197610309-3-12-2026-31-AS-TAGD-DT7NZ8-20260416105355

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610309
Report Date: 03/12/2026
Date Signed: 03/12/2026 03:06:16 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.ASC, 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
10/29/2025 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20251029152303

FACILITY NAME:	VALLEY STAR OLIVE VIEW UCLA CRT		FACILITY NUMBER:	197610309
ADMINISTRATOR:	SOWUNMI, GBENGA		FACILITY TYPE:	772
ADDRESS:	14119 BUCHER AVE		TELEPHONE:	(818) 290-5307
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	16	CENSUS: 15	DATE:	03/12/2026
		UNANNOUNCED	TIME BEGAN:	08:51 AM
MET WITH:	Gbenga Sonwunmi - Administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff are retaliating against resident for filing a complaint

Staff did not keep resident's personal information confidential

Staff are not providing a comfortable environment for residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jose Tan conducted an unannounced subsequent visit to further investigate the above allegations. LPA met with Administrator Gbenga Sonwunmi and explained the reason for the visit.

LPA conducted physical plant tour at 9:05 AM, requested copies of facility documents relevant to the investigation at 9:29 AM, reviewed records between 9:30 AM to 10:30 AM and interviewed staff and residents between 10:30 AM to 1:00 PM. Regarding the allegation that Staff are retaliating against resident for filing a complaint, it was alleged that Staff #1 (S1) started using aggressive words towards Resident #1 (R1) and was told that R1 filed a complaint against the facility. LPA attempted to interview R1 during visit on 11/05/25 but refused to talk to LPA. LPA's review of closed-circuit television (CCTV) footage of the facility after LPA's visit on 11/05/25 for the next four (4) hours after LPA left revealed that there was no confrontation occurred with S1 and R1. LPA's interview with S1 today at 11:04 AM, revealed that S1 did not have any confrontation or even conversation with S1 immediately after LPA's visit. (continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20251029152303

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: VALLEY STAR OLIVE VIEW UCLA CRT	FACILITY NUMBER: 197610309
	VISIT DATE: 03/12/2026

NARRATIVE

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(continued from LIC 9099)

Further interview with S1 also revealed that S1 did not know who filed the complaint against the facility as this was not disclosed during investigation.

Regarding the allegation that Staff did not keep resident's personal information confidential, it was alleged that when staff took R1 to mental health facility R1 was told out loud that R1 was not "supposed to be billing two mental health facilities at the same time". LPA's interview with Staff #2 (S2) who brought R1 to the mental health facility revealed that S2 did not even know who is R1 billing or double billing as it is not for R2 to know nor it is part of S2's job to know, effectively denying R1's allegation.

Regarding the allegation Staff are not providing a comfortable environment for residents, it was alleged that there is no toilet cleaner and the bathroom smells like urine at the facility. LPA's observation during this and prior visit revealed that the toilets are the facility are clean and did not smell any odors. LPA's record review also revealed that as part of their resident handbook, all residents must do their chores which include but not limited to cleaning their rooms, bathrooms and floors. LPA's interview with three (3) residents on 11/05/25 revealed that three (3) out of three (3) residents interviewed stated that they clean their own bathrooms and they are always clean and did not smell urine at any time.

Based on the information gathered during this and prior visit these allegations are deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026

LIC9099 (FAS) - (06/04)

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