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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608998
Report Date: 02/27/2025
Date Signed: 02/27/2025 12:22:45 PM

Substantiated


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
12/12/2024 and conducted by Evaluator Angela Panushkina
COMPLAINT CONTROL NUMBER: 31-AS-20241212171919
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: 90DATE:
02/27/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Ivan Saa, Executive Director TIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Staff financially abused a resident in care.
INVESTIGATION FINDINGS:
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At 9:00am, Licensing Program Analysts (LPA) Angela Panushkina and Perchui Milena Khurshudyan conducted a subsequent visit to deliver final findings. LPAs met with the Executive Director and Resident Care Director and explained the reason for the visit.

During the initial visit made on 12/18/2024, by LPAs Panushkina and Khurshudyan interviews and record reviews were made. At 9:30am, LPAs requested resident and staff roster. At 9:35am, LPAs requested copies of pertinent information which include, but not limited to Admission Agreement, Physician’s Report, Appraisal Needs and Services Plan, Reident Abuse and Neglect Policy, relevant to the investigation. At approximately 10:00am, LPAs conducted a physical plant tour, to ensure health and safety of the residents are protected and physical plant is in compliance with Title 22 Regulations. Between 10:10am – 2:00pm, LPAs interviewed the Executive Director, Resident Care Director, Generation Program Director, five (5) staff and seven (7) out of nine (9) residents, who were able to communicate. Continue on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
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 3
Control Number 31-AS-20241212171919
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: CANYON TRAILS AT TOPANGA SENIOR LIVING
FACILITY NUMBER: 197608998
VISIT DATE: 02/27/2025
NARRATIVE
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Allegation: Staff financially abused a resident in care.

The investigation findings revealed that Resident #1 (R1) had been living at this facility since June 19th, 2024, and was not able to manage own Cash Resources. Interview with R1’s Power of Attorney (POA) revealed that R1 was left with one (1) credit card for an emergency use only and the facility Business Director was aware of it. After receiving R1’s August 2024 credit card statement, POA discovered multiple charges made in the amount of $4,554.38. Upon discovery, POA immediately notified R1’s credit card fraud department and stopped the card for further usage. Since the card charges were used to purchase airline tickets, POA was provided with a name of the person who purchased the tickets. POA also notified the facility and was informed that the perpetrator is a Staff #1 (S1). LPAs conducted interviews with the Executive Director and Resident Care Director and were informed that the facility filed a police report. However, LPAs were also informed that S1 last worked on 07/26/2024, took Paid Time Off (PTO) and was scheduled to come back on 08/10/2024. S1 called out on 08/10/2024, 08/11/2024, 08/13/2024 and notified the facility that due to family emergency will not be available until 08/16/2024. On 08/16/2024, S1 did not show up to work nor called with any explanations. Instead, S1 sent a text on 08/17/2024 informing the facility that he/she failed to give the two (2) weeks’ notice. Due to S1’s history of attendance the facility terminated S1’s employment as of 08/19/2024. Although, the interview with the Executive Director and Resident Care Director revealed that they were unaware of the fraudulent activities until that information was provided to them by R1’s POA on 08/30/2024, the facility failed to take appropriate measures to safeguard residents’ cash resources which resulted in "Staff financially abusing a resident in care". Therefore, based on the information gathered, there is sufficient evidence to conclude that the above allegation is Substantiated.

Deficiency issued per CA code of Regulations Title 22 on LIC-9099D


Exit interview conducted, appeal rights explained, and a copy of this report signed and delivered.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20241212171919
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: CANYON TRAILS AT TOPANGA SENIOR LIVING
FACILITY NUMBER: 197608998
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2025
Section Cited
CCR
87217(b)
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Safeguards for Resident Cash, Personal Property, and Valuables: Every facility shall take appropriate measures to safeguard residents'... personal property and valuables which have been entrusted to the licensee or facility staff.
This requirement is not met as evidenced by:
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The Administrator has agreed to take approved vendored training on Safeguarding for Resident Cash, Personal Property and Valuables.
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Based on interviews and record reviews, licensee did not comply with the section cited above by failing to take appropriate measures to safeguard R1's credit card, resulting in fraudulent use. This posed a potential health, safety or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3