197608267-3-5-2025-31-AS-TAGD-DF6LZG-20250327091153

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 03/05/2025
Date Signed: 03/05/2025 01:01:30 PM

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
02/28/2025 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20250228163035

FACILITY NAME:	CEDARS ASSISTED LIVING, THE		FACILITY NUMBER:	197608267
ADMINISTRATOR:	KANDICE VERGARA		FACILITY TYPE:	740
ADDRESS:	17300 ROSCOE BLVD.		TELEPHONE:	(818) 344-2042
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91325
CAPACITY:	175	CENSUS: 115	DATE:	03/05/2025
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Mary Jane Reyes, Resident Care Director		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff do not answer residents calls for assistance timely

INVESTIGATION FINDINGS:

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On 03/05/25, at 9:25am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Resident Care Director, Mary Jane Reyes. LPA explained the purpose of this visit was to gather information, interview staff and residents and deliver findings for this complaint.

On 03/05/25, LPA Saucedo asked for the census, staff, and resident rosters. On 03/05/25, LPA Saucedo conducted a physical tour and interviewed staff and residents.

LIC 9099C-continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Troy Agard	TELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina Saucedo	TELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025

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-20250228163035

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: CEDARS ASSISTED LIVING, THE	FACILITY NUMBER: 197608267
	VISIT DATE: 03/05/2025

NARRATIVE

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Regarding the allegation: Staff do not answer residents calls for assistance timely. It is being alleged that resident #1 (R1)'s call light is not being answered in a timely manner. During LPA's physical tour, LPA pressed random call light buttons to check if they were working and if staff would respond in a timely manner. The call light buttons that were pressed were working and staff responded within several minutes of pressing them. LPA interviewed R1 to check if they had any issues with their call light button and R1 stated, "no." LPA asked R1 when was the last time they pressed it for help and R1 stated, "this morning." LPA asked R1 if they can press their call light button to see if it was working and R1 stated, "of course." Two (2) staff responded to R1's room within minutes of pressing the call light button. LPA interviewed Staff #1 (S1) and Staff #2 (S2) to ask how long does it take to respond to a call light button and S1 and S2 confirmed that if they are nearby it is an immediate response if they are across the hallways a few minutes. LPA interviewed a total of eleven (11) non-ambulatory residents that confirmed their call light button works and staff respond within minutes of pressing it. Based on the LPA's observations, staff and resident interviews conducted the allegation(s) is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Resident Care Director.

SUPERVISOR'S NAME: Troy Agard	TELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina Saucedo	TELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025

LIC9099 (FAS) - (06/04)

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