTRATOR:RHODA GOCHINFACILITY TYPE:
735
ADDRESS:8112 LOMA VERDE AVENUETELEPHONE:
(818) 349-1767
CITY:CANOGA PARKSTATE: CAZIP CODE:
91304
CAPACITY:6CENSUS: 5DATE:
03/25/2026
UNANNOUNCEDTIME BEGAN:
09:28 AM
MET WITH:Rhoda GochinTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff did not provide adequate supervision to the residents
INVESTIGATION FINDINGS:
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Licensing Program Analsyt (LPA) Michael Cava coducted a subsequent complaint visit to the facility to obtain additional information pertaining to the above allegation. The 10 day visit was made by LPA Cava on 01/29/26. Based on the information that was provided to Licensing at that time, the above allegation was Substantiated. Today's visit is to obtain additional information to confirm whether or not adeqate supervision was provided. On or around 01/22/26, a visit was made by an Ombudsman, and they observed that there was no staff providing care and supervision for the residents. Today's investigation consisted of interviews with administrator and staff, held between 9:30am to 10:00am, interviews with residents between 10:00am to 10:30am, and record review from 10:30a to 10:50am.

Interviews with both the administrator and Staff 2 (S2) do not agree with the allegation. Both stated that on 01/22/26, S1 was just taking their 10-15 minute break to use the bathroom. Both the administrator and S2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
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-20260128152339
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: GOCHIN CARE FACILITY
FACILITY NUMBER: 197605175
VISIT DATE: 03/25/2026
NARRATIVE
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stated they were present that day at the facility providing coverage. Moreover, both administrator and S2 stated all five (5) residents are ambulatory, able to follow instructions and able to care for their personal needs. S1 could not be interviewed during today's visit. Interviews made with five (5) of five residents confirm that they are ambulatory, able to follow instructions and able to care for their personal needs. When all five were asked if there is always supervision present in the home, all five agreed stating yes they are never left alone and staff is always present in the home.

LPA conducted a record review of all five resident's medical assessment and confirmed that all five are ambulatory, able to follow instructions and able to care for their personal needs. LPA requested for a copy of the January 22, 2026 visitor log in sheet for both of the licensee's facilities and did not observe any ombudsman sign in.

Based on the information obtained during today's visit, there isn't enough evidence to prove that there was inadequate supervision at the facility on or around January 22, 2026. Therefore, the allegation is deemed Unsubstantiated at this time.
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2