197610020-4-21-2026-31-AS-MGFS-DUNMV3-20260602095600

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610020
Report Date: 04/21/2026
Date Signed: 04/21/2026 03:06:08 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
04/13/2026 and conducted by Evaluator Leslie Ngo-Castaneda

COMPLAINT CONTROL NUMBER: 31-AS-20260413124111

FACILITY NAME:	MONTARE AT THE LAKE		FACILITY NUMBER:	197610020
ADMINISTRATOR:	DENISE OJARIGI		FACILITY TYPE:	772
ADDRESS:	17801 TWILIGHT LANE		TELEPHONE:	(934) 867-8394
CITY:	ENCINO	STATE: CA	ZIP CODE:	91316
CAPACITY:	6	CENSUS: 5	DATE:	04/21/2026
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Danielle Landis-program director		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff are not meeting resident's food preference.
Staff are not meeting resident's medication needs.
Staff are not allowing resident to move from the facility.
Staff did not seek medical attention for resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced initial complaint visit to the facility to investigate the above allegation. LPA met with the facility program director, Danielle Landis, and explained the reason for the visit.

To investigate the allegation on 04.21.2026, LPA took a tour of the physical plant at 8:40 AM. LPA requested the facility staff roster (LIC 500), resident roster (LIC 9020), client #1 (C1) physician report, medication list, admission agreement, incident reports, and other documents pertaining to the investigation. LPA reviewed documents at 12:00 PM, interviewed four (4) staff , and five (5) clients who are at the facility from 8:44AM to 11:55 PM.

Allegation: Staff are not meeting client's food preference.

Continue to LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026

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-20260413124111

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: MONTARE AT THE LAKE	FACILITY NUMBER: 197610020
	VISIT DATE: 04/21/2026

NARRATIVE

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It was alleged that staff failed to provide C1 with adequate and appropriate meals, consistent with C1’s dietary needs of low sodium. To investigate this allegation, Licensing Program Analyst (LPA) interviewed staff who stated that meals are freshly prepared and consider preferences of the clients. Staff further indicated that C1 was provided with a special low-sodium diet in accordance with their dietary restrictions and preferences. Record review of C1 noted physician report did not indicate any special dietary needs, nutritional assessment, or that C1 required a low-sodium diet. LPA observe lunch was freshly cooked by the in-house chef and served: chicken noodle soup, turkey and pesto paninis, seasonal salad, and fresh fruits. Interviews with four (4) clients revealed no concerns regarding food service. One (1) client expressed dissatisfaction with the meals and stated that food is amazing, but not low sodium. Preferences and requests are written on the kitchen board and chef would make it for the clients. Based on the LPA’s observations and interviews conducted, residents were observed to be receiving adequate meals consistent with their dietary needs and preferences.

Therefore, there is insufficient evidence to support the allegation. Therefore, the allegation is deemed unsubstantiated at this time.

Allegation: Staff are not meeting client's medication needs.

It was alleged that C1 was denied blood pressure medication. Interview with staff revealed that C1 did not have diagnoses that required blood pressure medication before being admitted to the facility. Record review revealed C1 was admitted to facility on 3.25.2026. Per C1’s physician report does not indicate hypertension. Interview with S2, revealed that C1 was prescribed Atenolol on 4.17.2026, 25 mg x 0.5 tablet PRN by physician. On 4.19.2026, Atenolol medication was discontinued due to new prescription of Atenolol 25 mg 1 tablet routine and Spirinolactone 100 mg obtained during an emergency visit on 4.19.2026.

Based on interviews, and records review, there is not sufficient information to verify the allegation. Therefore,
the allegation is unsubstantiated at this time.

Allegation: Staff are not allowing client to move from the facility.

Continue to LIC 9099-C

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260413124111

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: MONTARE AT THE LAKE	FACILITY NUMBER: 197610020
	VISIT DATE: 04/21/2026

NARRATIVE

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It was alleged that staff did not allow C1 to be transferred to another facility in Colorado. Interview with staff
revealed that on 4.19.2026, Interview with staff revealed, C1 was uncomfortable and overwhelm with frequent observation protocol due to increased supervision based on staff’s mental health observations. C1 wanted to be discharged by S1 which would indicate against medical advice (AMA) on their chart that would affect receiving future treatments. S1 also stated that the Colorado facility does not take C1’s medical insurance and that a referral authorization to be transferred was received.

Based on interviews and records review, there is no sufficient information to verify the allegation. Therefore, the allegation is unsubstantiated at this time.

Allegation: Staff did not seek medical attention for the client.

It was reported that staff did not seek medical attention for C1. It was alleged that C1 was experiencing headaches and right (r) arm numbness, symptoms of high blood pressure and facility refuse to call 9-1-1. Interviews revealed that on 4.5.2026 C1 requested 911 to be called due to symptoms of high blood pressure. Staff interviewed revealed 9-1-1 was called on 4.5.2026 at 10:45 PM and EMT arrived at 11:05PM. On 4.18.2026 C1 was taken to urgent care for alleged edema. On 4.19.2026 C1 was taken to the emergency room (ER) due to having suicidal ideation and blood pressure issue. Record review, per hospital discharge documents dated 4.19.2026 C1 was seen at the hospital. Clients interviewed did not reveal any issues regarding their medical care or timely medical assistance provided by the staff.

Based on interviews and record review, there is not enough information and/or evidence to verify the allegations. Therefore, the allegation is deemed unsubstantiated at this time.

No health and safety hazards noted during the visit.

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

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026

LIC9099 (FAS) - (06/04)

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