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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610099
Report Date: 08/07/2025
Date Signed: 08/07/2025 03:44:01 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
05/14/2025 and conducted by Evaluator Jose Gary Tan
COMPLAINT CONTROL NUMBER: 31-AS-20250514160241
FACILITY NAME:WYNGATE VILLA GARDENSFACILITY NUMBER:
197610099
ADMINISTRATOR:CHAVEZ, OSCARFACILITY TYPE:
740
ADDRESS:7634 WYNGATE STREETTELEPHONE:
(818) 352-4270
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY:68CENSUS: 54DATE:
08/07/2025
UNANNOUNCEDTIME BEGAN:
08:49 AM
MET WITH:Oscar Chavez - AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff do not provide a safe environment for resident in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jose Tan conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegation. LPA met with Administrator Oscar Chavez and explained the reason for the visit.

LPA conducted a physical plant tour at 9:08 AM, requested copies of facility documents relevant to the investigation at 9:32 AM and interviewed staff and residents between 10:00 AM to 12:30 PM. Regarding the allegation that Staff do not provide a safe environment for resident in care, it was alleged that Resident #1 (R1) was choked by Resident #2 (R2) after R1 refused to be intimate with R2. LPA's interview with R1 on 05/20/25 at 11:15 AM, revealed that the incident happened at the parking area at around 7:30 AM while they were waiting for transportation going to the Day Program. Further interview also revealed that R1 had a relationship with R2 and tried to break up with R2 during that incident. (continued to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
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-20250514160241
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: WYNGATE VILLA GARDENS
FACILITY NUMBER: 197610099
VISIT DATE: 08/07/2025
NARRATIVE
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(continued from LIC 9099)

LPA's interview with R2 today at 11:33 AM, however, revealed that R1 asked R2 to massage R1 at the back so R2 did but denied choking R1 in any way because it was only massaging R1's nape and not R1's throat. LPA's interview with the Administrator today at 10:30 AM and Assistant Administrator on 05/20/25 revealed that when R1 reported to them the incident R1 stated that the incident happened in R1's room and when they interview R2, R2 denied choking R1. LPA's interview with both R1 & R2 confirmed that there was no one else present in the parking area when the incident occurred. LPA's record review on 05/20/25 also revealed that there was no camera installed at the parking area so there was no record of the alleged choking incident. LPA's interview with two (2) residents that are both living in the same building as R1 and rooms were adjacent to R1 revealed that they did not witness R2 being rough to R1 and coming to R1's room during early morning hours.

Based on the information gathered during this and prior visit, the allegation is 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: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2