197608998-6-13-2025-31-AS-NGID-DHLTVJ-20250613150357

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608998
Report Date: 05/28/2025
Date Signed: 06/13/2025 02:35:16 PM

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
02/26/2025 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20250226163205

FACILITY NAME:	CANYON TRAILS AT TOPANGA SENIOR LIVING		FACILITY NUMBER:	197608998
ADMINISTRATOR:	SUSAN WEISBARTH		FACILITY TYPE:	740
ADDRESS:	7945 TOPANGA CANYON BLVD		TELEPHONE:	(818) 716-9900
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91304
CAPACITY:	120	CENSUS: 95	DATE:	05/28/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Peter Bonilla, Executive Director		TIME COMPLETED:	01:05 PM

ALLEGATION(S):

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Unlawful Eviction

INVESTIGATION FINDINGS:

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At 09:30am, Licensing Program Analyst (LPA), Angela Panushkina conducted a subsequent visit to deliver final report. LPA met with the Executive Director and explained the reason for the visit.

During the initial visit, conducted on 02/27/25, LPA requested resident and staff roster. At approximately 9:20am, LPA requested copies of pertinent information which include, but not limited to Physician’s report, Admission Agreement, Appraisal Needs and Services Plan, copies of payment receipts, and potential documents relevant to the investigation. At 10:30am, LPA conducted a physical plant tour including the Memory Care Unit to ensure health and safety of the residents are protected. Between 10:45am – 11:30am, LPA interviewed Executive Director, Memory Care Director, and Business Office Director.

During today's visit LPA conducted interviews with five (5) residents and obtained additional documents related to the investigation. Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

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-20250226163205

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: 05/28/2025

NARRATIVE

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Allegation: Unlawful Eviction

It was alleged that R1 had been unlawfully evicted due to non-payment. To investigate this allegation LPA conducted interviews with the Executive Director, Memory Care Director, and Business Office Director, during the initial visit. All parties interviewed informed LPA that R1 moved to this facility in August 2023. Based on R1’s Admission Agreement the monthly rent fee was $2800.00 not including $600.00 rate for care services. As of July 2024, R1 started the Program of All-Inclusive Care for the Elderly (PACE). During the interview with the Business Director, LPA was informed that per R1's POA request, the claim forms were submitted to the PACE program for the partial monthly amount of $1350.00 to cover the rents from October 2024 through January 2025. On 01/09/2025, the accumulation of non-payment rent amount totaled $6233.00 (including late fees). Thus, on February 10^th 2025, the facility issued an Eviction Letter to POA for non-payment and submitted a copy to Community Care Licensing (CCL). Moreover, interview with the Executive Director revealed that upon admission, R1’s Power of Attorney (POA) signed the Admission Agreement acknowledging that “the monthly fee and all other applicable charges and fees are payable in advance by the first (1^st) day of each calendar month, by ACH, check or money order…”. Despite previous discussions about the default balance, R1 and or R1’s POA made no attempts to settle the unpaid amount. LPA reviewed copy of the facility "Collections Policy" where indicated the following: "Each community is responsible for the collection of its' outstanding resident balances in a timely manner. If payment is not received by the 10^th of the month, a 30-day notice may be given." Lastly, five (5) residents interviewed during today's visit confirmed that they are aware of the admission agreement, and they are also aware of the eviction rules. Based on interviews and document review, the facility properly issued R1’s eviction due to nonpayment. Therefore, the 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: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

LIC9099 (FAS) - (06/04)

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