197610099-12-8-2022-31-AS-MVAO-CMRTRL-20230104135743

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610099
Report Date: 12/08/2022
Date Signed: 12/08/2022 01:43:45 PM

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
09/29/2021 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20210929113700

FACILITY NAME:	WYNGATE VILLA GARDENS		FACILITY NUMBER:	197610099
ADMINISTRATOR:	ESPINAL, ALMA		FACILITY TYPE:	740
ADDRESS:	7634 WYNGATE STREET		TELEPHONE:	(818) 352-4270
CITY:	TUJUNGA	STATE: CA	ZIP CODE:	91042
CAPACITY:	68	CENSUS: 55	DATE:	12/08/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Oscar Chavez		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Illegal eviction

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegation. It was reported that on around October 2021, Resident 1 (R1) was removed from the facility. Their belongings were packed in plastic bags by the administrator, and no written 30 day notice to vacate the facility was issued to R1. During the course of the investigation, LPA met with the administrator, Oscar Chavez, and advised him of the complaint. Between 9:45am to 12:00pm, LPA conducted interviews and record review. At approximately 12:00pm to 1:00pm, LPA conducted a physical plant inspection to insure the health and safety of the residents in care, and that passageways were clear of any obstruction.

According to the administrator, R1 voluntarily left in October 2021. R1 was having trouble making their monthly payment, but was falling behind in rent. Administrator stated they were tryng to assist R1 with making rent by providing them options in payment that can be suitable for their financial situation, but it

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022

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-20210929113700

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: WYNGATE VILLA GARDENS	FACILITY NUMBER: 197610099
	VISIT DATE: 12/08/2022

NARRATIVE

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was still too expensive for R1 to stay. R1 was able to find a room at an Independent living, that was more affordable for their financial situation. The administrator adds that R1 is independent and required minimal assistance during their stay at this facility. Administrator also stated when R1 left, they were all caught up with their rent and had no balance due.

Interview with R1 reveal that they left Wyngate Villa Gardens on their own. Their decision was made because R1 could not afford to live there anymore. Monthly rent was to high for R1. According to R1, after paying their rent, they would barely have money left over for themselves. R1 confirms that they moved into an Independent Living, on their own, where rent is more suitable for their finances.

Based on the information obtained, there was insufficient evidence to corroborate the allegation of illegal eviction. Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022

LIC9099 (FAS) - (06/04)

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