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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610466
Report Date: 12/04/2025
Date Signed: 12/04/2025 05:08:09 PM

Substantiated


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
11/03/2025 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20251103130636
FACILITY NAME:VALLEY SILVERTOWNFACILITY NUMBER:
197610466
ADMINISTRATOR:DARLENE LINDLEYFACILITY TYPE:
740
ADDRESS:6833 FALLBROOK AVETELEPHONE:
(818) 883-4123
CITY:WEST HILLSSTATE: CAZIP CODE:
91307
CAPACITY:183CENSUS: 114DATE:
12/04/2025
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Mo AlqamTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Licensee allowed a volunteer to perform staff duties
INVESTIGATION FINDINGS:
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At 12:45 p.m. on 12/04/25 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 an initial visit on 11/06/25 and toured the facility inside and out at 1:50 p.m., interviewed staff and residents between 2:00 p.m. and 4:00 pm., and conducted a record review of pertinent records, including but not limited to staff records and a staff roster at 2:30 p.m. Another subsequent visit was conducted on 11/13/25 in which LPA interviewed staff, family, and residents between 1:00 p.m. and 5:10 p.m. and toured the facility inside and out at 1:30 p.m. Another subsequent visit was conducted on 11/19/25 in which LPA interviewed staff and residents between 11:15 a.m. and 4:15 p.m., toured the facility inside and out at 1:00 p.m., and conducted a record review of pertinent records at 2:15 p.m. Today, LPA interviewed staff and residents between 12:50 p.m. and 4:00 p.m., toured the facility at 1:00 p.m., and conducted a record review at approximately 3:00 p.m.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
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-20251103130636
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: 12/04/2025
NARRATIVE
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Regarding the allegation "Licensee allowed a volunteer to perform staff duties" it was alleged Volunteer #1 (V1) performed staff duties and without supervision. Record review of the staff roster and V1’s facility file revealed V1 was listed as a volunteer and not yet 18 years old. Record review of the facility program plan revealed the job description for ‘Receptionist’ required the individual to be at least 18 years old. LPA called the facility prior to the investigation at 4:45 p.m. on 10/06/25 and V1 answered and directed LPA’s call. Interview with the administrator at 2:15 p.m. on 11/06/25 revealed V1 mainly answers phones in the reception area and does not interact directly with residents. Interviews with four (04) out of seven (07) staff revealed they have seen V1 perform staff duties without supervision. Interviews with four (04) out of eleven (11) residents revealed they have seen V1 perform staff duties without supervision. Six (06) out of eleven (11) residents were unsure. Based on observations, interviews, and record review, V1 has performed receptionist duties without sufficient supervision. Therefore, the allegation is deemed SUBSTANTIATED at this time.

Exit interview conducted. Appeal rights discussed. Copy of report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20251103130636
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/12/2025
Section Cited
CCR
87411(b)
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87411 (b) Personnel Requirements -General - All persons who supervise employees or who supervise or care for residents shall be at least eighteen (18) years of age.
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Licensee has removed V1 from the staffing schedule and confirmed that V1 only works in the office and no longer works behind the front desk. Deficiency cleared.
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Based on record review and interviews, the licensee did not comply with the above section through leaving Volunteer #1 (V1) to supervise residents without supervision which posed a potential risk to the Health, Safety, or Personal Rights to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4