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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 405850010
Report Date: 03/25/2026
Date Signed: 03/25/2026 04:33:11 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
12/30/2025 and conducted by Evaluator Garrett Haner-Tomasko
COMPLAINT CONTROL NUMBER: 29-AS-20251230091104
FACILITY NAME:CRESTON VILLAGE ASSISTED LIVING AND MEMORY CAREFACILITY NUMBER:
405850010
ADMINISTRATOR:ADAM BRAMWELLFACILITY TYPE:
740
ADDRESS:1919 CRESTON ROADTELEPHONE:
(805) 239-1313
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:130CENSUS: 103DATE:
03/25/2026
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Administrator Adam BramwellTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff do not maintain a clean/sanitary facility
INVESTIGATION FINDINGS:
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At 9:25am, on 3/25/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to deliver final findings to the above allegation of this complaint. LPA met with Administrator Adam Bramwell, announced who he was and the reason for the visit.

During a previous visit to the facility on 01/06/2026, LPA toured the facility, interviewed staff, residents, the administrator, and obtained relevant documents.

On the allegation, staff do not maintain a clean/sanitary facility; it was alleged that on a day in October 2025 Resident #1’s (R1’s) bathroom had feces on the toilet and walls.

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

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
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-20251230091104
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: CRESTON VILLAGE ASSISTED LIVING AND MEMORY CARE
FACILITY NUMBER: 405850010
VISIT DATE: 03/25/2026
NARRATIVE
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During LPA visit on 1/6/2025 LPA and Administrator Adam Bramwell toured the facility noting R1’s bathroom with yellow and brown dried substances on the toilet seat, brown dried spots on the bathroom floor, and the bathroom had a strong urine and fecal odor. Additionally in R1’s room multiple kitchenette cabinets had dried substances on the inside shelving, one drawer had a large spot of orange liquid spilled in it, another drawer contained a stained brown decorative pillow, the sink had dried food debris in it, and in the cabinet under the sink drainpipe the wood was stained, warping, and had multiple light grey, dark grey, and black spots. Upon inspecting all of the rooms in the Connections Neighborhood, memory care unit, the LPA and Administrator observed three additional resident rooms with grab bars, light switches and toilet seats with dried yellow and brown substances, all having a strong urine/fecal odor. Multiple stains were noted in the public hallway carpet in memory care with staff interviews revealing one of the carpet stains, brown in color, to be feces. Interviews revealed multiple staff had reported that specific stain to leadership on 1/5/2026. LPA photographed all the mentioned areas.

Based on observation and all interviews conducted, 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 LIC9099-D page, report signed, appeal rights and report provided to the Administrator.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
12/30/2025 and conducted by Evaluator Garrett Haner-Tomasko
COMPLAINT CONTROL NUMBER: 29-AS-20251230091104

FACILITY NAME:CRESTON VILLAGE ASSISTED LIVING AND MEMORY CAREFACILITY NUMBER:
405850010
ADMINISTRATOR:ADAM BRAMWELLFACILITY TYPE:
740
ADDRESS:1919 CRESTON ROADTELEPHONE:
(805) 239-1313
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:130CENSUS: 103DATE:
03/25/2026
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Administrator Adam BramwellTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff do not ensure that resident's needs are met
INVESTIGATION FINDINGS:
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At 9:25am, on 3/25/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to deliver final findings to the above allegation of this complaint. LPA met with Administrator Adam Bramwell, announced who he was and the reason for the visit.

During a previous visit to the facility on 01/06/2026, LPA, toured the facility interviewed staff, residents, the administrator, and obtained relevant documents.

On the allegation, staff do not ensure that resident's needs are met; it was alleged that on a day in October 2025 Resident #1 (R1) had feces on their hand and on a day in December 2025 R1 was sitting in their bedroom wearing only a shirt and diaper, when this was brought up to staff they stated, “that’s fine. I will just put a blanket over (R1)”. It was also alleged staff are not addressing R1’s over-grown fingernails.
(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 29-AS-20251230091104
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: CRESTON VILLAGE ASSISTED LIVING AND MEMORY CARE
FACILITY NUMBER: 405850010
VISIT DATE: 03/25/2026
NARRATIVE
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LPA review of R1’s record revealed R1 is diagnosed with dementia, struggles to communicate, has a contracted hand, is a one staff assist when toileting, has a private bedroom, and has a history of urinating in various spots of the facility.

Regarding R1's toileting needs. Staff stated R1 will take themself to use the bathroom if the staff are helping other residents, R1 has a history of putting their hands in their feces, and staff monitor R1 for hygiene because of this. Staff are not aware of a recent time R1 had feces on their hands.

Regarding R1's clothing, interviews revealed R1 will sometimes remove their pants independently, they will attempt to help R1 put the clothing back on, and there have been times when R1 has removed their pants, were sitting in their private room, and staff have offered R1 a blanket to cover their legs.

Regarding R1's over-grown fingernails, staff interviews revealed they are not allowed to cut finger or toenails, but once month or every two months a podiatrist visits the facility, the facility has a beauty salon that residents or their responsible person can make appointments for them to have their nails cut, and care staff document on each residents shower sheet if they notice the need to have their nails cut. Staff also stated that due to R1's contracted hand it is difficult to open the hand for the nails to be cut, R1's family has been taking them out of the facility to have their nails cut on a regular basis, and currently a home health nurse has been monitoring and cutting the nails on the contracted hand, but the nurse is not always successful.

Based on interviews and record review R1 does require assistance with their toileting, dressing and nail care needs and that the facility, home health, and R1's family are making efforts to provide R1 the care they need.

Based on all interviews conducted and documents obtained, at this time the above allegation was found to be unsubstantiated, meaning that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.



Exit interview conducted, report signed, and report provided to the Administrator.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20251230091104
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: CRESTON VILLAGE ASSISTED LIVING AND MEMORY CARE
FACILITY NUMBER: 405850010
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/08/2026
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.
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Administrator has already started checking the memory care unit more often for cleaniness and will conducted in-service training with staff on cleaning and sanitization of the facility and submit training documents and signed staff roster to LPA on or before 4/8/2026.
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This requirement was not met as evidenced by: Based on observation and interview, the licensee did not ensure the facility was clean and sanitary 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: 03/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5