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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610130
Report Date: 05/07/2025
Date Signed: 05/07/2025 01:21:08 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 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
05/09/2024 and conducted by Evaluator Mariana Agban
COMPLAINT CONTROL NUMBER: 31-AS-20240509145722
FACILITY NAME:REM CALIFORNIA LLC - BAIRDFACILITY NUMBER:
197610130
ADMINISTRATOR:FREEMAN, ELIZABETHFACILITY TYPE:
735
ADDRESS:10426 BAIRD AVETELEPHONE:
(818) 363-3333
CITY:NORTHRIDGESTATE: CAZIP CODE:
91326
CAPACITY:4CENSUS: 3DATE:
05/07/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Jonathan Watts- AdministratorTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff do not provide necessary assistance to meet clients dental hygiene needs
Facility does not provide client's access to community activities
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced subsquent complaint visit for the above allegations. LPA met with the Administrator Jonathan Watts and explained the reason for the visit. LPA conducted a physical plan tour, to ensure health and safety of the clients are protected and is in compliance with Title 22 Regulations. LPA requested and obtained copies of clients and staff roster.

Allegation: Staff do not provide necessary assistance to meet clients dental hygiene needs

It was alleged that staff do not brush C2's teeth. Interview with Administrator denied the allegation. Administrator provided staff daily tasks, which indicated that staff brush C2's teeth daily. In addition, Administrator provided documentation indicating that C2 goes regularly to all necessary dental appointments. LPA interviewed three (3) staff members and obtained copies of staff daily tasks and the latest dentist appointments. Based on the information obtained, the allegation is deemed unsubstantiated at this time (Continue on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
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-20240509145722
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: REM CALIFORNIA LLC - BAIRD
FACILITY NUMBER: 197610130
VISIT DATE: 05/07/2025
NARRATIVE
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Allegation: Facility does not provide client's access to community activities
It was alleged that staff do not take clients out on weekend outings. Interviews with three (3) staff members confirmed that staff take out clients on outings on the weekends. LPA obtained records of facility outings, which confirmed that clients are going on outings on weekdays and weekends. Based on the information obtained, the allegation is deemed Unsubstantiated at this time.

Exit interview conducted, copy of this report signed and delivered.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2