197609103-8-13-2026-31-AS-NMAN-DXWQM2-20260914121649

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609103
Report Date: 08/13/2026
Date Signed: 08/13/2026 02:05:50 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.ASC, 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
12/09/2025 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20251209125100

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: 83	DATE:	08/13/2026
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Gerrica Wright		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff retaliated against complainant
Administrator is not able to provide adequate attention to the management and administration of the facility

INVESTIGATION FINDINGS:

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At approximately 9:45 a.m. on 08/13/26, Licensing Program Analyst (LPA) Nicholas Reed conducted unannounced subsequent visit to deliver final findings for the above noted allegations. LPA met with the administrator and explained the purpose of this visit.

The complaint was initiated on 12/16/25 by LPA Antonia Alvizar Ettima. During the visit at 1:20pm, LPA requested and received residents and staff rosters, and facility file for staff #1 (S1). In addition, LPA requested and received staff contact information. At 1:30 p.m., LPA, the Executive Director (ED), and the Resident Services Director (RSD) conducted a physical plant walk-through and LPA spoke with administrative personnel. Prior to this visit, LPA Comer reviewed licensing records of similar allegations. During previous licensing visits, LPA Comer also spoke with various facility personnel regarding above noted allegations. Due to nature of the allegations, there was no need to interview facility residents.
At the time of this visit LPA Reed requested and reviewed facility file of the former ED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

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-20251209125100

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: HOLLYWOOD HILLS SENIOR LIVING	FACILITY NUMBER: 197609103
	VISIT DATE: 08/13/2026

NARRATIVE

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ALLEGATION: Staff retaliated against complainant
It was alleged that that staff was wrongfully terminated in retaliation for their complaints filed against facility. Interviews of administrative personnel, including the ED revealed that S1 did not follow specific instructions to perform their job duties. ED and S1’s immediate supervisor spoke with S1 many times. Over time, S1’s insubordination led to disciplinary actions taken against S1 and subsequently S1 was terminated. A review of S1’s file verified the information revealed by administrative personnel.
Based on interviews and record review there is insufficient information to verify the allegations. Therefore, the allegation is UNSUBSTANTIATED at this time.

ALLEGATION: Administrator is not able to provide adequate attention to the management and administration of the facility.

It was alleged that the facility’s ongoing issues are directly related to the leadership of former ED, who has exhibited a pattern of dishonesty and unprofessional behavior, which has contributed significantly to the facility operation. Critical staff positions remain unfilled, including payroll, Wellness, nursing, memory care, and maintenance. These vacancies contributed to the facility's overall dysfunction. LPA's interviews with administrative personnel, including the current ED, RSD, Concierge, & Business Office Manager (BOM) revealed that facility is going through some changes. The Former ED is no longer in charge. However, the facility operation was not reflected as they always have other leads relieving ED. During the investigation, LPA Alvizar-Ettima and LPA Comer were unable to obtain the information regarding former ED's separation from the company. A review of former ED's file did not reveal any information to support the allegation. Overall investigation did not reveal any sufficient information to support the allegation.
Based on interviews and record review, it was concluded that although the allegation may have occurred, there is no measurable and verifiable information to confirm validity of the complaint. Hence the allegation is UNSUBSTANTIATED at this time.

No immediate health and safety issues were noted at the time of this visit. Exit interview was conducted and a copy of report was issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

LIC9099 (FAS) - (06/04)

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