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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608267
Report Date: 11/25/2025
Date Signed: 11/25/2025 10:25:19 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
11/19/2025 and conducted by Evaluator Gina Saucedo
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20251119100311
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: 75DATE:
11/25/2025
UNANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Mary Jane Reyes, Resident Care DirectorTIME COMPLETED:
10:25 AM
ALLEGATION(S):
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Staff do not provided food of quality
INVESTIGATION FINDINGS:
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On 11/25/25, at 7:45am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Mary Jane Reyes, Resident Care Director. LPA explained the purpose of this visit was to gather more information and deliver findings for this complaint.

On 11/19/25, LPA Saucedo conducted the initial visit. On 11/19/25, LPA Saucedo asked for the census, staff, and resident rosters. On 11/19/25, LPA Saucedo conducted a physical tour and interviewed staff. On 11/25/25, LPA Saucedo conducted another physical tour and interviewed residents.

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

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
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-20251119100311
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: 11/25/2025
NARRATIVE
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Regarding the allegation: Staff do not provide food of quality. It is being alleged that the meals provided are not healthy. During LPA's observations, LPA observed residents eating the food that was provided to them which was two (2) slices of English Muffins with scrambled eggs. Furthermore, cold and hot cereal was provided to them along with milk, juice and/or coffee. Some residents had extra food given to them such as bananas. Seven (7) residents were interviewed that confirmed they like the quality of food that is provided to them, they also confirmed that there has been a slight change in quality that has improved to their liking. Two (2) staff were observed working in the kitchen area. LPA observed the kitchen area to be clean and there was a display of resident diets such as residents that have certain allergies such as fish. Furthermore, there is a display in the front lobby saying, "Please, turn in Alternative Menu Slips Ahead of time." 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: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
LIC9099 (FAS) - (06/04)
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