<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604820
Report Date: 07/17/2025
Date Signed: 07/24/2025 11:19:13 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/10/2025 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20250710104715
FACILITY NAME:NEW WORLD VILLA SOUTHFACILITY NUMBER:
374604820
ADMINISTRATOR:CHEN, ZAYDENFACILITY TYPE:
740
ADDRESS:14125 TARZANA RDTELEPHONE:
(858) 748-2888
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:6CENSUS: 5DATE:
07/17/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Caregiver Josepina PilapilTIME COMPLETED:
06:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee hired uncleared staff.
Licensee did not provide residents adequate food service.
Licensee did not provide essential supplies.
Licensee did not meet residents' care needs.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to open a complaint investigation. LPA Correia was greeted by Caregiver Josepina Pilapil, identified herself, and stated the purpose of the visit.

The Department’s investigation included staff and resident interviews, and resident and staff records reviews.

On July 10, 2025, the Department received a complaint that alleged the Licensee hired uncleared staff to work at the facility, did not provide residents adequate food service, did not provide essential supplies for facility maintenance, and did not meet residents' care needs. A review of staff records revealed all staff had gone through the background check process and were issued clearance. During a tour of the facility LPA observed the facility had an adequate amount of food, including meat and poultry. The facility tour also revealed an adequate amount of incontinent care supplies, as well as cleaning supplies. A resident deemed qualified for an interview revealed no concerns with the food provided at the facility, or any issues with their needs being met.
[continued on LIC 9099C]
*This is an amended version of the original report delivered on July 18, 2025.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
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 2
Control Number 08-AS-20250710104715
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: NEW WORLD VILLA SOUTH
FACILITY NUMBER: 374604820
VISIT DATE: 07/17/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on the evidence obtained from interviews, and record reviews, the complaint allegations were determined to be UNSUBSTANTIATED. An unsubstantiated finding means the preponderance of evidence was not met.

An exit interview was conducted with Caregiver Evangeline Pingul and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) will be provided at the conclusion of the visit.

*This is an amended version of the original report dated July 18, 2025.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2