197610442-7-13-2026-31-AS-TAGD-DWNLUC-20260805090344

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 07/13/2026
Date Signed: 07/13/2026 01:00:15 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
07/07/2026 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260707161238

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: 162	DATE:	07/13/2026
		UNANNOUNCED	TIME BEGAN:	08:19 AM
MET WITH:	Stephanie Oden, Administrator		TIME COMPLETED:	01:05 PM

ALLEGATION(S):

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Resident was left outdoors for an extended period of time due to staff neglect
Staff do not prevent smoking in the facility
Licensee does not ensure that the facility has adequate supplies in order to adhere to infection control requirements as necessary
Staff do not accord privacy to residents in care

INVESTIGATION FINDINGS:

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On 07/13/26, at 8:19am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Stephanie Oden, Administrator. LPA explained the purpose of this visit was to information and deliver findings for this complaint.

On 07/13/26, LPA Saucedo asked for the census, staff, and resident rosters. On 07/13/26, at 8:35am, LPA Saucedo conducted a physical tour, interviewed staff, residents and delivered findings.

LIC 9099C-continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026

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-20260707161238

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: 07/13/2026

NARRATIVE

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Regarding the allegation: Licensee does not ensure that the facility has adequate supplies in order to adhere to infection control requirements as necessary. It Is alleged that there are not enough sanitary wipes available in the building for staff to provide proper hygiene care. During LPA’s physical tour, LPA observed plenty of sanitary wipes, gloves, incontinence, and other Personal Protective Equipment (PPE). LPA took several pictures of supplies at the facility. LPA interviewed four (4) staff that confirmed adequate supplies of PPE and/or infection control items are kept in five (5) different areas of the facility. There are two (2) storage areas with supplies, the front desk, Medical Technician Room and Wellness Director Room also have supplies. Furthermore, sixteen(16) residents did not have any concerns pertaining to inadequate supplies not being used by any of the staff and/or provided at the facility to them if they need it. Therefore, based on the interviews conducted and LPA’s physical tour the allegation(s) is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff do not accord privacy to residents in care. It is alleged that there are no privacy curtains available or utilized, violating the residents' fundamental right to privacy during personal care. During LPA’s physical tour, LPA observed every resident room to have bathrooms. In addition, if any resident is sharing a room they have their own privacy because the room is accommodated for two (2) people and Individual privacy is being provided in toilets, baths and shower areas. Sufficient room is also available to accommodate persons served in comfort and safety with their own dresser and bed. Furthermore, if the room is not shared then the room considered a private room. LPA interviewed sixteen(16) residents that did not have any issues with their personal privacy in accommodations, medical treatment, personal care and assistance. LPA interviewed four (4) staff that confirmed when an individual needs help they provide as much privacy to that resident as necessary. Therefore, based on the interviews conducted and LPA’s physical tour the allegation(s) is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issue, and a copy of this report was given to the Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 31-AS-20260707161238

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: 07/13/2026

NARRATIVE

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Regarding the allegation: Resident was left outdoors for an extended period of time due to staff neglect. It is alleged that a resident was abandoned outside the facility and left outdoors unattended until 1:00 AM and other residents are outside until 12:00AM. During LPA’s interview with four (4) staff, the four (4) staff confirmed that residents are allowed to come and go as they please plus there is an agency called "clipboard" along with home health and hospice that also come to help the residents so there is no staff neglect to residents. In addition, the front door can be accessed at any time of the day including nights plus there is a bell that can be rung at the front desk and there also a security guard at the front of the facility during the hours of 10:00PM-6:00AM. During LPA’s physical tour, LPA also confirmed that there is a sign in and out binder for residents at the front desk and that the front bell is working properly. LPA took a picture of the front desk binder used by residents. Furthermore, during LPA’s interview with sixteen (16) residents they confirmed that they have not been locked out of the facility and/or abandoned outside the facility at any time. Furthermore, sixteen (16) out of sixteen (16) residents confirmed that they do not feel like staff is neglecting them. Therefore, based on the interviews conducted and LPA's physical tour the allegation(s) is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff do not prevent smoking in the facility. It is alleged that residents are smoking in their room creating a fire and life-safety hazard. During LPA’s physical tour, LPA did not observe any residents smoking in their room and/or inside the facility. In addition, LPA did not observe any residents smoking in front of the facility. Furthermore, LPA took pictures of the back of the outside facility where residents are permitted to smoke. LPA’s interview with four (4) staff confirmed that they regulate the smoking outside where it is permitted as much as possible and remind all residents that there is a designated smoking area and smoking is not allowed inside the facility. LPA interviewed sixteen(16) residents and they have not seen anyone smoking in the facility. Therefore, based on the interviews conducted and LPA's physical tour the allegation(s) is UNSUBSTANTIATED at this time.

LIC 9099C-continued

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026

LIC9099 (FAS) - (06/04)

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