197606869-1-15-2026-31-AS-NMAN-DTSRFK-20260505125915

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606869
Report Date: 01/15/2026
Date Signed: 01/15/2026 03:50:42 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
10/29/2025 and conducted by Evaluator Tihesha Smith

COMPLAINT CONTROL NUMBER: 31-AS-20251029135626

FACILITY NAME:	TYCOON RESIDENTIAL		FACILITY NUMBER:	197606869
ADMINISTRATOR:	YOLANDA VILLANUEVA		FACILITY TYPE:	740
ADDRESS:	10204 GERALD AVENUE		TELEPHONE:	(818) 363-3418
CITY:	NORTH HILLS	STATE: CA	ZIP CODE:	91343
CAPACITY:	6	CENSUS: 4	DATE:	01/15/2026
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Daisy Tajdari, Administrator		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff did not reposition resident in care resulting in the resident developing multiple wounds
Staff did not ensure that the residents’ nails were properly cut; resulting in injuries
Staff does not ensure resident's diapering needs are being met.
Staff does not ensure resident's hygiene needs are being met.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tihesha Smith made an unannounced complaint visit to this facility at 10:30 am to deliver findings. LPA Smith met with facility staff and disclosed the purpose of this visit. The administrator was contacted and arrived later
Staff did not reposition resident in care resulting in the resident developing multiple wounds
On 10/31/2025, the initial visit was conducted by Licensing Program Analyst (LPA) Tihesha Smith at which time LPA Smith interviewed staff at 12:50 pm, toured facility at approximately 1:35 pm, reviewed and requested copies of facility documents relevant to the investigation to reports from approximately 2:11 pm – 3:05 pm.
On 11/03/25 this case was referred to the Community Care Licensing Investigations Branch (CCIB), accepted for assignment and assigned to SIA Luckett. On 11/20/25 the referral was upgraded to full investigation and reassigned to Special Investigator Denis Seng. SI Seng continued the investigation by conducting records review on 11/20/25. Per the resident #1 (R1s) medical records,

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026

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 31-AS-20251029135626

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: TYCOON RESIDENTIAL	FACILITY NUMBER: 197606869
	VISIT DATE: 01/15/2026

NARRATIVE

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R1 never sustained any pressure ulcers above stage two at any time during the Date of Incident (DOI). Based on file reviews, there was insufficient evidence to prove that the facility was responsible for Neglect/ Lack of Care, leading to the R1 to sustain wounds while in care. The Investigations Branch does not investigate any allegations for pressure ulcers below stage three. Based on the evidence and interviews conducted; the allegation of Neglect/ Lack of Care was unsubstantiated due to a lack of evidence.

Regarding the allegation: Staff did not ensure that the residents’ nails were properly cut resulting in injuries

Based on file reviews, there was insufficient evidence to prove that the facility was responsible for Neglect/ Lack of Care, due to Staff not adequately cutting the nails for R1 while in care. The Investigations Branch does not investigate allegations of neglect for improper grooming of the residents’ nails. Based on the evidence and interviews conducted, the allegation of Neglect/ Lack of Care was unsubstantiated.

Staff does not ensure resident's diapering needs are being met.
Staff does not ensure resident's hygiene needs are being met.

It was alleged that staff did not change R1s diaper and staff are not did not providing hygiene care while at the board and care. Interview with interested party on 11/03/25 revealed that R1 care needs not being met. Interview with four (04) of four (04) staff revealed they checked residents diapering and hygiene needs every two (2hrs) for each resident. All staff stated they change residents a minimum to three (3) or (04) times a day or night or more if needed.

During the physical plant tour, on today’s visit and previous visit. LPA did not experience any malodor in any of the residents’ rooms and residents appeared to be clean. During interviews with residents, Two (02) out of four (04) residents replied yes when asked if they got their diaper changed and received bathing assistance. LPA was unable to interview two (2) residents due to unclear responses from residents or residents sleeping at time of visit. Based on the information revealed from interviews and records review, there is insufficient information to support the above stated allegation. Therefore, the allegation is determined to be Unsubstantiated at this time.

Exit interview conducted/Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026

LIC9099 (FAS) - (06/04)

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