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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608998
Report Date: 11/27/2024
Date Signed: 11/27/2024 03:43:44 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
11/19/2024 and conducted by Evaluator Perchui Khurshudyan
COMPLAINT CONTROL NUMBER: 31-AS-20241119111531
FACILITY NAME:CANYON TRAILS AT TOPANGA SENIOR LIVINGFACILITY NUMBER:
197608998
ADMINISTRATOR:SUSAN WEISBARTHFACILITY TYPE:
740
ADDRESS:7945 TOPANGA CANYON BLVDTELEPHONE:
(818) 716-9900
CITY:CANOGA PARKSTATE: CAZIP CODE:
91304
CAPACITY:120CENSUS: 92DATE:
11/27/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Liliana Solorzano-Assisted Living DirectorTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff mismanaged resident's funds
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Perchui Milena Khurshudyan, Abeye Duguma and Angelica Segovia conducted an initial 10 day complaint visit on 11/27/2024 to investigate the above allegation. LPAs met with Assisted Living Director (ALD) Liliana Solorzano and explained the purpose of the visit. Entrance interview condacted.

During the course of the investigation, interviews and record reviews were made. At 9:45am, LPAs request resident and staff roster, nice (9) residents files from Generation unit and Assisted Living unit. LPAs also requested copies of Admission Agreement, Appraisal Needs and Services, Physician Report, Unusual Incident Reports, MAR’s, Financial folder and pertinent documents relevant to the investigation.
LPAs with the help of ALD Ms. Solorzano conducted a physical plant tour between 10:30am to 11:35am including the Generation Unit to ensure health and safety of the residents are protected. No health and safety hazards noted during the visit.
Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024
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-20241119111531
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: CANYON TRAILS AT TOPANGA SENIOR LIVING
FACILITY NUMBER: 197608998
VISIT DATE: 11/27/2024
NARRATIVE
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Between 1:15pm – 2:30pm LPA Khurshudyan interviewed the Executive Director, Assisted Living Director and R1.

It was reported that Staff mismanages resident's funds. Records review, interviews with staff and R1 revealed that all finances are being handled by the billing department. Additionally, Staff at the facility has no control over any resident's finances. ED provided documents were it was stated that R1 has full control over her finances and her payments are supposed to be paid through her long term care insurance directly to the billing department. R1 also stated that she has long term care insurance and payments are paid through insurance.

Based on interviews and documentation review, there is insufficient evidence to verify that staff mismanaged resident's finances. Therefore, the allegation above noted allegation is deemed UNSUBSTANTIATED at this time.


Exit interview conducted and copy of this report signed and delivered.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024
LIC9099 (FAS) - (06/04)
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