197608998-3-14-2024-31-AS-MVAO-D3XPNF-20240402112752

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608998
Report Date: 03/14/2024
Date Signed: 03/14/2024 10:49:09 AM

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
12/01/2023 and conducted by Evaluator Huma Rahimi

COMPLAINT CONTROL NUMBER: 31-AS-20231201163146

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: 88	DATE:	03/14/2024
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Liliana Solorzano, Resident Care Director		TIME COMPLETED:	10:06 AM

ALLEGATION(S):

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Staff unlawfully evicted a resident while in care.

INVESTIGATION FINDINGS:

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At 9:45 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced subsequent complaint visit to deliver final findings. LPA met with Liliana Solorzano, Resident Care Director, and disclosed the reason for the visit.

During the initial visit made on 12/11/2023, by LPAs Rahimi and Panushkina, interviews and record reviews were made. On 12/11/2023 at 9:35 am, LPAs requested copies of pertinent information which include, but not limited to Admission Agreement, Physician’s Report, Appraisal Needs and Services Plan, etc. relevant to the investigation. At approximately 10:00am, LPAs conducted a physical plant tour. Between 10:10am – 2:00pm, LPAs interviewed the Administrator, Resident Care Director, Generation Program Director, five (5) staff and six (6) out of nine (9) residents, who were able to communicate.

Continue on LIC 9099

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4370
LICENSING EVALUATOR NAME: Huma Rahimi	TELEPHONE: (818) 304-2399
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024

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-20231201163146

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: 03/14/2024

NARRATIVE

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Staff unlawfully evicted a resident while in care:
Regarding the above allegation, interviews with the Administrator, and Resident Care Director revealed that the facility did not issue an eviction notice to Resident # 1 (R1). R1 was hospitalized on 11/27/2023. Once the facility was notified of changes in R1’s level of care, the facility made necessary arrangements prior to R1’s discharge from the hospital on 12/04/2023. The Licensee completed a new care plan for R1 and communicated with R1’s responsible party to hire 1:1 caregiver due to R1’s higher level of care. Although, the facility discussed the changes with R1’s responsible party, and they agreed to new terms, the Psychiatrist suggested that it would be better for R1 to be moved to another facility due to having unexplained suicidal episodes that triggers him/her not wanting to be at this facility. Four (4) days later on12/08/23, after R1 got discharged from the hospital, R1’s family decided to relocate R1 to a new facility without giving the facility a 30-day notice. Lastly, the total balance for 1:1 caregiver, hired through a 3^rd party, was not paid by the family. Based on the interviews, review of the documents obtained, the allegation, “Staff unlawfully evicted a resident while in care” is unsubstantiated at this time.

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4370
LICENSING EVALUATOR NAME: Huma Rahimi	TELEPHONE: (818) 304-2399
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024

LIC9099 (FAS) - (06/04)

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