197610442-5-21-2024-31-AS-NMAN-DA6S3G-20241018133108

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 05/21/2024
Date Signed: 05/21/2024 03:57:08 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
05/17/2024 and conducted by Evaluator Rosaura Valenzuela

COMPLAINT CONTROL NUMBER: 31-AS-20240517154045

FACILITY NAME:	LEISURE GROVE, LLC		FACILITY NUMBER:	197610442
ADMINISTRATOR:	MAYA MNOYAN		FACILITY TYPE:	740
ADDRESS:	413 E. CYPRESS STREET		TELEPHONE:	(818) 244-2323
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	199	CENSUS:	DATE:	05/21/2024
		UNANNOUNCED	TIME BEGAN:	01:32 PM
MET WITH:	Brandy Rangel, Assistant Administrator		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Licensee does not allow resident to have a cat

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit for the above noted allegation. LPA met with Assistant Administrator Brandy Rangel and explained the reason for the visit.

It was reported that Licensee does not allow Resident #1 (R1) to have a cat. To investigate this allegation on 05/21/2024, between 1:35pm and 2:00pm, staff interviews were initiated. Staff interviews revealed that R1's medical doctor said that R1 is not capable of caring for service animals since they can not take care of self. Moreover, staff held a meeting with R1 and their case manager to explain why they can not have a cat. Between 2:00pm and 2:30pm, LPA reviewed facility records. Facility records confirmed what staff told LPA.

Based on interviews and records review, there is not sufficient information to support the allegation. Thus, this allegation is UNSUBSTANTIATED at this time.

No health and safety issues noted at the time of this visit. Exit interview conducted and a copy of the report was issued.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024

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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