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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609683
Report Date: 04/17/2025
Date Signed: 04/17/2025 02:10:54 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
10/02/2024 and conducted by Evaluator Jose Gary Tan
COMPLAINT CONTROL NUMBER: 31-AS-20241002112506
FACILITY NAME:LONE STAR BOARD & CARE TUJUNGAFACILITY NUMBER:
197609683
ADMINISTRATOR:ALEXANDER, OTISFACILITY TYPE:
735
ADDRESS:10117 TUJUNGA CANYON BLVDTELEPHONE:
(818) 875-4501
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY:35CENSUS: DATE:
04/17/2025
UNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Rod Stinson - AdministratorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Facility staff do no treat clients with dignity or respect

Facility staff are not following food safety protocols for clients in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jose Tan conducted an unannounced subsequent visit at this facility to further investigate the above allegations. LPA met with Administrator Rod Stinson and explained the reason for the visit.

LPA conducted physical plant tour at 9:21 AM, requested copies of facility documents relevant to the investigation at 9:49 AM and interviewed staff and residents between 10:00 AM to 1:00 PM. Regarding the allegation that Facility staff are not following food safety protocols for clients in care, it was alleged that the food in the fridge are often expired and not prepared properly for allergic residents which may have caused cross contamination. LPA's observation during today's visit and prior visit on 11/26/24, revealed that the foods on the freezers were not expired, properly wrapped and labeled. The food preparation area was observed to be clean and in proper order and the residents with dietary restriction were prominently displayed in the kitchen. The cook was observed to be wearing gloves and following proper food handling protocol. (continued on LIC 9099)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
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-20241002112506
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: LONE STAR BOARD & CARE TUJUNGA
FACILITY NUMBER: 197609683
VISIT DATE: 04/17/2025
NARRATIVE
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(continued from LIC 9099)

LPA's record review today at 1:10 PM also revealed that the two (2) cooks have current food handling certificates on file.

Regarding the allegation that Facility staff do no treat clients with dignity or respect, it was alleged that the residents feel they cannot ask for things they need to live freely in the home. LPA's interview today with five (5) residents or more than 10% of the current census revealed that five (5) out of five (5) residents interviewed stated that they get what they need when they ask the office for toiletries such as, towel, soap, toilet papers etc., and they are also provided what they need such as snacks and extra food when they ask and staff are respectful and treat them well.

Based on the information gathered during this and prior visit, these allegations are deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2