197610442-3-10-2026-31-AS-TAGD-DSXNBF-20260408101905

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 03/10/2026
Date Signed: 03/10/2026 01:06:54 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
03/05/2026 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260305084625

FACILITY NAME:	LEISURE VALE ASSISTED LIVING		FACILITY NUMBER:	197610442
ADMINISTRATOR:	STEPHANIE ODEN		FACILITY TYPE:	740
ADDRESS:	413 E. CYPRESS STREET		TELEPHONE:	(818) 244-2323
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	199	CENSUS: 164	DATE:	03/10/2026
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Stephanie Oden, Executive Director		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Due to lack of supervision, resident physically assaulted another resident

INVESTIGATION FINDINGS:

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On 03/10/26, at 9:05am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Executive Director, Stephanie Ogden. LPA explained the purpose of this visit was to gather information and deliver findings for this complaint.

On 03/10/26, LPA Saucedo asked for the census, staff, and resident rosters. On 03/10/26, at 9:15am, LPA Saucedo conducted a physical tour, 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: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

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-20260305084625

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: 03/10/2026

NARRATIVE

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Regarding the allegation: Due to lack of supervision, resident physically assaulted another resident. It is being alleged that resident #1 (R1) was physically assaulted by another resident due to lack of supervision. LPA interviewed two (2) staff that were present the day of the fight between the three (3) residents. Staff #1 (S1) stated, "that R1 took Resident #2's (R2's) wallet and threw water in their face and S1 told them to stop." S1 also stated, "R1 then began to attack Resident #3 (R3) because R3 was hanging around R2." LPA also interviewed Staff # 2 (S2) whom stated, "they did not see the initial fight but said I called 911, the Glendale Police Officer then showed up and took the resident's statement." LPA interviewed R1 and R3. R1 and R3 gave a similar statements that S1 gave. R1 stated, "they saw R2 and R3 together and they got mad so they started to hit R2 and R3." R2 refused to talk to LPA about the incident. R3 stated, "their hair was pulled and their glasses were broken by R1 when they got attacked because they were hanging around R2." LPA asked both R1 and R3 if any staff were present and both stated, "yes, because the fight happened near the stairway by the dining hall." Furthermore, LPA interviewed thirteen (13) additional residents that did not witness the fight between the three (3) residents but did state, "that they feel safe at the facility because staff are always present to help them." During LPA's physical tour, LPA observed R1 in R2's room. In addition, LPA received the Unusual/Injury report that was sent to Community Care Licensing Department about the incident that happened between the three (3) residents. Therefore, based on the interviews conducted the allegation is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Executive Director.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

LIC9099 (FAS) - (06/04)

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