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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 07/30/2025
Date Signed: 07/30/2025 06:21:07 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
07/23/2025 and conducted by Evaluator Melissa Spaeth
COMPLAINT CONTROL NUMBER: 31-AS-20250723141110
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: 171DATE:
07/30/2025
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Angela SmithTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff are not meeting residents' personal hygiene needs
INVESTIGATION FINDINGS:
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On 7/30/2025 Licensing Program Analyst (LPA) Melissa Spaeth conducted a complaint investigation at the above facility to address the following allegation(s). LPA Spaeth met with the Administrator, Angela Smith. LPA explained the purpose of this visit was to gather information, interview staff and residents, and deliver findings regarding the complaint.

LPA interviewed seventeen (17) out of one hundred seventy-one (171) residents (R2-R18), the Administrator, and eight (8) out of sixty-nine staff members (S1-S8) at 11:10 am until 2:00 pm. LPA reviewed residents’ documents at 2:10 pm until 2:30 pm. LPA received the resident roster, staff work schedule, and copies of residents’ files. LPA and the Administrator toured the facility at 2:45 pm until 3:00 pm.
Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025
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-20250723141110
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: 07/30/2025
NARRATIVE
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Regarding the allegation: Staff are not meeting residents’ personal hygiene needs. It’s alleged a resident’s hair and nails are unkept and a resident’s appearance is untidy due to staff neglect. R1 was unavailable for an interview. R2-R18 stated they receive assistance from staff with their hygiene needs. LPA Spaeth observed R2-R18 were well groomed and were wearing clean clothes. S1-S8 and the Administrator denied the allegation.

LPA’s review of the residents’ documentation revealed when a resident refuses assistance with their hygiene needs, the staff document the refusal. If a resident forgets to shower themselves, the staff will document each week when they encourage residents to shower.

Based upon interviews and review of documentation, the allegation is unsubstantiated.

Exit interview was conducted and a copy of the report was given.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2