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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 06/30/2026
Date Signed: 06/30/2026 12:14:05 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
04/08/2026 and conducted by Evaluator Gina Saucedo
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20260408081238
FACILITY NAME:LEISURE VALE ASSISTED LIVINGFACILITY NUMBER:
197610442
ADMINISTRATOR:STEPHANIE ODENFACILITY TYPE:
740
ADDRESS:413 E. CYPRESS STREETTELEPHONE:
(818) 244-2323
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:199CENSUS: 159DATE:
06/30/2026
UNANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Stephanie Oden - AdministratorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Facility increased rate without appropriate notification
Licensee failed to respond promptly and appropriately to communications from the resident’s representative
Staff do not safeguard resident's personal belongings
Staff did not prevent a resident in care from becoming severely dehydrated
Staff did not notify authorized representative of incident
Staff threatened to evict resident in retaliation for filing complaints
INVESTIGATION FINDINGS:
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On 06/30/26, at 7:45am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Stephanie Ogden, Administrator. LPA explained the purpose of this visit was to gather additional information and deliver findings for this complaint.

On 04/08/26, LPA Saucedo conducted the initial complaint visit. On 06/30/26, at 8:05am, LPA Saucedo conducted a physical tour, interviewed additional staff.

LIC 9099C-continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
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 4
Control Number 31-AS-20260408081238
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: 06/30/2026
NARRATIVE
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Regarding the allegation: Facility increased rate without appropriate notification. It is alleged that resident #1 (R1)’s rent has been increased since June 2025 for the amount of $ 1,464.07 instead of $ 1,444.07. During LPA’s interview with staff #1 (S1) and staff #2 (S2) R1’s rent did not increase until January 2026 in the amount of $1464.07 when their SSA-Social Security Administration benefits were increased. LPA received the copies of R1’s payments from June 2025 through January 2026 where it shows R1's Power of Attorney (POA) paid $1444.07 up to January 2026 and then paid $1464.07 for January 2026 and thereafter from the facility. Furthermore, LPA interviewed R1 and R1 did not know the amount they were paying. LPA also interviewed R1’s POA and R1’s POA stated, “they had been paying R1’s rent in the amount of $1464.07 not $1444.07 but never sent LPA their proof of receipts. Therefore, based on the record reviews, receipts received and interviews conducted, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Licensee failed to respond promptly and appropriately to communications from the resident’s representative. It is alleged that resident #1 (R1) RP asked Staff #1 (S1) how much the Medi Cal waiver pays towards R1’s rent and S1 refused to respond. During LPA’s interview with R1’s representative/Power of Attorney (POA) they wanted to know how much the waiver was paying towards rent but S1 refused to tell them. During LPA’s interview with Staff #1 (S1) and Staff #2 (S2) they both confirmed that the waiver pays for R1’s care not rent portion and a point system is used to determine the care. Furthermore, the waiver that the facility gets does not state form of payment for residents, it only states the tier-level of care. S1 and/or S2 would have to call the waiver program to check how much is being given for R1’s care but that doesn’t cover R1’s rent which was told to the POA. During LPA’s file review of R1, LPA observed the level of care for R1 was Tier 4 and was updated 03/2026 because their level of care had increased per the Waiver Representative and Point System used but it also did not state how much payment the facility receives for R1. LPA received a copy of the ALW-Assisted Living Waiver of 03/2026. Therefore, based on the record reviews, and 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: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20260408081238
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: 06/30/2026
NARRATIVE
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Regarding the allegation: Staff do not safeguard resident's personal belongings. It is alleged that resident #1 (R1) personal belongings have gone missing on several occasions. During LPA’s interview with R1’s Power of Attorney (POA) they stated R1 was missing a “Jesus Hat and radio.” During LPA’s interview with R1, they stated to LPA that their “Jesus Hat” was missing. During LPA’s review of R1’s Client/Resident Personal Property and Valuables-(LIC 621) there was no radio and Jesus Hat listed. The property list had an original list dated 2022, 2024 and 2026 and there was no hat and/or radio on the list. The last update was in March 2026 signed by Staff #1 (S1) for High back wheelchair that R1 received. Prior to this update was March 06, 2024, for a Hospital Bed provided by R1’s Hospice. During LPA’s interview with S1, S1 confirmed that R1 and/or their POA did not report a radio and/or had their property list updated. Furthermore, S1 also stated that R1’s POA said that R1 had prune juice missing but that was also never confirmed. Therefore, based on the record reviews, and interviews conducted, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff did not prevent a resident in care from becoming severely dehydrated. It is alleged that resident #1 (R1) is not given water and was severely dehydrated. During LPA’s physical tour, LPA observed a jug of water on the dresser next to R1’s bed. LPA took a picture of the jug of water. During LPA’s interview with R1, R1 did confirm they get water. During LPA's observation of R1, LPA observed R1 is non-ambulatory and can reach the water. During LPA’s record review of R1, their pre-placement, resident appraisal, Physician’s Report and Service Plan confirm that R1 can feed themselves and R1 is diagnosed with kidney failure which can cause dehydration because of the constant urination. During LPA’s interview with R1’s Power of Attorney (POA), they stated, “the water is out of reach for R1 so R1 cannot get the water. Furthermore, LPA interviewed two (2) caregivers that confirm a jug of water is kept in R1’s room so R1 can always have water since R1 has kidney issues. Therefore, based on the record reviews, and 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: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 31-AS-20260408081238
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: 06/30/2026
NARRATIVE
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Regarding the allegation: Staff did not notify authorized representative of incident. It is alleged that resident #1 (R1) was being transported to the hospital and that R1 had a kidney infection and the Power of Attorney (POA) learned this information from the doctor not the facility. During LPA’s interview with Staff #1 (S1), S1 stated, “I have had multiple conversations with R1’s POA about R1’s hospitalization I cannot disclose the reason for R1 going to the doctor because that is determined until they are at the hospital and the medical evaluation is made but every time R1 has been to the doctor R1’s POA is notified.” During LPA’s record review of R1, R1 has an updated Physician’s Report dated 2025 where R1 was diagnosed with acute kidney failure and in one (1) of R1’s discharge documents from the Healthcare and Wellness Center confirms that R1 had chronic kidney disease stage 3 unspecified. Furthermore, LPA received the most recent Unusual/Incident Injury Reports dated 01/06/26, 03/07/26 and 05/25/26 where it confirms the responsible party was notified. During LPA’s interview with R1’s POA, the POA confirmed that R1 went to the hospital on 03/07/26 for suicidal thoughts/Ideation and the POA did not agree with that because they stated to LPA R1 “does it for attention.” Additionally, the Unusual/Incident Injury Report for 03/07/26 says R1 called 911 themselves saying they were suicidal. Therefore, based on the record reviews, and interviews conducted, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff threatened to evict resident in retaliation for filing complaints. It is being alleged that resident #1 (R1)’s Power of Attorney (POA) deducted $200.00 from R1’s rent to pay for groceries and the facility threatened to evict R1. During LPA’s interview with R1, R1 did not know about an eviction notice. During LPA’s interview with R1’s POA, the POA confirmed that $200.00 was deducted from R1’s rent to pay for groceries. Furthermore, during LPA’s interviews with Staff #1 (S1) and Staff #2 (S2), R1’s POA tried to pay a portion of the rent deducting $200.00 saying the facility owed R1 because the POA spent $200.00 in groceries and that the POA was advised not threatened but advised that the entire amount of rent has to be paid and that the facility; thus R1’s rent has nothing to do with the POA buying groceries for R1. 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 Administrator.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4