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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 12/04/2025
Date Signed: 12/04/2025 01:43:17 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
12/01/2025 and conducted by Evaluator Mariana Agban
COMPLAINT CONTROL NUMBER: 31-AS-20251201143417
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: 163DATE:
12/04/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Stephanie Olden- Executive DirectorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff are financially abusing resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced initial complaint visit for the above allegation. LPA arrived, was greeted by the receptionist, and met with the Executive Director Stephanie Olden, explaining the reason for the visit. LPA requested copies of pertinent information which includes and not limited to LIC 500, and Resident Roster. LPA conducted a physical plan tour, to ensure health and safety of the residents are protected and are in compliance with Title 22 Regulations.

Allegation: Staff are financially abusing resident
It was alleged that facility staff used Resident #1’s (R1) bank account information and accessed R1’s funds. It was also alleged that facility staff financially exploited Resident #2 (R2) by accessing R2’s checking account to pay for placement. Interview with the Executive Director indicated that R1 had never been a resident of the facility and that R2 had only been at the facility for a week. LPA conducted a records review of R2’s file and confirmed that R2 is responsible for his/her own finances.
(Continue on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
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-20251201143417
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: 12/04/2025
NARRATIVE
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Interview with Staff #2 (S2) and Staff #3 (S3), confirmed that R2 is responsible for their own financial matters and that the facility had no access to any banking information, nor had the facility charged R2 for placement. LPA also interviewed 16 residents, all of whom denied the allegation. Based on the information obtained, the allegation is deemed unsubstantiated at this time.


Exit interview conducted, copy of this report signed and delivered.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2