197608838-6-20-2022-31-AS-MVAO-CFTNCY-20220628102129

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608838
Report Date: 06/20/2022
Date Signed: 06/20/2022 10:39:14 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/26/2021 and conducted by Evaluator Tuesday Cabiness

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20210326163709

FACILITY NAME:	VILLAGE AT NORTHRIDGE, THE		FACILITY NUMBER:	197608838
ADMINISTRATOR:	BRADLEE ANN FOERSCHNER		FACILITY TYPE:	740
ADDRESS:	9222 CORBIN AVE		TELEPHONE:	(818) 350-2951
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91324
CAPACITY:	125	CENSUS: 95	DATE:	06/20/2022
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Bradlee Foerschner		TIME COMPLETED:	09:58 AM

ALLEGATION(S):

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Illegal eviction

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tuesday Cabiness made met with the Executive Director (ED) Bradlee Foerschner, who was informed the reason of the visit. LPA delivered the final findings of the allegation mentioned above. The following was determined:

It is alleged that resident #1 (R1) was given an illegal eviction from the facility. On 04/07/2021 from 2pm to 330pm, LPA conducted the initial visit virtually; as well as conducted interviews and obtained documentation pertaining to the complaint. On 06/15/2021, LPA conducted a subsequent visit from 1130am to 2pm, to interview R1; who declined to be interviewed. Prior to the visit, LPA attempted to interview R1’s attorney; but LPA was not successful. Subsequently, LPA reviewed documents pertaining to R1 and the alleged illegal eviction. Records obtained, revealed that on 09/01/2021, a settlement conference was held with all parties, R1, ED, Attorney for R1, and facility's attorney. It was agreed, the scheduled date for R1's move out was 11/15/2021. Although R1 did not move out on the agreed date, all parties agreed to an extension, and R1 was scheduled to move on 11/30/2021. R1 was not able to comply to the 2nd agreed date, and a 3rd date was

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Tuesday Cabiness	TELEPHONE: (818) 299-4975
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022

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-20210326163709

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: VILLAGE AT NORTHRIDGE, THE	FACILITY NUMBER: 197608838
	VISIT DATE: 06/20/2022

NARRATIVE

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provided, and the facility submitted an addendum; in which the final date for R1 was accepted for 12/02/2021. According to documentation and interviews, R1 and R1’s attorney agreed to the final stipulation, and R1 was evidentially moved out on the agreed date. LPA also obtained a copy of R1's stipulation, and the facility had obtained an unlawful detainer, but decided to settle with R1. Therefore, based on documentation, and interviews conducted, the allegation “Illegal Eviction” is UNSUBSTANTIATED.

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Tuesday Cabiness	TELEPHONE: (818) 299-4975
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022

LIC9099 (FAS) - (06/04)

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