197608200-2-14-2026-31-AS-NMAN-DRERB4-20260218115208

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608200
Report Date: 02/14/2026
Date Signed: 02/14/2026 11:58:27 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
06/13/2025 and conducted by Evaluator Raymond Comer

COMPLAINT CONTROL NUMBER: 31-AS-20250613113042

FACILITY NAME:	ALTA VISTA GARDENS		FACILITY NUMBER:	197608200
ADMINISTRATOR:	STACI MARMERSHTEYN		FACILITY TYPE:	740
ADDRESS:	829 NORTH ALTA VISTA BLVD.		TELEPHONE:	(323) 937-1940
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90046
CAPACITY:	70	CENSUS: 70	DATE:	02/14/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Deborah Dapson-Assitant Admin		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff do not ensure that client's hygiene needs are met.
Staff do not ensure resident's medications are taken as prescribed.

INVESTIGATION FINDINGS:

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On 2/14/26, at 8:00 am, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct a subsequent visit regarding the allegations listed above. LPA met with the Assistant Administrator, presented official CDSS badge identification, and reason for the visit was disclosed.

At 8:15 am, A physical plant tour of the facility was conducted by LPA; No health or safety issues observed. All residents observed during facility inspection appeared to be clean, groomed, with acceptable hygiene.

To investigate this allegation, on 06/19/25, at 9:45 am, LPA Comer conducted initial visit, at which time a physical plant tour was conducted; no health and safety issues were observed. Between 10:10 am, and 11:15 am, LPA received resident and staff roster, and reviewed files relevant to the investigation which included, but were not limited to, Resident#1's (R1) Physician's report, Appraisal, MARs, and Admission's Agreement. Between 11:30 am and 1:45 pm, LPA interviewed Administrator, staff and residents.
[LIC 9099C]-Continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2026

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-20250613113042

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: ALTA VISTA GARDENS	FACILITY NUMBER: 197608200
	VISIT DATE: 02/14/2026

NARRATIVE

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Allegation: Staff do not ensure that client's hygiene needs are met. It was alleged that Resident #1 (R1) appears to have not showered/bathed for several days.

LPA interviews with Administrator, and two (02) care staff, refute the allegation, stating to LPA that R1 frequently leaves the facility on early mornings, and does not return until late at night. Administrator and staff provide R1 constant encouragement, reminders, and offered assistance to help the resident in case they need help. However, R1 ignores reminders and refuses staff assistance. LPA interviewed six (6) out of a total census of sixty-nine (69) residents, which revealed that staff do provide satisfactory assistance regarding bathing, changing, and medications.
LPA conducted a records review, which revealed that R1 requires reminders from staff to shower, change clothes, and keep up good hygiene. Records also reveal that R1 has a case worker that is aware that R1 perpetually resists staff's offers of hygiene assistance, and frequently leaves the facility in an unhygienic condition.

Based on information gathered during the visit, these allegations are deemed unsubstantiated at this time.
Allegation: Staff do not ensure resident's medications are taken as prescribed. It was alleged that Resident#1's (R1)has not taken their medication for several months.

LPA interviews with Administrator, and two (02) care staff refute the allegation, stating to LPA that although R1 leaves the facility early mornings, and does not return until late at night, staff attempts to dispense medication to R1 in the morning, and later at night. They constantly remind R1 to take their medication before leaving the facility. However, R1 refuses staff assistance. LPA interviewed six (6) out of a total census of sixty-nine (69) residents, which revealed that staff do provide satisfactory medication assistance.
LPA conducted a records review, which revealed the following: Monthly Medication Administration Records (MAR's) verified that staff attempted to dispense medication to R1 and they refused to take their medications when provided by staff.
Based on the information gathered during this visit, these allegations are deemed unsubstantiated at this time.
Exit interview was conducted, and a copy of this report was provided.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2026

LIC9099 (FAS) - (06/04)

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