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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610335
Report Date: 07/01/2026
Date Signed: 07/01/2026 05:16:00 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
06/23/2026 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20260623110732
FACILITY NAME:A PLACE FOR USFACILITY NUMBER:
197610335
ADMINISTRATOR:PASCASIO, JOEYFACILITY TYPE:
735
ADDRESS:6639 CAPISTRANO AVETELEPHONE:
(818) 854-5448
CITY:WEST HILLSSTATE: CAZIP CODE:
91307
CAPACITY:4CENSUS: 4DATE:
07/01/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Cynthia HaynesTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff threatens client with eviction
Staff do not provide adequate food service to client in care
Staff does not treat client with dignity and respect
INVESTIGATION FINDINGS:
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At approximately 9:00 a.m. on 07/01/26, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit.

To investigate the allegations above, LPA interviewed staff, clients, and witnesses both in-person and telephonically between 9:15 a.m. and 4:30 p.m. today, conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and client rosters at 10:00 a.m., and toured the facility inside and out at 10:30 a.m.

Regarding the allegation "Staff threatens client with eviction" it was alleged Staff #1 (S1) threatened to evict Client #1 (C1) because they did not clean the house. Interview with S1 at approximately 9:30 a.m. today revealed they never threatened to evict C1 and never issued an eviction for C1. S1 reminds C1 to clean to encourage their independence. Telephonic interview with C1 at 11:00 a.m. today revealed S1 did threaten to kick them out of the home.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
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 2
Control Number 31-AS-20260623110732
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: A PLACE FOR US
FACILITY NUMBER: 197610335
VISIT DATE: 07/01/2026
NARRATIVE
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 Interviews with three (03) out of three (03) other clients in the home revealed they had never been threatened with eviction and they never heard S1 threaten C1 with eviction. Telephonic interview with C1’s service coordinator, Witness #1 (W1), at 12:45 p.m. today revealed S1 and the administrator discussed C1’s eviction, although it never happened and no eviction was issued. Record review of C1’s files revealed no pertinent information to the investigation. Based on interviews and record review, there is insufficient evidence to confirm the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation “Staff do not provide adequate food service to client in care" it was alleged S1 cooks for other clients but does not cook for C1. Interview with C1 revealed S1 cooks for C1 when they request it. Interview with S1 revealed two (02) out of four (04) clients cook for themselves, so S1 usually cooks for C1 and Client #2 (C2). S1 cooks for all clients upon request and always ensures they are fed and the facility maintains adequate supplies of food. Interviews with three (03) out of three (03) other clients in the home revealed they either cook for themselves or eat what S1 cooks. Zero (00) out of four (04) clients stated S1 denies clients food. During today’s facility tour, LPA observed adequate supplies of perishable and non-perishable food. Record review of C1’s care plan revealed C1 “can… prepare something to eat if hungry” and “can prepare [their] own meals without any assistance, but [they prefer] when someone cooks”. Based on observations, interviews, and record review, C1 is capable of preparing meals for themselves. S1 cooks for C1 and maintains adequate food supplies in the home. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff does not treat client with dignity and respect " it was alleged S1 makes fun of C1’s disability and accuses them of breaking things in the home. Telephonic interview with C1 revealed S1 tells C1 that they do not have a disability. C1 confirmed they get incorrectly accused of breaking household items. Interview with S1 revealed they do not tease or disrespect C1. S1 learned from Client #3 (C3) that C1 had broken a broom while angry, so S1 addressed the issue with C1. Interviews with three (03) out of three (03) other clients in the home revealed they are treated with dignity and respect by S1 and other staff. Zero (00) out of three (03) clients have heard S1 disrespect, accuse, or tease C1. LPA observed S1 treating clients with respect during today’s visit. Record review revealed no pertinent information to the investigation. Based on observations, interviews, and record review, there is insufficient evidence to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.
No immediate health or safety concerns observed during today’s visit. Exit interview conducted. Copy of report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
LIC9099 (FAS) - (06/04)
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