197610442-9-24-2025-31-AS-NMAN-DRZVP7-20260309163617

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 09/24/2025
Date Signed: 09/24/2025 03:29:35 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
09/24/2025 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20250924082432

FACILITY NAME:	LEISURE VALE ASSISTED LIVING		FACILITY NUMBER:	197610442
ADMINISTRATOR:	ANGELA SMITH		FACILITY TYPE:	740
ADDRESS:	413 E. CYPRESS STREET		TELEPHONE:	(818) 244-2323
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	199	CENSUS: 170	DATE:	09/24/2025
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Nilda Mercado		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff allowed resident to sit in the hot sun while waiting for transportation
Staff did not ensure resident was cleaned properly

INVESTIGATION FINDINGS:

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At approximately 10:45 a.m. on 09/24/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit.

To investigate the allegations above, LPA interviewed staff and residents between 10:50 a.m. and 2:00 p.m. today, 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 11:00 a.m., and toured the facility inside and out at 11:30 a.m.

Regarding the allegation "Staff allowed resident to sit in the hot sun while waiting for transportation" it was alleged Resident #1 (R1) sits in the sun waiting for their rideshare without staff assistance. Record review of R1’s care plan revealed staff were to check on R1 every four (04) hours to ensure their safety, however R1 “has no observable safety awareness deficits”. Additionally, review of R1’s medical assessment revealed R1 was able to communicate their needs to staff.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025

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-20250924082432

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: 09/24/2025

NARRATIVE

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Review of the facility’s house rules revealed “Residents being picked up… [should] wait in the lobby”. Interview with Staff #1 (S1) at 11:00 a.m. today revealed R1 goes to their day program every day and waits for their rideshare without issue. R1 was yelling yesterday while waiting. S1 attended to R1 and noted everything was okay. S1 offered R1 water and shade, and R1 refused both. Interview with Staff #2 (S2) at 11:10 a.m. today confirmed R1 frequently waits for their rideshare without issues. LPA observed about five (05) residents sitting outside in the shade today at 12:00 p.m. LPA observed sufficient shaded area for residents. Interview with the receptionist, Staff #3 (S3) at approximately 1:00 p.m. today revealed R1 yells due to being impatient, but S3 has not heard R1 yelling out for help. Interview with R1 at 2:45 p.m. today revealed they receive adequate care from staff. R1 sits in the sun to ensure they do not miss their ride. Based on observations, interviews, and record review, staff provide adequate care and supervision to R1 while respecting their personal right to sit where they want. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff did not ensure resident was cleaned properly " it was alleged R1 had feces on their shoe and the handle of their walker. Interviews with S1 and S2 revealed they have never observed R1 to have feces on them or appearing disheveled. Interviews with S3 and Staff #4 (S4) at approximately 1:15 p.m. today revealed R1 is very particular and often asks staff how they look before leaving. S3 and S4 have also never seen R1 with feces on them. Interview with R1 revealed staff provide adequate assistance with bathing, toileting, and hygiene. Record review of R1’s file revealed staff are to provide reminders and standby assistance for R1’s grooming, dressing, and incontinence needs. LPA observed R1 at 2:45 p.m. today to be in good health and hygienic. Based on observations, interviews, and record review, there is insufficient information to determine if R1 was cleaned improperly. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health or safety concerns were observed during today’s visit.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025

LIC9099 (FAS) - (06/04)

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