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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 405800577
Report Date: 05/27/2026
Date Signed: 05/27/2026 05:01:24 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/22/2026 and conducted by Evaluator Garrett Haner-Tomasko
COMPLAINT CONTROL NUMBER: 29-AS-20260522111709
FACILITY NAME:VILLAGE AT SYDNEY CREEK, THEFACILITY NUMBER:
405800577
ADMINISTRATOR:AUDIE SHERBERGFACILITY TYPE:
740
ADDRESS:1234 LAUREL LANETELEPHONE:
(805) 543-2350
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY:84CENSUS: 48DATE:
05/27/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator - Audie SherbergTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Licensee does not ensure that facility faucets used by residents deliver hot water.
INVESTIGATION FINDINGS:
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At 9:30am, on 5/27/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to investigate the allegation of this complaint and deliver final findings. LPA met with Administrator Audie Sherberg, announced who he was and the reason for the visit.

On the allegation, licensee does not ensure that facility faucets deliver hot water; it was alleged that the facility hot water has been out for about three days and this is not the first time the facility has been without hot water. It was also alleged that due to the lack of hot water residents have not received showers and the dishware is not being cleaned properly.

(Continued on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
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 5
Control Number 29-AS-20260522111709
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VILLAGE AT SYDNEY CREEK, THE
FACILITY NUMBER: 405800577
VISIT DATE: 05/27/2026
NARRATIVE
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Staff interviews revealed that on 5/11/2026 the Administrator notified the Maintenance Director of the hot water issue, the Maintenance Director called the boiler company they use and scheduled them at their earliest availability for 5/14/2026. On 5/14/2026, the boiler company arrived at the facility, conducted maintenance and replaced some parts including a tempering valve that mixes hot and cold water to ensure water delivered to the faucets for resident use does not exceed 120°F. Interviews revealed that the tempering valve was believed to be the issue as it was corroded and could not be adjusted. The boiler company replaced the tempering valve and checked the temperature at various resident bathroom faucets in all three neighborhoods, observing the temperature ranging between 109 – 111°F at these tested faucets. California Title 22 regulation, for residential care facilities for the elderly, requires hot water delivered to faucets used by residents to be no less than 105°F and no more than 120°F. On 5/21/2026 the Vice President of Operations reported to the Maintenance Director that there was an issue again with the water delivered to the resident used faucets not being hot enough. The Maintenance Director contacted the boiler company and was instructed on a temporary fix. The boiler company placed an order for another tempering valve, stating the replacement installed on 5/14/2026 may be faulty. After applying the temporary fix the Maintenance Director tested hot water temperatures observing them to range between 109 – 114°F at various resident bathroom faucets in all three neighborhoods.

During today’s visit LPA, Administrator, and Administrator in Training toured the facility. LPA measured the hot water temperature in all three neighborhoods at resident bathroom faucets in rooms closest and furthest from the boiler room. Resident room 114 at 9:52am reached 100.6°F, resident room 111 at 9:52am reached 92.3°F, resident room 101 at 10:14am to reach 111.2°F; room #108 at 10:25am reached 95.2°F, after running the water for five minutes 97.7°F, and at ten minutes 102.7°F. Room 205 at 11:05am reached 87.8°F at the sink and 88.7°F at the shower; room 202 at 11:15am reached 106.2°F at the sink and shower; room 206 at 11:31am reached 110.8°F at the sink; room 215 at 11:37am at 82.0°F, after running for six minutes 105.0°F at the sink and shower and did not surpass 105.0°F at the shower. Room 314 at 12:04am reached 106.3°F and room 309 at 12:19am after running for ten minutes reached 102.0°F. LPA also measured additional hot water temperatures in various resident rooms throughout the three neighborhoods finding them measuring inconsistently between 87.8 to 111.2°F. After taking all the above readings LPA returned to resident room 111 at 12:28pm to retest the water at the bathroom faucet and recorded it reaching 99.5°F.

(Continued on LIC9099-C)

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 29-AS-20260522111709
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VILLAGE AT SYDNEY CREEK, THE
FACILITY NUMBER: 405800577
VISIT DATE: 05/27/2026
NARRATIVE
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Staff stated that the hot water issue has been ongoing for approximately two – three weeks. Recently a solution has been implemented that when med-techs are notified by care staff that the water is not getting hot enough for showers, the med-techs then turn the hot water on in resident rooms at the end of each hallway, and after running the water for approximately 10-15 minutes it gets warm enough for showers. They state this is just a temporary solution and does not work for all showers. Staff also stated they can provide bed baths to residents but were not guided on where to access water warm enough to provide the bed baths.

The Maintenance Director stated that on 5/24/2026 a plumbing company was called out due to a shower valve that could not be shut off, while the plumber was there another shower valve with a similar issue was reported by staff. The plumber stated that the issue with both the shower valves in resident rooms were not functioning properly and were mixing cold water back into the hot water line adding to the primary hot water issue. Some of the shower valves have been replaced but as of today’s visit not all the shower valves have been tested ensuring they work properly. Additionally, the Administrator and Maintenance Director stated the boiler company returned yesterday 5/26/2026 to make temporary adjustments to the hot water system until a replacement tempering valve arrives which is on back order and may take four to six weeks to arrive.

A similar complaint was received in June 2025. Although the facility shows it is taking measures to fix the issue at the time of the complaints, there is evidence that shows it is recurring and impacts resident care. As of today’s visit, the hot water system is still not delivering consistent hot water within regulation temperatures to all resident rooms.

Regarding the water delivered to the kitchen and dishware sanitization, the water delivered to the faucets in the main kitchen, located outside the resident neighborhoods, bypasses the tempering valve allowing for water delivery hotter than 120°F. The faucets in the kitchen are labeled, as required by regulation, indicating they deliver hotter water. Per California Title 22 regulation, for residential care facilities for the elderly, the facility must ensure disinfection of dishes and utensils by one of two means; either by maintaining hot water at a minimum temperature of 170°F at the final rinse cycle of diswashing machines, or by an alternative comparable method such as the addition of a sanitation agent to the final rinse water. This facility uses a sanitizing agent called Aqua Pure, containing sodium hypochlorite, during the sanitization process of washing dishes and utensils.

(Continued on LIC9099-C)

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 29-AS-20260522111709
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VILLAGE AT SYDNEY CREEK, THE
FACILITY NUMBER: 405800577
VISIT DATE: 05/27/2026
NARRATIVE
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Based on observation, all interviews conducted, and documents obtained, at this time the above allegation was found to be substantiated, there is a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted, deficiencies cited on LIC809-D page, report signed, appeal rights and report provided to the Licensee.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20260522111709
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: VILLAGE AT SYDNEY CREEK, THE
FACILITY NUMBER: 405800577
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/24/2026
Section Cited
CCR
87303(a)
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Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by:
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Administrator states they will create a written plan adressing further planned fixes to the hot water system, how residents will recieve care including showers/bathing, and ongoing communication and email plan to LPA by 5/28/2026 and the facility will fix the hot water system by 6/24/2026.
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Based on observation, interview and record review, the licensee did not ensure the facility boiler system and shower valves are in good repair and delivering consistent hot water to resident faucets which poses a potential health, safety, and personal rights risk to persons 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.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5