197610442-6-2-2026-31-AS-TAGD-DV4MS2-20260616095112

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 06/02/2026
Date Signed: 06/02/2026 12:55:48 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
05/28/2026 and conducted by Evaluator Angelica Segovia

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260528133548

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:	06/02/2026
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Stephanie Oden- Administrator		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

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Staff are in violation of resident’s personal rights.
Staff confiscated resident's personal belongings.

INVESTIGATION FINDINGS:

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On 6/02/2026 at approximately 9:20 AM, Licensing Program Analyst (LPA) Angelica Segovia conducted an unannounced initial complaint visit to the facility. LPA was greeted by the Administrator, Stephanie Oden and stated the reason for their visit.

To investigate the allegation(s), at approximately 09:30 AM, LPA conducted a physical plant tour. By 10:30 AM, LPA requested pertinent documentation pertaining to the investigation. From 10:30 AM to 12:30 PM, LPA conducted interviews with one (1) resident (R1), one (1) staff member (S1), and conducted record review.

(Continue to LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026

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-20260528133548

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: 06/02/2026

NARRATIVE

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Regarding the allegation: Staff are in violation of resident’s personal rights. It was alleged that staff have denied R1 their physician’s visits. To investigate the allegation, LPA conducted interviews with one (1) resident and one (1) staff member. LPA’s interview with R1 revealed they see the facility’s physician when needed and they haven’t needed to see the physician due to it not being, “necessary”. When questioned if staff have denied them their physician visits, R1 stated, “No”. LPA’s interview with S1 confirmed R1 is seen by the facility’s physician.

Based on interviews, R1 denied the allegation and confirmed they do in fact see their physician as needed. Therefore, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff confiscated resident's personal belongings. It was alleged staff entered R1’s bedroom and confiscated their medical card and home health folder. To investigate the allegation, LPA conducted interviews with one (1) resident. LPA’s interview with R1 revealed that no staff have taken any of their personal belongings. When questioned if staff entered their room and confiscated their medical card and home health folder, R1 stated, “No”.

Based on interviews, R1 denied the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No immediate health and safety issues observed during the day of the visit. Exit interview was conducted and a copy of this report was provided to the Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026

LIC9099 (FAS) - (06/04)

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