197609930-7-26-2025-31-AS-NMAN-DNZQ3D-20251203104834

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609930
Report Date: 07/26/2025
Date Signed: 07/26/2025 10:50:26 AM

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
07/18/2025 and conducted by Evaluator Tihesha Smith

COMPLAINT CONTROL NUMBER: 31-AS-20250718080745

FACILITY NAME:	VENTURA		FACILITY NUMBER:	197609930
ADMINISTRATOR:	CINDY GARCIA		FACILITY TYPE:	735
ADDRESS:	729 VENTURA ST		TELEPHONE:	(626) 529-3776
CITY:	ALTADENA	STATE: CA	ZIP CODE:	91001
CAPACITY:	4	CENSUS: 4	DATE:	07/26/2025
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Cindy Garcia, Administrator		TIME COMPLETED:	10:50 AM

ALLEGATION(S):

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Staff are not following reporting requirements
Due to neglect in supervision, a client was physically abused by another client

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tihesha Smith made an unannounced complaint visit to this facility at 8:30 am to deliver findings. LPA Smith met with facility staff and disclosed the purpose of this visit. The administrator was contacted and arrived later.

During the initial visit, on 07/23/25, LPA Antonia Alvizar conducted a physical plant tour. At approximately 10:35 a.m. LPA Alvizar interviewed the Administrator, one (01) staff and two (02) clients including client #2 (C2). Staff #1 and Staff #2 (S1- S2) were interviewed via telephone. At approximately 12:10p.m. LPA interviewed two clients, including client #1 (C1). approximately 1:40p.m. LPA request and received client (C1-C2) Individual Program Plan (IPP), Appraisal/Needs and Service Plan, Individual Treatment Plan, Unusual Incident Report, Facility Daily Notes, staff and client rosters and other pertinent documents.
Staff are not following reporting requirements
It was alleged that the physical altercation involving clients (C1) and (C2) was not reported to the Community Care Licensing Department. During interviews, S1 and S2 revealed that the Administrator was called and

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2025

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-20250718080745

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: VENTURA	FACILITY NUMBER: 197609930
	VISIT DATE: 07/26/2025

NARRATIVE

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(Cont from 9099)

informed about the incident immediately. C1 and C2 verified that staff did report the incident to the Administrator. No concerns were expressed by other clients in care regarding the allegation that staff failed to follow reporting protocols. The administrator confirmed the incident was reported and the incident report was sent to the Licensing Office. A review of the facility files and CCLD records confirms that an incident, of this description was submitted and reviewed by CCL on 04/02/25. Based on the information received, and a review of the facility file, the licensee met their requirements in reporting Incident as required. Therefore, this allegation is deemed UNSUBSTANTIATED at this time.

Due to neglect in supervision, a client was physically abused by another client

It was alleged that C1 hit client C2 multiple times in the head and twisted their fingers. During interviews, S1 and S2 denied not supervising clients C1 and C2 or any other client in care. Staff revealed that C1 and C2 were having a verbal argument. S1 and S2 intervene to redirect C2 and firmly told them not to hit C1. While staff members S1 and S2 were engaged in de-escalating the argument, C2 who appeared unresponsive to staff directives, suddenly attacked C1. S1 indicated that they were covering/protecting C1 with their body to prevent them from getting hit. C2 has never physically attacked any client or resident in the facility before.

An interview with C1 revealed that they were attacked by C2 while being supervised by staff. Staff intervened but C1 was not listening. C2 verified physically attacking C1 and confirmed staff immediately intervene. A review of records, including internal incident reports, verified the information revealed from interviews.

Based on interviews, record review, and LPA observation, it was concluded that although C1 was physically abused by C2, staff immediately intervene and took appropriate steps to protect C1 from physical abuse. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No health and safety hazards were noted during this visit.

An exit interview was conducted and a copy of report was provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2025

LIC9099 (FAS) - (06/04)

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