197610466-6-16-2026-31-AS-NMAN-DVYSDK-20260714134717

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610466
Report Date: 06/16/2026
Date Signed: 06/16/2026 04:12:33 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
12/15/2025 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20251215130056

FACILITY NAME:	VALLEY SILVERTOWN		FACILITY NUMBER:	197610466
ADMINISTRATOR:	MOHAMMAD ALQAM		FACILITY TYPE:	740
ADDRESS:	6833 FALLBROOK AVE		TELEPHONE:	(818) 883-4123
CITY:	WEST HILLS	STATE: CA	ZIP CODE:	91307
CAPACITY:	183	CENSUS: 132	DATE:	06/16/2026
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Mohammed Alqam		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Facility staff did not protect a resident from being threatened
Facility staff did not protect a resident from being hit
Facility did not follow mandated reporter requirements

INVESTIGATION FINDINGS:

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At approximately 12:30 p.m. on 06/16/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the assistant administrator and disclosed the reason for the visit.

To investigate the allegations above, LPA Antonia Alvizar-Ettima conducted an initial visit on 12/18/25 and reviewed pertinent records, including but not limited to home health notes, a medical assessment, care plan, and staff and client rosters at approximately 11:05 a.m. and toured the facility at 11:25 a.m. LPA Reed conducted a subsequent visit on 04/17/26 and toured the facility at 10:30 a.m., telephonically interviewed Resident #1 (R1) at 11:00 a.m. and Staff #1 (S1) at 11:15 a.m., and interviewed ten percent (10%) of residents, or twelve (12) out of 120 residents between 1:30 p.m. and 4:00 p.m. Today, LPA toured the facility at 12:45 p.m., telephonically interviewed a home health nurse (N1) at 1:30 p.m., and interviewed the administrator at 3:30 p.m.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026

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-20251215130056

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: 06/16/2026

NARRATIVE

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Regarding the allegations "Facility staff did not protect a resident from being threatened”, “Facility staff did not protect a resident from being hit", and “Facility did not follow mandated reporter requirements” it was alleged a nurse from an outside agency hit R1 on the shoulder and threatened to kill R1. S1 was present in the room and did not protect R1 or report the abuse properly. Interview with R1 confirmed they were hit and threatened by a home health nurse, not a facility employee. Interview with S1 revealed they witnessed a home health nurse provide care to R1. S1 did not witness any abuse or threats, therefore S1 made no report of abuse. Interview with N1 revealed they did not abuse or threaten R1. R1 told N1 they had shoulder pain, so N1 made sure to stay away from the hurt shoulder. Interviews with twelve (12) out of twelve (12) residents interviewed revealed no residents witnessed or experienced abuse from staff. Interview with the administrator revealed they have not received reports of abuse from any residents. All staff have been trained as mandated reporters to report abuse. Record review of R1’s home health notes revealed no information about abuse or threats made towards R1. During facility tours on 04/17/26 and today, LPA observed staff treating residents respectfully. Based on observations, interviews, and record review, there is insufficient evidence to confirm the validity of the allegations. Therefore, the allegations are 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: 06/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026

LIC9099 (FAS) - (06/04)

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