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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609554
Report Date: 04/03/2025
Date Signed: 04/03/2025 01:52:49 PM

Substantiated


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
03/26/2025 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20250326110010
FACILITY NAME:SUNSHINE RESIDENTIAL HOME WOODLEYFACILITY NUMBER:
197609554
ADMINISTRATOR:JOSE, OYINLOYE AUSTINEFACILITY TYPE:
735
ADDRESS:10534 WOODLEY AVENUETELEPHONE:
(818) 274-1809
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:4CENSUS: 4DATE:
04/03/2025
UNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Toluwalope JoseTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff do not ensure the food being served is of good quality
Staff do not ensure the facility has a sufficient amount of perishable food
Staff do not ensure the facility is properly maintained
Staff do not ensure the facility is free of hazards
Staff do not ensure the facility is clean and sanitary
Staff do not ensure the facility vehicle is maintained in safe operating condition
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with the administrator, Toluwalope Jose, and advised her of the complaint. Today's investigation consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection to insure facility compliance with Title 22. The following allegations are addressed as follows:

Staff do not ensure the food being served is in good quality:
In regards to the allegation, it was reported that on or around 03/25/25, a compliance visit was made. During that visit, expired and moldy food such as strawberries and bell peppers were observed. The reporting agency, who is a credible witness, submitted photos of their observation and inspection for that day's visit. Based on this evidence obtained by the Department, the above allegation is Substantiated. Citation issued on the 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
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 4
Control Number 31-AS-20250326110010
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: SUNSHINE RESIDENTIAL HOME WOODLEY
FACILITY NUMBER: 197609554
VISIT DATE: 04/03/2025
NARRATIVE
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Staff do not ensure the facility has a sufficient amount of perishable food:
In regards to the allegation, it was reported that on or around 03/25/25, a compliance visit was made. During that visit, the kitchen and food supplies were inspected and it was observed that there was a low stock of fresh perishable food. The facility food supply consisted of mostly frozen, processed foods. The reporting agency, who is a credible witness, submitted photos of their observation and inspection for that day's visit. Based on this evidence obtained by the Department, the above allegation is Substantiated. Citation issued on the 9099D.

Staff do not ensure the facility is properly maintained/Staff do not ensure the facility is free of hazards/Staff do not ensure the facility is clean and sanitary:
In regards to the allegation, it was reported that on or around 03/25/25, a compliance visit was made. During that visit, multiple physical damages to the property was observed. There were water damages in the bathroom near the tub and surrounding the tub. The water appeared to be leaking underneath the tub posing possible structural damages beneath the tub. The floor at the back patio door appeared to be lifting out. Random wires running throughout the home, was not properly installed. A gas pipe, or a hot water pipe that is not in used, was also not properly installed, causing a potential safety hazard. Also observed during the visit were dead insects and flies on multiple windows throughout the home. The reporting agency, who is a credible witness, submitted photos of their observation and inspection for that day's visit. Based on this evidence obtained by the Department, the above allegation is Substantiated. Citation issued on the 9099D.

Staff do not ensure the facility vehicle is maintained in safe operating condition:
In regards to the allegation, it was reported that on or around 03/25/25, a compliance visit was made. During that visit, damages to the facility vehicle used to transports residents were observed. The reporting agency, who is a credible witness, submitted photos of their observation and inspection for that day's visit. Based on this evidence obtained by the Department, the above allegation is Substantiated. Citation issued on the 9099D.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20250326110010
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: SUNSHINE RESIDENTIAL HOME WOODLEY
FACILITY NUMBER: 197609554
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/03/2025
Section Cited
CCR
80087(a)
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Buildings and Grounds: The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. This requirement was not met as evidenced by: During visit on 03/25/25, water damages were observed in the bathroom, the patio floor was lifting out,
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During visit, a physical plant inspection was made. LPA observed the following:
1) Caulking being made to the bath tub
2) Back patio floor being repaired, in conjunction with leak from cealing causing water to get through
3) The pipe in the boiler room was relocated
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running wires, not properly installed were running throughout the home, gas or water pipe was not properly installed, dead insects & flies observed on facility windows. These post an immediate health and safety risk to the residents in care.
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so that it isn't exposed on the outside.
4) Running wires in the medication room was covered so that it is not exposed and hanging
5) Screens on all windows were cleaned to remove any dead insects.
No further corrections required.
Type A
04/03/2025
Section Cited
CCR
80076(a)(1)
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Food Services: All food shall be safe and of the quality and in the quantity necessary to meet the needs of the clients. This requirement was not met as evidenced by: During visit on 03/25/25, expired and moldy food such as strawberries and bell peppers were observed. Also, the facility had a
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During inspection, LPA checked the kitchen and food supplies and observed that there are no more expired food on stock, and moldy foods, such as the strawberries and bell peppers that were observed on 03/25/25, have been disposed of. LPA also observed a sufficient supply of fresh perishable food
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low stock of fresh perishable food. This posed an immediate health and safety risk to the residents in care.
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items in both refrigerators. No further corrections required.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 31-AS-20250326110010
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: SUNSHINE RESIDENTIAL HOME WOODLEY
FACILITY NUMBER: 197609554
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/17/2025
Section Cited
CCR
80074(c)
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Transportation: Motor vehicles used to transport clients shall be maintained in a safe operating condition. This requirement was not met as evidenced by: During visit on 03/25/25, damages to the facility vehicle used to transports residents were observed. This posses a potential health and safety
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As POC, licensee will repair/replace damage parts of the facility vehicle. As proof correction is made, licensee will submit photos of the repairs that were made to the licensing agency by 04/17/25.
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risk to the residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4