197610309-11-5-2025-31-AS-TAGD-DT7NZ9-20260416105355

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610309
Report Date: 11/05/2025
Date Signed: 11/05/2025 02:05:25 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: 11	DATE:	11/05/2025
		UNANNOUNCED	TIME BEGAN:	09:08 AM
MET WITH:	Gbenga Sonwunmi - Administrator		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff make the residents clean the facility

Staff do not treat residents equally

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Gary Tan conducted an unannounced initial complaint visit at this facility to investigate the above allegations. LPA met with Administrator Gbenga Sonwunmi and explained the reason for the visit.

LPA conducted a physical plant tour at 9:18 AM, requested copy of the facility documents relevant to the investigation at 9:58 AM, reviewed facility documents between 10:00 AM to 11:00 AM and interviewed residents and staff between 11:00 AM to 12:45 PM. Regarding the allegation that Staff make the residents clean the facility, it was alleged that the RP they make the residents do chores, there is no toilet cleaner, and the bathroom smells like urine. LPA’s record review today 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 today between 11:00 AM to 12:45 PM, revealed that all three (3) residents interviewed were aware that they had to do chores as part of the program during their admission and they do their part doing their own chores assigned to them.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025

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: 11/05/2025

NARRATIVE

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(continued from LIC 9099)

Regarding the allegation that Staff do not treat residents equally, it was alleged that when R1 bought own food, the staff wouldn’t let R1 put food in the fridge but let others do it. LPA's interview with the staff in charge of the kitchen today at around 12:05 PM, revealed that any resident could keep their food that needs refrigeration in the refrigerator dedicated for the use of the residents and they never refused anyone to keep their food in the refrigerator but the staff should be the one to put it in the refrigerator as it is located inside the locked kitchen that only staff has access. LPA's observation during physical plant tour revealed that R1 has some food items kept on the refrigerator during this visit. LPA's interview with three (3) residents or more than 10% of the current census revealed that they all have food in the refrigerator and no staff refused to keep their food in the refrigerator.

Based on the information gathered during this 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: 11/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025

LIC9099 (FAS) - (06/04)

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