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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610235
Report Date: 06/09/2026
Date Signed: 06/09/2026 12:21:27 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
06/02/2026 and conducted by Evaluator Tuesday Cabiness
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20260602122513
FACILITY NAME:WYSE HOMEFACILITY NUMBER:
197610235
ADMINISTRATOR:DAVIS, LA QUENCIAFACILITY TYPE:
737
ADDRESS:35158 WYSE ROADTELEPHONE:
(626) 500-1430
CITY:SANTA CLARITASTATE: CAZIP CODE:
91390
CAPACITY:4CENSUS: 1DATE:
06/09/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Juan Alvarado & Patience KTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff do not have CPR/First Aid certification
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tuesday Cabiness met with lead staff Patience K and Co-Administrator Juan Alvarado and informed them the reason of the visit. The following information was obtained during the visit:

Concerns were expressed that staff did not possess current First Aid and CPR certifications. To investigate the allegation, during today's visit from 9:30 a.m. to 12:30 p.m., LPA interviewed two staff members and reviewed personnel records and training documentation.

Documentation reviewed revealed that Staff #1 (S1) was hired on 01/26/2026 and maintained documentation of First Aid and CPR certification valid through 08/14/2026. Additional training documentation reviewed indicated S1 completed First Aid and CPR training on 05/14/2026, with certification valid through 05/14/2028. LPA reviewed personnel records and found documentation of current First Aid and CPR certification maintained in the employee file. (Cont'd LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026
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 4
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
06/02/2026 and conducted by Evaluator Tuesday Cabiness
COMPLAINT CONTROL NUMBER: 31-AS-20260602122513

FACILITY NAME:WYSE HOMEFACILITY NUMBER:
197610235
ADMINISTRATOR:DAVIS, LA QUENCIAFACILITY TYPE:
737
ADDRESS:35158 WYSE ROADTELEPHONE:
(626) 500-1430
CITY:SANTA CLARITASTATE:CAZIP CODE:
91390
CAPACITY:4CENSUS: 1DATE:
06/09/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Juan Alvarado & Patience KTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not meeting the continuing education requirements
INVESTIGATION FINDINGS:
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2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Tuesday Cabiness met with lead staff Patience K and Co-Administrator Juan Alvarado and informed them the reason of the visit. The following information was obtained during the visit:

Concerns were expressed that staff were not meeting continuing education requirements. To investigate the allegation, during today's visit from 9:30 a.m. to 12:30 p.m., LPA interviewed two staff members and reviewed personnel records and training documentation. Records reviewed indicated that Staff #1 (S1) was hired on 02/24/2025. Pursuant to applicable regulations, direct care staff are required to complete 20 hours of continuing education within their first year of employment. LPA reviewed S1's training records and determined that S1 had not completed the minimum required 20 hours of continuing education by 02/24/2026, the end of the first year of employment. Based on personnel records and training documentation reviewed, there is evidence to support the allegation that staff were not meeting continuing education requirements. Therefore, the allegation is Substantiated. Exit interview and copy of report provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 31-AS-20260602122513
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: WYSE HOME
FACILITY NUMBER: 197610235
VISIT DATE: 06/09/2026
NARRATIVE
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LPA reviewed Title 22, Section 89965(k)(1), which requires direct care staff to maintain current certifications in First Aid and cardiopulmonary resuscitation (CPR), with documentation maintained in personnel records.
Based on interviews conducted and documentation reviewed, there is insufficient evidence to support the allegation that staff did not have current First Aid and CPR certification. Therefore, the allegation is deemed Unsubstantiated at this time.

Exit interview and copy of report provided.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20260602122513
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: WYSE HOME
FACILITY NUMBER: 197610235
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/23/2026
Section Cited
CCR
89965(m)
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Personnel requirements: (m) In addition to any other required training, direct care staff shall complete a minimum of 20 hours of continuing education on an annual basis covering, but not limited to, the subjects specified in Section 89965(h):
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Co-Administrator submitted the current hours for staff #1. LPA obtained documentation that 12.85 hours were completed. POC will be partially completed and facility will have S1 submit the total amount of hours by POC date and will have S1 finish the remaining hours.
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This requirement was not met, evidenced by, based on personnel and training records reviewed, staff #1 (S1) did not complete the minimum (20) hours of education within the first year of employment.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4