197610638-6-8-2026-31-AS-PMAA-DVSKL7-20260708075929

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610638
Report Date: 06/05/2026
Date Signed: 06/08/2026 08:50:33 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/04/2026 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20260604144317

FACILITY NAME:	CHATSWORTH COMMONS SENIOR LIVING, LLC		FACILITY NUMBER:	197610638
ADMINISTRATOR:	MONROY, DAVID		FACILITY TYPE:	740
ADDRESS:	20801 DEVONSHIRE ST.		TELEPHONE:	(818) 341-2552
CITY:	CHATSWORTH	STATE: CA	ZIP CODE:	91311
CAPACITY:	268	CENSUS: 164	DATE:	06/05/2026
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	David Monroy, Administrator		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff mismanaged residents' funds

INVESTIGATION FINDINGS:

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At 11:00am, Licensing Program Analyst (LPA) Angela Panushkina conducted subsequent visit. Upon arrival, LPA met with the Administrator, David Monroy, and explained the reason for the visit.

At 11:05am, LPA requested resident and staff roster. At 11:10am, requested copies of pertinent information which include, Marketing Derectors Job Description documents, relevant to the investigation. At approximately 11:15am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 11:20am - 1:00pm, LPA conducted an interview with the Administrator, Welness Director, two (2) staff, one (1) MedTechs and ten (10) out of fourteen (14) residents.

Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2026

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-20260604144317

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: CHATSWORTH COMMONS SENIOR LIVING, LLC	FACILITY NUMBER: 197610638
	VISIT DATE: 06/05/2026

NARRATIVE

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Allegation: Staff mismanaged residents' funds

It was alleged that the facility Marketing Director (MD) is taking advantage of the residents finances. There's been reports of residents complaining and also asking to be moved out of the community. To investigate this allegation, LPA conducted an interview with the Administrator and was informed that the facility utilizes MD who visits the community approximately once a week. Interview with the Administrator also revealed that the MD only handles outreach and initial introductions for potential residents. Once a resident moves into the facility, the MD has no further interaction with the resident and does not have authority to make decisions related to resident care, placement, room changes, or management of resident finances. The Administrator denied any misuse or any involvement by the MD in residents’ financial matters. Three (3) staff members interviewed did not know the MD referenced in the complaint. Staff further indicated that they did not observe/hear/witness any misuse of residents’ funds by the facility MD or other staff members. Ten (10) out of fourteen (14) residents interviewed also informed the LPA they had never met and did not know who the facility’s MD was. Residents reported that they maintain control of their personal funds or, when applicable, have designated family members or representatives assisting them. LPA conducted an interview with the facility Marketing Director and was informed that they are only responsible for managing referrals and keeping the facility fully occupied. Based on interviews this allegation is deemed Unsubstantiated, at this time.

No deficiency issued during today's visit.

Exit interview conducted. Appeal rights explained and copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2026

LIC9099 (FAS) - (06/04)

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