197608267-5-26-2021-31-AS-CHAS-C5ETMU-20210730145144

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 05/26/2021
Date Signed: 05/26/2021 03:53:17 PM

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
12/07/2020 and conducted by Evaluator Tuesday Cabiness

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20201207161117

FACILITY NAME:	CEDARS ASSISTED LIVING, THE		FACILITY NUMBER:	197608267
ADMINISTRATOR:	ARISTOTLE B. VERGARA		FACILITY TYPE:	740
ADDRESS:	17300 ROSCOE BLVD.		TELEPHONE:	(818) 344-2042
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91325
CAPACITY:	175	CENSUS: 112	DATE:	05/26/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Maryjane Reyes		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Illegal Eviction

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tuesday Cabiness contacted the facility, to deliver the final findings of the allegation mentioned above. LPA spoke with the Wellness Director MaryJane Reyes and informed her the purpose of this visit. In order to continue to implement mitigation measures, surrounding the Coronavirus Disease 2019 (COVID-19), the report will be delivered telephonically.

It was reported, that client #1 (C1) received an “Unlawful Detainer” without receiving a prior 30-day eviction notice from the facility. To investigate the allegation, on December 17, 2020, at 12:00pm, LPA spoke with the Administrator and requested copies of various documents. An interview revealed that a 30-day eviction notice for default of payment was served to (C1) on or before July 2020. However, the eviction notice was rescinded, as the issues leading to eviction were resolved. On May 24, 2021, from 930am to 3pm, LPA reviewed facility documents and conducted interviews, and it was determined that there were no illegal evictions issued to residents at that time the complaint was received to Licensing. Therefore, based on record review and interviews, the allegation “Illegal Eviction”, is UNSUBSTANTIATED at this time.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Tuesday Cabiness	TELEPHONE: (818) 299-4975
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2021

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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