197610442-4-8-2026-31-AS-TAGD-DTMM6N-20260430092013

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 04/08/2026
Date Signed: 04/08/2026 12:50:49 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
04/03/2026 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260403085839

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: 160	DATE:	04/08/2026
		UNANNOUNCED	TIME BEGAN:	08:25 AM
MET WITH:	Stephanie Oden- Executive Director		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff did not ensure the elevator was in disrepair
Staff are inappropriately isolating resident
Staff did not ensure resident had her phone appointment with care coordinator

INVESTIGATION FINDINGS:

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On 04/08/26, at 8:25am, 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 04/08/26, LPA Saucedo asked for the census, staff, and resident rosters. On 04/08/26, at 8:45am, 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: 04/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026

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-20260403085839

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: 04/08/2026

NARRATIVE

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Regarding the allegation: Staff did not ensure the elevator was in disrepair. It is being alleged that the elevator is still not working. LPA conducted a physical tour and the elevator was working. On 12/31/25, Woodland Hills South Regional Office (WHSRO) received an incident report stating that the elevator is out of order. Since 04/02/2026, the elevators have been working. LPA also received the Performance Elevator update and requirement of the elevators to perform properly dated 01/19/26. Staff #1 (S1) did state, "the elevator took longer to repair than usual because elevator parts had to be ordered." LPA interviewed sixteen (16) residents from the second and third floor that are ambulatory and non-ambulatory and they were able to access the stairway to go up and down without any issues. In addition, during LPA's physical tour, LPA observed an emergency evacuation chair on the second and third stairway to help residents if there was an emergency. Therefore, based on the interviews conducted the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff are inappropriately isolating resident. It is being alleged that resident #1 (R1) is being isolated on the third floor. During LPA's interview with R1, LPA asked R1 if they would like to move rooms and R1 stated, "I want to stay in this room but not at the facility." LPA asked R1 if they are able to go up and down the stairway and R1 stated, "yes." Let it be noted, LPA received R1's Identification and Emergency Information and Physician's Report that states R1 is ambulatory. LPA interviewed sixteen (16) residents from the second and third floor including R1 and asked them if they are being isolated and they all stated, "no." One (1) of the sixteen (16) residents did state, "they moved me from the lobby area and I would like to go back down there to my prior room." Let it be noted, this resident is also non-ambulatory and can go up and down the elevators and stairway. Furthermore, two (2) staff confirmed that if a resident wants to move rooms they can ask and they will be accommodated if the room is available and if the room meets their needs. Therefore, based on the interviews conducted the allegation is UNSUBSTANTIATED at this time.

LIC 9099C-continued

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260403085839

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: 04/08/2026

NARRATIVE

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Regarding the allegation: Staff did not ensure resident had their phone appointment with care coordinator. It is being alleged that resident #1 (R1) had a phone appointment and it was not provided. LPA asked R1 when did they have their phone appointment scheduled with their care coordinator and R1 did not know. LPA asked R1 if they had a cell phone and R1 stated, "it is broken." LPA asked R1 why did they not use the phone that is in the hallway to call their care coordinator but R1 stated, "I didn't know I had an appointment and I didn't know there was a phone down the hallway." In addition, LPA asked R1 if they are able to walk downstairs and R1 stated, "yes." Let it be noted, LPA received R1's Identification and Emergency Information and Physician's Report that states R1 is ambulatory. During LPA's physical tour, LPA observed a phone on every floor for residents to use. LPA also physically checked the phones to see if they were working and they were. In addition, a resident was using one (1) of the phones in the office area. During LPA's interview with two (2) staff, the two (2) staff stated, "the residents are allowed to use our cell phones but we have to know exactly when and where." One (1) staff also stated, " a care coordinator did come to see R1 on 03/30/26 and spoke to them." LPA called two (2) care coordinators and one (1) stated they couldn't come visit R1 because they lived too far and wanted to face time with R1 and the other care coordinator stated, "I am now the new care coordinator and I will be seeing R1 from now on at the facility and I did see R1 on 03/30/26 at the facility." During LPA's interview with fifteen (15) other residents they confirmed they either have their own cell phone or can use the telephone in the hallway. 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: 04/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026

LIC9099 (FAS) - (06/04)

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