197610466-10-2-2025-31-AS-NMAN-DU4W5A-20260515165849

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610466
Report Date: 10/02/2025
Date Signed: 10/02/2025 04:35:24 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.ASC, 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
09/26/2025 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20250926092430

FACILITY NAME:	VALLEY SILVERTOWN		FACILITY NUMBER:	197610466
ADMINISTRATOR:	DARLENE LINDLEY		FACILITY TYPE:	740
ADDRESS:	6833 FALLBROOK AVE		TELEPHONE:	(818) 883-4123
CITY:	WEST HILLS	STATE: CA	ZIP CODE:	91307
CAPACITY:	183	CENSUS: 100	DATE:	10/02/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Mohammed Alqam		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Insufficient care and supervision provided to residents
Facility is unsanitary

INVESTIGATION FINDINGS:

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At approximately 9:30 a.m. on 10/02/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit.

To investigate the allegations above, LPA conducted a file review at 4:00 p.m. on 10/01/25, interviewed staff and residents between 9:40 a.m. and 2:00 p.m. today, conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and client roster at 10:00 a.m., and toured the facility inside and out at 10:15 a.m.

Regarding the allegation "Insufficient care and supervision provided to residents" it was alleged a resident exposed themselves and urinated in a common area. File review revealed the facility submitted an incident report in which Resident #1 (R1) had urinated in the courtyard on 09/20/25. Interview with Staff #1 (S1) at 9:40 a.m. today confirmed the details of the report and noted only Staff #2 (S2) witnessed the event.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

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-20250926092430

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: VALLEY SILVERTOWN	FACILITY NUMBER: 197610466
	VISIT DATE: 10/02/2025

NARRATIVE

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***This report was amended to correct an error*** - LPA NR 05/15/26

Interview with Staff #2 (S2) at approximately 11:30 a.m. revealed they reported the incident to Staff #3 (S3). Interview with S3 at approximately 12:15 p.m. today revealed they were aware of the issue and spoke with R1 and their family about additional assistance and facility rules. Record review of R1’s reassessment from 03/15/25 indicated that R1 did not need assistance with toileting. Review of R1’s medical assessment also indicated that they were able to follow instructions and handle their toileting needs without staff assistance. Interview with the administrator at 12:20 p.m. today revealed it may have been an episode of confusion, and staff are monitoring R1’s behaviors for the next two (02) to three (03) weeks to ensure they and other residents are afforded a safe and comfortable setting. Based on interviews and record review, although R1 used a common area to urinate, staff appropriately supervised R1 and reported the issue to all appropriate parties. Furthermore, the facility has increased supervision of R1. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Facility is unsanitary" it was alleged Resident #2 (R2) disposed of their toenails and urine from their catheter bag in a common area. During facility tour, LPA observed the facility was sanitary and free from debris. Information received revealed that both incidents happened few days after R1 was admitted to the facility. Staff #1 (S1) who witnessed both incidents revealed that they immediately cleaned common areas and made sure to eliminate urine odor. The incidents were reported to the staff #3 (S3). S3 stated they spoke with R2 about the incident and made clear that they are to use their room and restrooms for catheter care and dispos the toenails in the trashcan. S3 also spoke with R3’s home health agency about increased assistance. Interview with R2 at approximately 11:45 a.m. today revealed they no longer empty their catheter in common areas after speaking with S3. R2 verified that they can care for their catheter independently. A review of R2’s facility records confirmed that R2 can independently care for their catheter and empty urine bag. Review of R2’s care plan revealed R2 needed “time to adjust [to a] new environment”, and care staff were to “monitor… and report difficulties”. Overall investigation revealed that although alleged incidents did happen, staff immediately cleaned the common areas to ensure that residents are not exposed to unsanitary conditions. Therefore, based on interviews observation and record review, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health or safety concerns observed during today’s visit.
Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

LIC9099 (FAS) - (06/04)

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