197610442-5-21-2026-31-AS-NGID-DWFT8A-20260729142958

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 05/21/2026
Date Signed: 05/21/2026 02:11:07 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
05/15/2026 and conducted by Evaluator Tuesday Cabiness

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260515111926

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: 172	DATE:	05/21/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Stephanie Odin		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff confined resident to bedroom

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tuesday Cabiness met with Administrator Stephanie Oden to investigate the allegation mentioned above. The following information was obtained during the visit:

It was alleged that facility staff confined residents to their bedrooms. To investigate the complaint, between 9:30 a.m. and 1:00 p.m., LPA conducted a physical plant inspection, obtained and reviewed resident and facility records, including the facility’s infection control plan and policy, and interviewed four staff members, including the Administrator.
According to the information obtained, resident #1 (R1) had a skin infection that could potentially be contagious. R1 was assessed by home health and a nurse practicioner (NP), and prescribed treatment. It was confirmed R1 had a contagious skin infection. (R1) shared a room with resident #2 (R2). During R1’s isolation period, R2 was also placed on precautionary quarantine measures due to potential exposure. (Cont'd LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026

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-20260515111926

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: 05/21/2026

NARRATIVE

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Information obtained revealed that facility staff informed R2 that the temporary isolation was necessary for health and safety reasons related to infection control procedures. Records reviewed and interviews conducted confirmed that R2 remained on quarantine precautions for two days. Following hospitalization for an unrelated medical condition, R2 was discharged back to the facility and relocated to a private room, per R2's request.

Based on interviews conducted, records reviewed, and the facility’s infection control procedures, as well as policy, LPA determined that the facility implemented appropriate precautionary measures consistent with infection control practices and policy. Therefore, the allegation that staff confined residents to their bedrooms is deemed Unsubstantiated.

Exit interview conducted and copy of report provided to Administrator.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026

LIC9099 (FAS) - (06/04)

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