197608267-3-19-2025-31-AS-TAGD-DFDP7A-20250403110338

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 03/19/2025
Date Signed: 03/19/2025 01:21:16 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
03/12/2025 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20250312120123

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: 110	DATE:	03/19/2025
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Kandace Vergara, Administrator		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are not providing adequate laundry services for residents
Staff do not keep the resident rooms free from odor

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 03/19/25, at 9:45am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Administrator, Kandace Vergara. LPA explained the purpose of this visit was to gather information, interview staff and residents and deliver findings for this complaint.

On 03/19/25, LPA Saucedo asked for the census, staff, and resident rosters. On 03/19/25, 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: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

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-20250312120123

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: 03/19/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Regarding the allegation: Staff are not providing adequate laundry services for residents. It is being alleged that resident #1's (R1's) clothing has not been washed since they arrived at the above facility. Let it be noted, that R1 was relocated from the Pasadena Fires (Pasadena Villa Senior Living Facility 198603286) and is residing at Cedars Assisted Living temporarily since 01/08/25. LPA conducted interviews with four (4) staff who informed LPA that the facility does provide laundry services on weekly basis to all residents in care. Additionally, LPA was informed that the facility has a set schedule for each of the facility rooms. LPA also reviewed the Admission Agreement from Cedars Assisted Living that confirmed laundry is part of basic services and are provided to all residents. During LPA’s physical tour, the laundry area that has washers and dryers were working and multiple baskets of resident clothes were also observed. LPA interviewed ten (10) residents that confirmed their laundry is washed on a weekly basis. Therefore, based on the LPA's observations, record review, staff and resident interviews, the above allegation(s) above is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff do not keep the resident rooms free from odor. It is being alleged that resident #1 (R1)’s toilet is clogged and there is an odor in the room. Let it be noted, that R1 was relocated from the Pasadena Fires (Pasadena Villa Senior Living Facility 198603286) and is residing at Cedars Assisted Living temporarily since 01/08/25. During LPA's physical tour, LPA did not observe R1's toilet to be clogged and there was no odor in the room. LPA interviewed four (4) staff to confirm that housekeeping services are being provided and maintenance services if needed. LPA interviewed ten (10) residents that confirmed their toilet is working properly. Therefore, based on the LPA's observations, record review staff and resident interviews, the above allegation(s) above is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the Administrator.

SUPERVISOR'S NAME: Troy Agard	TELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina Saucedo	TELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2