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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610252
Report Date: 11/26/2025
Date Signed: 11/26/2025 12:45:17 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
11/26/2025 and conducted by Evaluator Leslie Ngo-Castaneda
COMPLAINT CONTROL NUMBER: 31-AS-20251126093918
FACILITY NAME:FORBES HOMEFACILITY NUMBER:
197610252
ADMINISTRATOR:LUCKY PANAFACILITY TYPE:
735
ADDRESS:9608 FORBES AVE.TELEPHONE:
(626) 926-7186
CITY:NORTHRIDGESTATE: CAZIP CODE:
91343
CAPACITY:4CENSUS: 4DATE:
11/26/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Lora Pana- Assistant AdministratorTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff sexually abuse client.
INVESTIGATION FINDINGS:
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At 9:20 AM, Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced initial complaint visit in response to the above-mentioned allegation. LPA met with Staff #4 (S4), who granted access to the facility.

Today's investigation, LPA requested the resident and staff roster. Between 9:27 AM – 11:45 AM, LPA conducted an interview with the assistance administrator, four (4) staff, three (3) of the four (4) clients, and a third-party who was present at the facility. Between 11:50 AM and 1:15pm, LPA requested and reviewed copies of pertinent information, which included, but were not limited to Physician’s report, Admission Agreement, IPP, and other documents relevant to the investigation.

Allegation: Staff sexually abuses the client.

Continue to LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2025
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-20251126093918
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: FORBES HOME
FACILITY NUMBER: 197610252
VISIT DATE: 11/26/2025
NARRATIVE
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It was reported that facility staff sexually abused and touched C1's anus. During interviews with staff, all staff stated they have never hit, forced, touched, or abused C1 or any of the clients. During interviews with clients, three (03) out of four (4) clients stated they never physically abused or have been sexually touched by staff and are happy living at the facility. Third-party interview at 11:20 AM confirmed that the facility is very safe, and staff members provide excellent care and service. Nothing unusual ever happens, and clients are very happy living in the facility.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time.

Exit interview conducted, and a copy of this report signed and delivered.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2