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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608838
Report Date: 04/23/2026
Date Signed: 04/23/2026 02:57:54 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
04/14/2026 and conducted by Evaluator Mariana Agban
COMPLAINT CONTROL NUMBER: 31-AS-20260414111909
FACILITY NAME:VILLAGE AT NORTHRIDGE, THEFACILITY NUMBER:
197608838
ADMINISTRATOR:THOMAS REKOWSKIFACILITY TYPE:
740
ADDRESS:9222 CORBIN AVETELEPHONE:
(818) 350-2951
CITY:NORTHRIDGESTATE: CAZIP CODE:
91324
CAPACITY:194CENSUS: 174DATE:
04/23/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mary Okhata- Assisted Living Director TIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff did not ensure food was free of contamination resulting in multiple illness to residents in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced initial complaint visit for the above allegation. LPA arrived, was greeted by the receptionist, and met with the Assisted Living Director, Mary Okhata, explaining the reason for the visit. LPA requested copies of pertinent information, including the Staff Roster, Resident Roster, Discharge Notes for R1, R2, R3, and R4, and other documents pertinent to the investigation. Today's investigation consisted of interviews with ten residents and four staff members. .

Regarding the allegation: Staff did not ensure food was free of contamination resulting in multiple illness to residents in care.

It was alleged that several residents contracted food poisoning due to food served at the facility on 04/02/2026.LPA conducted interviews with Staff #1 (S1), Staff #2 (S2), Staff #3 (S3), and Staff #4 (S4), none of whom were able to confirm the allegation.
(Continue on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
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-20260414111909
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: VILLAGE AT NORTHRIDGE, THE
FACILITY NUMBER: 197608838
VISIT DATE: 04/23/2026
NARRATIVE
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S1 reported that the California Department of Public Health and Community Care Licensing Division were notified on 04/02/2026, and that the facility implemented appropriate measures to prevent the spread of illness. Interviews were with eight out of ten residents were unable to confirm whether the symptoms were related to food contamination or a viral illness. S2 reported that the facility implemented several infection control measures, including temporarily closing the dining and activity areas, requiring residents to remain in their rooms during meals, and conducting enhanced cleaning and sanitization of the kitchen, dining areas, and all common areas. S2 further stated that kitchen staff received additional training regarding foodborne illness prevention and proper food handling practices. At 10:15 AM, the LPA conducted a physical plant tour and did not observe any immediate health and safety concerns.

Based on observations, interviews, and records reviewed, there is insufficient evidence to support the allegation of Staff did not ensure food was free of contamination resulting in multiple illness to residents in care. Therefore, the allegation is deemed Unsubstantiated at this time.

Exit interview conducted, copy of this report signed and delivered.

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2