197610442-8-3-2026-31-AS-TAGD-DXXTH5-20260915144410

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 08/03/2026
Date Signed: 08/03/2026 11:46:42 AM

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
07/24/2026 and conducted by Evaluator Angelica Segovia

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260724121127

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: 173	DATE:	08/03/2026
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Stephanie Oden, Administrator		TIME COMPLETED:	12:10 PM

ALLEGATION(S):

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Staff do not treat residents with dignity and respect.
Staff handled resident in an aggressive manner.
Resident was hurt due to staff neglect or physical abuse .

INVESTIGATION FINDINGS:

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On 8/03/2026 at approximately 9:10 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 10:00 AM, LPA requested relevant documentation such as but not limited to Physician’s Report, Needs/Services, and Appraisals. From 10:00 AM to 12:00 PM, LPA attempted interviews with one (1) resident (R1), three (3) staff members (S1-S3), 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: 08/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2026

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 3

Control Number 31-AS-20260724121127

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: 08/03/2026

NARRATIVE

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Regarding the allegation: Staff do not treat residents with dignity and respect. It was alleged that Resident 1 (R1) was verbally and physically injured by staff. To investigate the allegation, LPA attempted interviews with one (1) resident and three (3) staff members. LPA’s interview with S1 revealed R1 had two (2) incidents where they were found away from the facility. Per S1, on (7/17/2026), R1 attempted to leave the geographic area where staff intervened to bring them back to the facility and upon their return, R1 displayed aggressive behavioral episodes with self-harming statements. On (7/19/2026), S1 revealed R1 had once again left the facility where again staff tried to intervene due to heat exposure, police were called, and R1 was taken to the hospital where they were later placed on a “5150 hold”. LPA’s interview with both S2 and S3 correlated with S1’s interview. LPA’s interview with S2 revealed R1 was observed to have a nosebleed on said incident which could have been related to heat exposure. Per S2, when staff tried to assist R1 back to the facility, R1 refused and continued to make self-harming statements such as, “I want to kill myself”. When LPA questioned if R1 was verbally and physically abused by staff, all three (3) staff denied the allegation. LPA attempted to interview R1, but they have not returned from the hospital since said incident.

LPA’s record review of information provided by the Reporting Party’s (RP) confirmed R1 was placed on a “5150-hold” due to them making, “…incoherent statements…” and insisting they would, “kill themselves”. LPA’s record review of R1’s Physician report revealed R1 to have various diagnosis including psychological diagnoses. Further record review of R1’s Physician Report documented them to be, “Depressed” under their Mental/Cognitive Condition Assessment. Additional record review of the Facility’s Unusual Incident/Injury Reports (SIRs) confirmed the facility had self-reported the incident to Community Care Licensing Division (CCLD) on 7/26/2026. LPA’s supplementary record review of the weather forecast of said incident (7/19/2026) confirmed weather forecast to document highs of 94°F. During LPA’s physical plant tour, LPA did not observe staff mistreating residents verbally nor physically.

Based on interviews, record review, and observations there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

(continue to LIC 9099-C)

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2026

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260724121127

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: 08/03/2026

NARRATIVE

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Regarding the allegation: Staff handled resident in an aggressive manner. It was alleged staff hurt R1 by shaking them in their wheelchair. To investigate the allegation, LPA conducted interviews with two (2) staff members. LPA’s interview with S2 revealed on (7/19/2026), R1 was attempting to leave the geographic area and made self-harming statements. LPA’s interview with S3 correlated with S2’s interview. When questioned whether staff had handled R1 in an aggressive manner by shaking them in their wheelchair, both staff denied the allegations. When questioned if bruising or scratches were observed on R1, both staff denied the allegation. Per S3, they were attempting to bring R1 back to the facility by maneuvering their wheelchair, but R1, “…is very strong” and kept trying to cross the street in their wheelchair. During LPA’s physical plant tour, LPA did not observe staff mistreating residents verbally nor physically.

Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Resident was hurt due to staff neglect or physical abuse. It was alleged R1 was observed to have, “fresh scabbing wounds” on their face/arm and minor bruising on their right arm. To investigate the allegation, LPA conducted interviews with three (3) staff members. LPA’s interview with all three (3) staff members denied R1 was observed to have scabbing or bruising on their body pertaining to their hospitalization on 7/19/2026. LPA’s interview with S1 revealed R1 has “picking” behaviors which could be related to scabs on their arms. LPA’s record review of information provided by the RP revealed R1 made self-harming statements such as they would “stab themselves” like they did “5 years ago”.

Based on interviews and record review, there is not enough information to verify 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: 08/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2026

LIC9099 (FAS) - (06/04)

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