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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610741
Report Date: 08/21/2026
Date Signed: 08/21/2026 01:24:10 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.RO, 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
06/11/2026 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20260611134223
FACILITY NAME:JADE AND JUDE HOMESFACILITY NUMBER:
197610741
ADMINISTRATOR:ANGUIANO, EMALYNFACILITY TYPE:
740
ADDRESS:8533 WOODLEY AVENUETELEPHONE:
(747) 248-2715
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:6CENSUS: 3DATE:
08/21/2026
UNANNOUNCEDTIME BEGAN:
10:19 AM
MET WITH:Claudia FunezTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Due to lack of supervision, resident eloped
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to address the above allegation and issue an updated report. LPA met with staff, Claudia Funez, and advised her of the complaint. The administrator, Emalyn Aguaiano, was advised over the telephone. Today's visit consisted of interviews with the administrator and staff. LPA also conducted a physical plant inspection to insure the health and sagety of the residents in care. The ten day visit to this complaint was made by LPA Cava on June 16, 2026. The findings were Unsubstantiated at that time. Additional review of this investigation was conducted, and the following was revealed.

Regarding allegation: Due to lack of supervision, resident eloped. It was alleged that on June 8, 2026, Resident 1 (R1) walked out of the facility because the door was not locked properly and the auditory alert did not go off. R1 was found by a cyclist, who called law enforcement, and was take to the emergency room. R1 was evaluated and discharged to family. There were some concerns because R1 has some cognitive issues. A file review was made prior to making this visit. An Incident Report (IR) was received by
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2026
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-20260611134223
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: JADE AND JUDE HOMES
FACILITY NUMBER: 197610741
VISIT DATE: 08/21/2026
NARRATIVE
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Licensing on June 12, 2026. Review of this IR revealed that on June 9, 2026, at approximately 7:30am, staff noticed R1 was not in the facility. Staff searched for R1 immediately within parameters of the facility, but R1 could not be located. Law enforcement were called to report missing person, and R1's responsible person was notified. R1 was eventually located and was picked up at the hospital. There were no injuries noted.

Although R1 was safely found at a nearby hospital, a review of R1's records indicate that R1 has a medical condition and diagnosis that does not allow for a person of this capacity to leave the facility unsupervised. R1 is identified to have disorientation, lack of hazard awareness, and unsafe wandering. Moreover, R1 is non-ambulatory and has some cognitive impairment. There was staff presence, but this may not have been sufficient to meet the needs in supervising R1. Therefore, based on this additional review, the allegation of Due to lack of supervision, R1 eloped is Substantiated. Citation issued on the 9099D. Appeal rights discussed and a copy of this report issued.
SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20260611134223
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: JADE AND JUDE HOMES
FACILITY NUMBER: 197610741
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/21/2026
Section Cited
CCR
87411(a)
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Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was no met as evidenced by: On 06/09/26, R1 left the facility unsupervised. Review of R1's records
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As POC, the licensee will hold trainig for the administrator and staff to address this section of the regulation. As proof training is held, a copy of the training log and attendance sheet is due to the licensing agency by 08/28/26.
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reveal that R1 has a condition and diagnosis that does not allow for a person of this capacity to out unsupervised. This posses as an immediate health and safety risk to a resident 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: Mary G Flores
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3