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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610130
Report Date: 11/20/2025
Date Signed: 11/20/2025 02:06:46 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
06/28/2024 and conducted by Evaluator Mariana Agban
COMPLAINT CONTROL NUMBER: 31-AS-20240628090950
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:
11/20/2025
UNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Jonathan WattsTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Facility staff inappropriately restrained client
Facility staff did not prevent client from engaging in self harming behaviors
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mariana Agban conducted subsequent complaint visit to investigate the above stated allegations. LPA arrived at the facility and was granted access by Administrator Jonathan Watts. LPA conducted a physical plant tour to ensure the health and safety of the clients are protected and the physical plant complies with Title 22 Regulations.

Allegations:Facility staff inappropriately restrained client
Allegation: Facility staff did not prevent client from engaging in self harming behaviors

It was alleged that on March 29, 2024, facility staff performed three restraints on Client #3 (C3). According to the Reporting Party (RP), the staff involved were from 360 Behavioral Health, a 1:1 agency providing services to C3. The RP stated that C3 engaged in physical aggression toward staff and self, as well as property destruction. Interview with Administrator Jonathan Watts revealed that he was hired in June 2024 and was not aware of the incident.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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-20240628090950
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: REM CALIFORNIA LLC - BAIRD
FACILITY NUMBER: 197610130
VISIT DATE: 11/20/2025
NARRATIVE
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Administrator also stated that the facility does not use 360 Behavioral Health to provide services to current clients. Record review revealed that C3 was admitted to the facility on May 24, 2024. Based on the information obtained, there is insufficient evidence to verify the allegations. Therefore, the allegations are deemed UNSUBSTANTIATED at this time.

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

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2