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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 10/15/2025
Date Signed: 10/15/2025 12:30:20 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
10/14/2025 and conducted by Evaluator Gina Saucedo
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20251014145356
FACILITY NAME:CEDARS ASSISTED LIVING, THEFACILITY NUMBER:
197608267
ADMINISTRATOR:DAVID AGUINIGAFACILITY TYPE:
740
ADDRESS:17300 ROSCOE BLVD.TELEPHONE:
(818) 344-2042
CITY:NORTHRIDGESTATE: CAZIP CODE:
91325
CAPACITY:175CENSUS: 105DATE:
10/15/2025
UNANNOUNCEDTIME BEGAN:
07:55 AM
MET WITH: David Aguiniga, AdministratorTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff does not provided residents with adequate amounts of food.
Staff serve residents food of poor quality.
INVESTIGATION FINDINGS:
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On 10/15/25, at 7:45am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Administrator, David Aguiniga. LPA explained the purpose of this visit was to gather information, interview staff and residents and deliver findings for this complaint.

On 10/15/25, at 9:05am, LPA Saucedo asked for the census, staff, and client rosters. On 10/15/25, at 9:30am, LPA Saucedo conducted a physical tour, interview staff and residents.

LIC 9099C-continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
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-20251014145356
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: 10/15/2025
NARRATIVE
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Regarding the allegation: Staff does not provide residents with adequate amounts of food. It is being alleged that the amounts of food are not enough for each resident and sometimes they don’t have enough food for everyone. During LPA's observation, LPA observed residents asking for extra food and it was granted to them. LPA interviewed six (6) staff that confirmed when residents ask for extra food if they still feel hungry and/or believe the portions are not adequate they can request extra food and it is provided to them. LPA interviewed ten (10) residents that confirmed they can request for extra food. There is also snacks available to them and two (2) snack vending machines in the dining hall area. Therefore, based on the LPA's observation, resident and staff interviews conducted, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff serve residents food of poor quality. It is being alleged that the quality of food that is provided to the residents is of poor quality. During LPA's observations, LPA observed residents eating the food that was provided to them which was two (2) slices of pancakes and a sausage. Furthermore, cold and hot cereal was provided to them along with milk, juice and/or coffee. Some residents had yogurt for alternative food. Although, ten (10) residents were interviewed that do not like the food that is provided to them, they did state the quality is not the problem they would like a change in menu and other alternatives. Two (2) staff were observed working in the kitchen area, and stated the old food is thrown away and there is other foods given to the residents if they wish to eat at a later time or if they do not like the food that is given at the time of serving. Therefore, based on the LPA's observation, resident and staff interviews conducted, the allegation 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.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
LIC9099 (FAS) - (06/04)
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