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Department of
SOCIAL SERVICES
Community Care Licensing
COMPLAINT INVESTIGATION REPORT
Facility Number:
197608998
Report Date:
08/10/2021
Date Signed:
08/10/2021 03:22:23 PM
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
08/04/2021
and conducted by Evaluator
Wendell Smith
COMPLAINT CONTROL NUMBER:
31-AS-20210804140603
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:
77
DATE:
08/10/2021
UNANNOUNCED
TIME BEGAN:
12:30 PM
MET WITH:
Susan Weisbarth
TIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident belongings were not safe guarded.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Wendell Smith made an unannounced subsequent visit to finish investigation into the allegation above. LPA met with administrator Susan Weisbarth and explained the reason for this visit.
It is alleged that resident #1 (R1) personal belongings were not safeguarded. It is alleged that R1's wedding ring was unaccounted for. LPA conducted a previous visit on 8/6/21 where LPA reviewed R1's facility file which obtained a copy of R1's personal property and valuables list which is entrusted to the facility and signed by R1's responsible person. A review of the document does not list R1's wedding ring on the list. A police report was made by the family regarding the missing ring. Based upon the information obtained through interview and review of R1's facility file this allegation is deemed Unsubstantiated at this time. There is no record of R1's ring being entrusted to the facility and it was not listed on the resident personal property and valuables for R1 which was signed by R1's responsible person.
Exit Interview conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME:
Cassandra Harris
TELEPHONE:
(818) 596-4342
LICENSING EVALUATOR NAME:
Wendell Smith
TELEPHONE:
(818) 738-4525
LICENSING EVALUATOR SIGNATURE:
DATE:
08/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/10/2021
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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