197610130-4-10-2026-31-AS-MGFS-DSZVNF-20260410163503

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610130
Report Date: 04/10/2026
Date Signed: 04/10/2026 01:13:03 PM

Substantiated

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 - BAIRD		FACILITY NUMBER:	197610130
ADMINISTRATOR:	FREEMAN, ELIZABETH		FACILITY TYPE:	735
ADDRESS:	10426 BAIRD AVE		TELEPHONE:	(818) 363-3333
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91326
CAPACITY:	4	CENSUS: 3	DATE:	04/10/2026
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Jonathan Watts- Administrator		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility staff handled client in a rough manner
Facility staff used client to assist with lifting another client
Facility staff did not assist client with medical appointments as needed

INVESTIGATION FINDINGS:

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**This is a correct version of report dated 07/03/24 to include additional information for the allegations and add deficiency for allegation: Facility staff did not assist client with medical appointments as needed.**
On 07/03/24 Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced initial complaint visit for the above allegations. LPA arrived at the facility and were granted access by staff. REM Director Idris Danesi was present at the facility and explained the reason for the visit. LPA requested copies of pertinent information which include, but not limited to Physician's Report, Appraisal Needs and Services Plan, Individual Program Plan (IPP), etc., relevant to the investigation. LPA conducted a physical plant tour, to ensure health and safety of the clients are protected and physical plant is in compliance with Title 22 Regulations

Allegation:Facility staff handled client in a rough manner
It was alleged that S1 wrestled and pushed C1 against a wall. Interview with C1 revealed that S1 held C1's right wrist, bundled up, pushed C1 against the wall. (Continue on 9099C)

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:	DATE: 04/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026

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 3

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: 04/10/2026

NARRATIVE

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C1 stated that it was the wrong procedure to take in a behavior crisis and S1 was suspended immediately after the incident. Interview with S2 confirmed the allegation stating that S1 did push C1 against the wall. Based on information obtained the allegation deemed Substantiated at this time.

Allegation: Facility staff used client to assist with lifting another client

It was alleged that C1 assisted staff with lifting C2 during the night shift. It was revealed that there was only one staff working during the night shift. On 06/18/24 CCL received an incident report dated: 06/18/24 reporting C2’s fall. C2 fell on the floor, S4 was unable to lift C2 off the floor on their own and asked C1 for assistance. Interview with S2 confirmed the allegation and stated that they will schedule 2 staff on the night shift and hire new staff to meet clients’ needs. Based on document review and interviews the allegation deemed Substantiated at this time.

Allegation: Facility staff did not assist client with medical appointments as needed

It was alleged that facility staff asked C1 to reschedule medical appointments due to conflict with C2's medical appointments or day program hours. Interview with S3 denied the allegation. However, per staff, it was revealed that C1 gets agitated and refuses to use facility vehicle or transportation system when C2 uses the facility van for medical appointments or day program. Resulting in rescheduling the medical appointments for C2, instead of providing assistance with other means of transportation or resolving C1’ behavior. Based on information obtained the allegation deemed Substantiated at this time.

The deficiency was cited per CA Code of Regulations Title 22 – refer to the 9099D.

Other deficiencies were cited on 07/03/24 and remain the same

Exit interview conducted and appeal rights given and a copy of this report signed and delivered.

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:	DATE: 04/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/10/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/04/2024 Section Cited CCR 80075(a)	1 2 3 4 5 6 7	(a) The licensee shall ensure that each client receives necessary first aid and other needed medical or dental services, including arrangement for and/or provision of transportation to the nearest available services. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	POC is cleared. LPA received statement that REM CA will ensure the provision of adequate care and supervision in accordance with individual's IPP to meet all needs and services that prioritizes the health and safety of the individual.
	8 9 10 11 12 13 14	Based on interviews, facility staff did not assist client with medical appointments as needed. Staff reschedules the medical appointments for C2, instead of providing assistance with other means of transportation or resolving C1’ behavior. poses a potential health, safety or personal rights risk to residents in care	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:	DATE: 04/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2026

LIC9099 (FAS) - (06/04)

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