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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609103
Report Date: 06/03/2025
Date Signed: 06/03/2025 02:56:52 PM

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
05/27/2025 and conducted by Evaluator Raymond Comer
COMPLAINT CONTROL NUMBER: 31-AS-20250527130048
FACILITY NAME:HOLLYWOOD HILLS SENIOR LIVINGFACILITY NUMBER:
197609103
ADMINISTRATOR:VANESSA JEWELLFACILITY TYPE:
740
ADDRESS:1745 N GRAMERCY PLACETELEPHONE:
(323) 467-3121
CITY:LOS ANGELESSTATE: CAZIP CODE:
90028
CAPACITY:120CENSUS: 71DATE:
06/03/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Vanessa JewellTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff yells at residents-
INVESTIGATION FINDINGS:
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Today, Tuesday, 6/03/25, at 10:00 am, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannuouned, initial10- day visit to investigate the above allegation. LPA met with Administrator, Vanessa Jewell, presented official CDSS badge identification, and reason for the visit was disclosed.

At 10:15 am, LPA conducted a physical plant tour; no health and safety issues were observed.

To investigate this allegation, LPA received facility resident roster, and staff roster. From 10:20 am to 1:00 pm, LPA conducted interviews with Administrator and Staff. From 1:10 am to 2:25 pm, LPA conducted interviews with residents.

[LIC9099C]-Continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
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 2
Control Number 31-AS-20250527130048
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: HOLLYWOOD HILLS SENIOR LIVING
FACILITY NUMBER: 197609103
VISIT DATE: 06/03/2025
NARRATIVE
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Allegation: Staff (S1) yells at residents- The RP alleges Staff (S1) "constantly yells and screams" at residents.

LPA interview with Administrator and Staff revealed the following: Administrator refutes this allegation, stating that S1 maintains a professional demeanor and has not heard, nor witnessed S1, nor any other staff, yelling at any residents in care. LPA conducted interviews with eight (8) staff which revealed the following: Eight (8) out of eight (8) staff state they have not witnessed, nor heard of S1, nor any other staff, yelling, nor neglecting to respect the rights of residents in care.

LPA conducted interviews with eight (8) residents which revealed the following: Eight (8) out of eight (8) residents state they have not witnessed, nor heard of S1, nor any other staff, yelling nor neglecting to respect the rights of residents in care.


Based on interviews with the Administrator, staff, residents, LPA was unable to find evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time.

Exit interview and copy of report provided.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2