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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610466
Report Date: 07/09/2026
Date Signed: 07/09/2026 03:49:38 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
12/03/2025 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20251203164348
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: 143DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Mohammad AlqamTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Facility staff did not provide sufficient incontinence care
Facility staff did not provide proper diabetes assistance
INVESTIGATION FINDINGS:
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At approximately 11:00 a.m. on 07/09/26 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 12/05/25 and interviewed staff between 2:20 p.m. and 3:30 p.m., obtained pertinent records at 2:45 p.m., toured the facility inside and out at 3:00 p.m., and reviewed video footage of the lobby at 3:30 p.m. LPA obtained video footage of a resident’s room at 1:15 p.m. on 12/23/25. LPA interviewed Staff #1 (S1) at 11:10 a.m. on 04/10/26. LPA conducted a subsequent visit on 06/10/26 and toured the facility at 9:15 a.m., reviewed previously obtained records and video footage, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 10:00 a.m., and interviewed staff and residents between 12:15 p.m. and 4:00 p.m. Today, LPA telephonically interviewed a physician at 2:15 p.m. and toured the facility at 12:15 p.m.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
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-20251203164348
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: 07/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/20/2026
Section Cited
CCR
87625(b)(3)
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87625 Managed Incontinence (b) ...the licensee shall be responsible for...: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidenced by:
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Licensee will conduct an in-service training on the cited section and submit to LPA by the POC due date.
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Based on interviews and record review, the licensee did not comply with the section cited above by not ensuring Resident #1 (R1) was kept clean and dry which posed a potential risk to the Health, Safety, or Personal Rights of residents in care.
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Type B
07/20/2026
Section Cited
CCR
87465(a)(4)
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87465 Incidental Medical and Dental Care (a) A plan... shall be developed... by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by:
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Licensee will conduct an in-service training on the cited section and submit to LPA by the POC due date.
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Based on interviews and record review, the licensee did not comply with the section cited above by not assisting Resident #1 (R1) with medications which posed a potential risk to the Health, Safety, or Personal Rights of residents 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.
SUPERVISOR'S NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 31-AS-20251203164348
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: 07/09/2026
NARRATIVE
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Regarding the allegation "Facility staff did not provide sufficient incontinence care” it was alleged staff did not assist Resident #1 (R1) with incontinence care on 11/29/25 until around 4:00 p.m. R1 was found in a soiled diaper and wet clothing at that time by Witness #1 (W1). W1 stated Staff #1 (S1) and Staff #2 (S2) then came to assist R1. Interview with R1 at 4:00 p.m. on 12/03/25 revealed they were not assisted by staff and felt unwell after recovering from a Urinary Tract infection (UTI). Telephonic interview with Staff #1 (S1) at 10:45 a.m. today confirmed they began their shift around 2:30 p.m. and found R1 in a soiled diaper and clothing later that afternoon. S2 was unavailable for interview. Interview with Staff #3 (S3) at 9:30 a.m. on 12/02/25 revealed they had found R1 in a soiled diaper and wet clothing another time. Record review of R1’s medical assessment indicated they were incontinent and relied upon staff for toileting assistance. Review of R1’s care plan indicated staff were responsible for assisting R1 with all activities of daily living. Based on interviews and record review, there is sufficient evidence to confirm the allegation. Therefore, the allegation is deemed SUBSTANTIATED at this time.

Regarding the allegation "Facility staff did not provide proper diabetes assistance" it was alleged R1’s blood sugar level was too high on the evening of 11/29/25 due to improper staff assistance. Record review of R1’s medication list and Medication Administration Record (MAR) revealed they were prescribed two (02) pills to manage their diabetes, Metformin and Glipizide. Telephonic interview with R1’s physician revealed R1's Glipizide was discontinued, however the facility should have assisted with Metformin. The MAR indicated Staff #4 (S4) did not assist R1 with taking Metformin on the morning of 11/29/25. S4 wrote in the MAR notes that R1 was “physically unable to take” the medication. S4 was unavailable for an interview to explain the notes. Interview with Staff #5 (S5) at 4:00 p.m. on 06/16/26 revealed R1 monitored their blood sugar on their own and depended on staff for medication assistance. S5 could not explain why R1 was not assisted with Metformin on 11/29/25. Based on interviews and record review, the facility did not provide proper diabetes assistance. Therefore, the allegation is deemed SUBSTANTIATED at this time.

No immediate health or safety concerns observed during today’s visit.

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

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3