197607880-7-7-2026-29-AS-KHEN-DWE7E9-20260727213533

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197607880
Report Date: 07/07/2026
Date Signed: 07/07/2026 02:42:41 PM

Unfounded

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
07/03/2026 and conducted by Evaluator Quoc Huynh

PUBLIC

COMPLAINT CONTROL NUMBER: 29-AS-20260703095137

FACILITY NAME:	FOUNTAINVIEW AT EISENBERG VILLAGE		FACILITY NUMBER:	197607880
ADMINISTRATOR:	KATHLEEN GLASS		FACILITY TYPE:	741
ADDRESS:	6440 WILBUR AVENUE		TELEPHONE:	(818) 654-5534
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY:	216	CENSUS: 105	DATE:	07/07/2026
		UNANNOUNCED	TIME BEGAN:	01:23 PM
MET WITH:	Kathleen Glass - Executive Director Clarissa Townes - Director of Health Services		TIME COMPLETED:	02:55 PM

ALLEGATION(S):

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Staff are not providing adequate food service to resident
Staff are not meeting resident's needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Quoc Huynh conducted an initial complaint visit for the above allegations. The LPA arrived at 1:23PM and met with Executive Director (ED) Kathleen Glass and Director of Health Services (DHS) Clarissa Townes. Entrance interview conducted.

Between 1:48PM and 2:13PM, the LPA conducted a physical plant tour, interviewed one (1) resident, and reviewed and obtained pertinent documents. The following was then determined:

Report Continued on LIC 9099-C

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

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-20260703095137

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: FOUNTAINVIEW AT EISENBERG VILLAGE	FACILITY NUMBER: 197607880
	VISIT DATE: 07/07/2026

NARRATIVE

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Allegations: “Staff are not providing adequate food service to resident” and “Staff are not meeting resident's needs”

It was reported that a staff was not assisting Resident #1 (R1) with meals and was not attentive to R1’s needs. Interview with R1 confirmed that the staff is not associated with the facility and is a private caregiver. They further reported that the private caregiver is “difficult, not nice, and mean” in addition to not treating R1 gently. R1 did not have concerns about their assistance with meals and stated that the facility provides adequate meals throughout the day.

Record review confirmed the private caregiver is not directly employed by the facility.

Based on the information obtained, the allegations are deemed UNFOUNDED at this time. A finding of unfounded means that the allegations are either false, could not have happened, and/or are without a reasonable basis.

The LPA, ED, and DHS had a discussion on following up with the appropriate agency that employed the private caregiver and they agreed.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

LIC9099 (FAS) - (06/04)

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