<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610191
Report Date: 03/24/2023
Date Signed: 03/24/2023 12:51:15 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
03/16/2023 and conducted by Evaluator Tuesday Cabiness
COMPLAINT CONTROL NUMBER: 31-AS-20230316091832
FACILITY NAME:GARDENS AT NORTHRIDGE, THEFACILITY NUMBER:
197610191
ADMINISTRATOR:GENA GRUNDEISFACILITY TYPE:
741
ADDRESS:17650 WEST DEVONSHIRE STREETTELEPHONE:
(818) 886-1616
CITY:NORTHRIDGESTATE: CAZIP CODE:
91325
CAPACITY:135CENSUS: 74DATE:
03/24/2023
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Cynthia LaraTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is not adhering to terms of Admissions Agreement
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced complaint visit for the allegation mentioned above. LPA was met by the receptionist. LPA had previously been notified there was no Administrator or designee in charge, and the Regional Director was not available. LPA contacted the Regional Director Cassandra Bradford, who was informed of the visit, and stated to LPA, she will contact LPA later on today. At 1045am, the Wellness Director Cynthia Lara arrived to the facility and LPA informed her the reason of the visit.

On 03/24/2023 from 8am to 9am, LPA interviewed the complainant, and from 1045am to 1pm, LPA interviewed staff and reviewed resident's file. From the information obtained, LPA was informed, that the complaint should have not been generated, since the complainant had been provided with the correct Licensing regulations pertaining to eviction notices. Therefore, at this time, the allegation is Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023
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