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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 07/07/2025
Date Signed: 07/07/2025 03:15:09 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
06/27/2025 and conducted by Evaluator Gina Saucedo
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20250627092504
FACILITY NAME:LEISURE VALE ASSISTED LIVINGFACILITY NUMBER:
197610442
ADMINISTRATOR:ANGELA SMITHFACILITY TYPE:
740
ADDRESS:413 E. CYPRESS STREETTELEPHONE:
(818) 244-2323
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:199CENSUS: 174DATE:
07/07/2025
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Angela Smith, AdministratorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff opens residents' mail and packages without resident's consent
INVESTIGATION FINDINGS:
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On 07/07/25, at 12:40pm, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Angela Smith, Administrator. LPA explained the purpose of this visit was to gather information, interview staff and residents and deliver findings for this complaint.

On 07/07/25, LPA Saucedo asked for the census, staff, and resident rosters. On 07/07/25, at 12:50pm, LPA Saucedo conducted a physical tour and interviewed staff and residents.

LIC 9099C-continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2025
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-20250627092504
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: LEISURE VALE ASSISTED LIVING
FACILITY NUMBER: 197610442
VISIT DATE: 07/07/2025
NARRATIVE
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Regarding the allegation: Staff opens residents' mail and packages without resident's consent. It is being alleged that manager did not order keys for mailboxes and staff open mail and packages. During LPA's physical tour, LPA observed mailboxes to have key locks and are numbered by room number. LPA took a picture of the mailboxes that were against the wall on your right hand side of the entrance of the facility. LPA also took a picture of main, mailbox of the facility which is located on your left hand side of the entrance of the facility. During this visit, LPA interviewed four (4) staff. Four (4) out of the four (4) staff confirmed that when they receive the mail from the main, mailbox it is sorted out and put in the individualized mail boxes. Two (2) staff confirmed that some residents need help with their keys and they help them get their mail out of the mailbox. Also two (2) staff confirmed that residents have lost their keys in the past and a new key had to be ordered for them. One (1) staff confirmed that the main, mailbox was installed because of past issues with the post office. Fifteen (15) out of seventeen (17) residents confirmed they do not have an issue with their mail, getting their mail and/or any mail/packages being opened by staff. One (1) resident refused to speak to LPA and the other resident confirmed they have not received their social security mail from the main post office due to unknown reasons but they are checking on the status of their social security by other means. Therefore, based on the LPA's observations, staff and resident interviews, the above allegation(s) above is UNSUBSTANTIATED at this time.


An exit interview was conducted, no citation(s) were issued and a copy of this report was given to the administrator.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2025
LIC9099 (FAS) - (06/04)
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