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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 10/16/2025
Date Signed: 10/16/2025 03:17:09 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
10/08/2025 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20251008101416
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: 167DATE:
10/16/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Stephanie Oden, Admin.TIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff mishandled a resident's personal belongings
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced initial complaint visit to investigate the above allegation. LPA met with administrator, Stephanie Oden and explained the reason for the visit.

--- Staff mishandled a resident's personal belongings.
It was alleged that staff members go through Resident #1’s (R1) room and steal belongings. R1 stated various items went missing but could not specify what items and could not provide any specific names of staff members or anyone that R1 could identify with stealing their belongings. To investigate the allegation, LPA requested documents at 11:00 a.m. and interviewed seventeen (17) residents and four (04) staff from 11:30a.m. – 2:30p.m. R1’s signed and dated Client/Resident Personal Property and Valuables log revealed that R1 declined to track personal items with the understanding of their right to begin tracking at any time. (CONT. on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
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-20251008101416
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: 10/16/2025
NARRATIVE
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During interviews with residents, R1, stated Brand new clothes and $400.00. went missing but could not identify who allegedly took the items. Resident #2 (R2) and Resident #3 (R3) stated they have had items go missing but could not identify who may have taken them. All other residents stated staff do not go through their rooms and steal belongings. During interviews with staff, all staff stated they do not go through residents’ belongings and steal things.

Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time.

No health and safety hazards noted during the visit.

Exit interview conducted and a copy of the report was issued.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2