197610442-6-25-2025-31-AS-NMAN-DKYMS8-20250828095130

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 06/25/2025
Date Signed: 06/25/2025 03:33:45 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
10/22/2024 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20241022132307

FACILITY NAME:	LEISURE VALE ASSISTED LIVING		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: 178	DATE:	06/25/2025
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Angela Smith		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff did not ensure personal proprty of resident was safely secured

INVESTIGATION FINDINGS:

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At approximately 11:00 a.m. on 06/25/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit.

To investigate the allegations above, LPA Duguma conducted an initial visit on 10/25/24 and conducted a record review at 3:00 p.m. LPA De La Cerra conducted a subsequent visit on 04/17/25 and reviewed additional records at 11:100 a.m. and interviewed staff and residents between 11:00 a.m. and 3:45 p.m. Today, LPA Reed interviewed the administrator, staff, and residents between 11:15 a.m. and 3:00 p.m., conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 11:30 a.m., and toured the facility inside and out at 12:15 p.m.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025

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-20241022132307

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: LEISURE VALE ASSISTED LIVING	FACILITY NUMBER: 197610442
	VISIT DATE: 06/25/2025

NARRATIVE

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Regarding the allegation "Staff did not ensure personal property of resident was safely secured" it was alleged gold coins belonging to Resident #1 (R1) were stolen by Resident #2 (R2) when R1 hired R2 to clean their closet. At the time of this visit, LPA Reed conducted additional interviews with seventeen (17) residents, including R1 and other residents who entrusted their belongings to be safeguarded by the facility. Prior to this visit, Licensing Program Manager Naira Margaryan made a phone contact and spoke with the Business Office Manager and facility Administrator. At the time of this visit, LPA Reed requested additional records including inventory records for R1, a copy of the facility theft and loss policy, and a copy of incident report pertaining to allegation. Staff interviews revealed that R1 did not include theirgold coins on their inventory sheet. On 10/27/24, R1 reported to Business Office Manager that they hired R2 to clean their closet and R2 stole the coins and other valuables from R1. R1 contacted the police on their own and provided a police report number to the Business Office Manager. The investigation was initiated by the Glendale Police Department and concluded on 06/24/25. The police investigation revealed that R2 returned R1’s gold coins to them. A review of facility records verified the information revealed from staff. As per facility Theft and Loss policy, if resident reports missing articles and valuables exceeding $100, police are contacted to investigate the theft. During interviews, R1 stated that R2 actually returned their coins months ago, and R1 had lost them again at a market. R2 denied taking R1’s money or other valuables. Other residents interviewed during this investigation by LPA Reed did not address any concerns regarding their personal belongings.

Based on interviews and record review it was concluded that although the allegation may have happened, there is not enough information to verify that facility failed to safeguard R1’s personal belonging and valuables. Therefore, the allegation deemed to be UNSUBSTANTIATED at this time.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025

LIC9099 (FAS) - (06/04)

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