197609103-11-20-2025-31-AS-NMAN-DXZSKF-20260917135638

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609103
Report Date: 11/20/2025
Date Signed: 11/20/2025 02:27:42 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
10/30/2025 and conducted by Evaluator Raymond Comer

COMPLAINT CONTROL NUMBER: 31-AS-20251030124720

FACILITY NAME:	HOLLYWOOD HILLS SENIOR LIVING		FACILITY NUMBER:	197609103
ADMINISTRATOR:	VANESSA JEWELL		FACILITY TYPE:	740
ADDRESS:	1745 N GRAMERCY PLACE		TELEPHONE:	(323) 994-6700
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90028
CAPACITY:	120	CENSUS: 68	DATE:	11/20/2025
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Vanessa Jewell-Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Licensee does not ensure that staff provide adequate care and supervision to residents in care.
Staff left residents unattended for extended periods of time while in care.
Staff member under the influence of a substance while providing care and supervision to residents in care.

INVESTIGATION FINDINGS:

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At approximately 09:15am, Licensing Program Analyst (LPA) Raymond Comer, and Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced 10-Day complaint visit in response to the above-mentioned allegation(s). LPAs met with the Administrator and explained the reason for the visit.

At 09:20am, LPAs requested resident and staff roster. At 09:25am, LPAs 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, LPAs conducted a physical plant tour; no resident health and safety issues were observed. Between 9:35am - 12:00pm, LPA conducted an interview with the Administrator, Concierge, one (1) MedTech, 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: Raymond Comer
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)

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Control Number 31-AS-20251030124720

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: 11/20/2025

NARRATIVE

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Allegation: Licensee does not ensure that staff provide adequate care and supervision to residents in care.

The reporting party alleges that staff do not provide adequate care and supervision to residents, that residents are neglected and minimal activities provided to residents. To investigate this allegation, LPAs interview with the Administrator revealed the following: The Administrator refutes this allegation, and stated that staff are well trained and provide adequate care and supervision to all residents. LPAs observed eighteen (18) memory care residents in the activities rooms; residents appeared clean, free of odor, and engaged with staff.

LPAs interview with residents revealed the following: Ten (10) out of ten (10) residents stated they are treated well, feel respected by staff, and are provided with adequate care and supervision.

LPAs interview with staff revealed the following: Six (6) out of seven (7) staff stated that licensee ensures adequate staff coverage at the facility, that work assignments are manageable and do not feel overwhelmed with resident assistance tasks. Staff stated checking on residents a minimum of every two hours, or as needed.

Based on the LPAs observations, and interviews with Administrator, residents and staff, this allegation was found to be "unsubstantiated" at this time.

Allegation: Staff left residents unattended for extended periods of time while in care.

The reporting party alleges that staff neglect causes residents to wait extended periods of time before toileting\changing assistance is provided. To investigate this allegation, LPAs interview with the Administrator revealed the following: The Administrator refutes this allegation, and stated that adequate staff coverage is available during all work shifts, that resident calls are responded to a timely manner, and that all residents are checked at a minimum of every two hours, or as needed.

LPAs interview with residents revealed the following: Ten (10) out of ten (10) residents (five Memory Care and five Assisted Living) stated that staff provide adequate care and supervision. Residents with incontinence issues stated that staff provide timely toileting and changing assistance on a consistent basis.

[Continued LIC9099-C]

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
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 4

Control Number 31-AS-20251030124720

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: 11/20/2025

NARRATIVE

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LPAs interview with staff revealed the following: Seven (7) out of seven (7) staff stated that residents are provided adequate care and supervision, that staff respond to resident assistance calls on a timely basis, (average response within 7-to-10 mins) and that resident room checks occur a minimum of every two hours, or as needed.

Based on the LPAs observations, and interviews with Administrator, residents and staff, this allegation was found to be "unsubstantiated" at this time.

Allegation: Staff member was under the influence of a substance while providing care and supervision to residents in care.

The reporting party alleges that a former Staff#1 (S1) was under the influence of a substance while providing care and supervision to residents. To investigate this allegation, LPAs interview with the Administrator revealed the following: The Administrator refutes this allegation, and stated that it is S1's personal decision to quit their position at the facility and was not terminated due to any violations of work policies, specifically substance abuse issues while employed as facility staff.

LPAs interview with residents revealed the following: Ten (10) out of ten (10) residents refute the allegation and stated never having witnessed, nor heard of any staff exhibiting behavior suggesting substance usage.

LPAs interview with staff revealed the following: Seven (7) out of seven (7) staff refute the allegation, and stated never having witnessed S1, nor any facility staff exhibiting behavior suggesting subtance

Based on the LPAs observations, and interviews with Administrator, residents and staff, this allegation was found to be "unsubstantiated" at this time.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Raymond Comer
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)

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