197608998-8-27-2025-31-AS-NMAN-DL8TYC-20250905150830

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608998
Report Date: 08/27/2025
Date Signed: 08/27/2025 10:36:25 AM

Substantiated

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
03/07/2025 and conducted by Evaluator Leslie Ngo-Castaneda

COMPLAINT CONTROL NUMBER: 31-AS-20250307102333

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:	DATE:	08/27/2025
		UNANNOUNCED	TIME BEGAN:	08:22 AM
MET WITH:	Peter Bonilla- Executive Director		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Staff does not provide a safe environment for resident.

INVESTIGATION FINDINGS:

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On 3/12/2025, Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted a subsequent complaint visit to the facility to investigate the above allegations. At the start of the visit, LPA met with the assisted living director (S2), Liliana Solorzano, and advised S2 about the purpose of the visit. At 8:30 AM, LPA conducted a physical plant tour to ensure the health and safety of the clients in care.
An entrance interview was conducted.

Allegation #1: Staff does not provide a safe environment for the resident.

Regarding the allegation, “Staff does not provide a safe environment for the resident”. It was alleged that on March 8, 2025, Resident #1 (R1) was aggressive towards Resident #2 (R2), throwing water at R2, which made R1 feel unsafe living at the facility.

Continue to LIC 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025

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-20250307102333

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: 08/27/2025

NARRATIVE

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LPA interviewed twelve (12) out of ninety-four (94) residents who are available and seven (7) staff who were available at the facility. LPA obtained the following documents: physician report, admission records, LIC 601, resident roster, employee roster, and other relevant documents to the investigation at 2:30 PM.

LPA interviewed R2 on 3/12/2025, the interview revealed that R1 would throw a cup of water, be aggressive, and yell racial slurs at R2. An interview with staff revealed that R2 is very friendly and sociable to everyone at the facility, and no other residents in the facility have any issues with R2. On 3/8/2025, 9-1-1 was called, and police arrived. Officers determined there was mutual battery with no arrest. During LPA interview with R1 on 3/12/2025 at 3:16 PM at the dining hall, LPA witnessed R2 tap R1 on the shoulder and greet R1. R1 got very upset, and yelled racial slurs and insults towards R2, calling R2 “monkey”. LPA witnessed no staff within reach to redirect R1 and R2. An interview with the executive director (S1), assisted living director (S2), and five (5) staff members revealed that R1 has been aggressive and angry towards R2 previously early this year. Record review for R1 revealed that R1 has been residing at the facility since 5/26/2021, and R2 has been residing at the facility since 1/10/2022. Staff are aware of the behavioral changes with R1, and the record review revealed that no resident re-appraisal was done.

Based on interviews, observations, and record review, there is enough information to verify the allegation. Therefore, the allegation is SUBSTANTIATED at this time.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20250307102333

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/27/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/10/2025 Section Cited CCR 87468.1(a)(2)	1 2 3 4 5 6 7	Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations Based on interviews and observation by LPA, staff did not	1 2 3 4 5 6 7	The executive director has agreed to update the service plans of Resident #1 (R1) and Resident #2 (R2) with instructions for staff intervention. And have either R1 or R2 reside in different floors/ schedule.
	8 9 10 11 12 13 14	comply with the section cited above where R1 is aggressive towards R2, which poses a potential Health, Safety, or Personal Rights risk to residents in care.	8 9 10 11 12 13 14
Type B 09/10/2025 Section Cited CCR 87463(c)(3)	1 2 3 4 5 6 7	Interventions to be implemented to minimize the risks to the health and safety of the resident or others associated with the resident's behavioral expression. The licensee shall use the least restrictive intervention to manage the behavioral.	1 2 3 4 5 6 7	Administrator needs to submit R2 reappraisal to LPA
	8 9 10 11 12 13 14	expression based on the individual needs of the resident	8 9 10 11 12 13 14

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: Eva Miller
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025

LIC9099 (FAS) - (06/04)

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