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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608053
Report Date: 12/10/2025
Date Signed: 12/10/2025 09:02:38 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
07/10/2025 and conducted by Evaluator Leslie Ngo-Castaneda
COMPLAINT CONTROL NUMBER: 31-AS-20250710095617
FACILITY NAME:GREENWOODS RESIDENTIAL CARE, INC.FACILITY NUMBER:
197608053
ADMINISTRATOR:MARILEN M. BASAFACILITY TYPE:
735
ADDRESS:9606 GOTHIC AVETELEPHONE:
(818) 335-4143
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:6CENSUS: 6DATE:
12/10/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:MARILEN M. BASA- AdministratorTIME COMPLETED:
09:18 AM
ALLEGATION(S):
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Staff did not safeguard residents personal property.
Staff did not treat resident with respect
INVESTIGATION FINDINGS:
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At approximately 8:30 AM, Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced subsequent complaint visit in response to the above-mentioned allegations. LPA met with Staff#1 (S1), who granted access to the facility.

During the investigation on 7.14.2025 at 9:18 AM, LPA requested the resident and staff roster. Between 9:43 AM – 11:30 AM, LPA conducted an interview with the licensee, three (3) staff, and five (5) out of five (5) residents present at the facility. Between 10:10 AM to 11:00 AM, LPA requested and reviewed copies of pertinent information, which included, but were not limited to, LIC 500 (Staff Roster), LIC 9020 (Client Roster), C1’s Physician’s report, Admission Agreement, Identification and Emergency Information, Inventory record of personal belongings and other documents relevant to the investigation.

Continue to LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
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-20250710095617
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: GREENWOODS RESIDENTIAL CARE, INC.
FACILITY NUMBER: 197608053
VISIT DATE: 12/10/2025
NARRATIVE
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LPA also reviewed the department’s records and did not find incident reports regarding theft of C1s’ or any other clients’ belongings going missing around the period in question. In addition, LPA called and spoke to C1’s family at 11:19 AM

Allegation #1: Staff did not safeguard residents personal property

It was alleged that the client #1 (C1) did not receive their three (3) shirts that were washed at the facility.   During interviews with staff, all staff stated they are not aware of staff or clients taking C1’s belongings. Other residents denied seeing or taking R1’s belongings. Family members revealed that C1 stays with their family over the weekend. C1 has lot of clothing and with C1’s permission, under the supervision of C1’s family, lot of C1’s personal belongings were donated. LPA reviewed R1’s inventory record and no information was available to verify any missing items.  

Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
 
Allegation #2: Staff did not treat resident with respect

It was alleged that the facility staff told C1 to leave the facility since their unhappy.  Interviews with staff revealed that they always treat their clients with dignity and respect. No staff witnessed such an incident, and all staff stated they all have respectful relationship with clients, and they treat all them with respect and dignity. During Licensing Visits, LPA observed staff assisting/treating clients with respectful manner.
Based on observations and interviews, there is no sufficient information to support the allegation. Therefore, this allegation is unsubstantiated at this time.

Interviews with clients revealed that they are happy and have not experienced disrespectful treatment from staff.
 
No immediate health or safety hazards were observed during today’s visit.
An exit interview was conducted, and a copy of this report was provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2