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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609103
Report Date: 11/20/2025
Date Signed: 11/20/2025 04:03:08 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
10/24/2025 and conducted by Evaluator Angela Panushkina
COMPLAINT CONTROL NUMBER: 31-AS-20251024095352
FACILITY NAME:HOLLYWOOD HILLS SENIOR LIVINGFACILITY NUMBER:
197609103
ADMINISTRATOR:VANESSA JEWELLFACILITY TYPE:
740
ADDRESS:1745 N GRAMERCY PLACETELEPHONE:
(323) 994-6700
CITY:LOS ANGELESSTATE: CAZIP CODE:
90028
CAPACITY:120CENSUS: 68DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Jewell Vanessa, Administrator TIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff does not ensure residents are spoken to in a respectful manner
Staff engage in inappropriate interactions while in the presence of residents
Staff do not have the ability to communicate with residents
INVESTIGATION FINDINGS:
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At approximately 09:15am, Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced subsequent visit in response to the above-mentioned allegations. LPA met with the Administrator and explained the reason for the visit.

At 09:20am, LPA requested resident and staff roster. At 09:25am, LPA requested copies of pertinent information which include, but not limited to Staff Training, Employee Handbook (Workplace Violence, Prohibited Conduct and Procedures for Reporting a Threat) relevant to the investigation. At approximately 9:30am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 9:35am - 12:00pm, LPA conducted an interview with the Administrator, Concierge, one (1) MedTech and five (5) staff, one (1) witness and ten (10) residents.

Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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 3
Control Number 31-AS-20251024095352
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: HOLLYWOOD HILLS SENIOR LIVING
FACILITY NUMBER: 197609103
VISIT DATE: 11/20/2025
NARRATIVE
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Allegation: Staff does not ensure residents are spoken to in a respectful manner
It was alleged that the Administrator is disrespectful to staff and residents. To investigated this allegation, LPA conducted an interview with the Administrator and was informed that all staff and residents are afforded dignity and respectful relationship. All staff interviewed denied the above allegation and informed LPA that they haven't witness the Administrator acting or speaking with staff and or residents in a disrespectful manner. Additionally, ten (10) residents interviewed expressed no concern regarding this allegation. LPA was informed that all staff members are very professional and all residents personal rights are being respected. Therefore, based on interviews this allegation is deemed Unsubstantiated at this time.

Staff engage in inappropriate interactions while in the presence of residents
It was alleged that staff who are in relationships demonstrate inappropriate behaviors with each other while at the facility in the memory care wing. To investigate this allegation, LPA conducted an interview with the Administrator who confirmed that the facility has a couple working at the Memory Care Unit, however, both parties always show professionalism during their work duties and never demonstrate inappropriate behavior with each other whilst at work. LPA conducted interviews with one (1) MedTech and five (5) staff members who denied ever witnessing an inappropriate relationship between the staff members during their work duties. Ten (10) residents and one (1) witness interviewed also expressed no concern regarding this allegation. Lastly, LPA conducted review of the facility Employee Handbook and observed a section under “Prohibited Conduct” as follows: Threats or any acts made toward or by any company employee will not be tolerated… Copies of all employee training were also obtained. Therefore, based on interviews and record reviews this allegation is deemed Unsubstantiated at this time.

Staff do not have the ability to communicate with residents


It was alleged that the maintenance staff don't speak or understand English and can't communicate with residents when they request repairs to be done. To investigate this allegation, LPA conducted an interview with the Maintenance Director (MD), during today's visit, and observed that MD is fluent in English and is able to freely communicate and understand the conversation. Ten (10) residents interviewed expressed no concern regarding this allegation. Therefore, based on interviews this allegation is deemed Unsubstantiated at this time.

No deficiency issued during today's visit.


Exit interview conducted and copy of this report signed and delivered.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3