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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 405850047
Report Date: 01/13/2026
Date Signed: 01/13/2026 04:37:23 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
01/12/2026 and conducted by Evaluator Garrett Haner-Tomasko
COMPLAINT CONTROL NUMBER: 29-AS-20260112082818
FACILITY NAME:VALLEY VISTA RESIDENTIAL CARE IIIFACILITY NUMBER:
405850047
ADMINISTRATOR:EVELYN STRAMPEFACILITY TYPE:
740
ADDRESS:1557 GALLEON WAYTELEPHONE:
(805) 439-4120
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY:6CENSUS: 6DATE:
01/13/2026
UNANNOUNCEDTIME BEGAN:
01:08 PM
MET WITH:Licensee - Evelyn StrampeTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Facility staff did not ensure centrally stored medicines were locked
INVESTIGATION FINDINGS:
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On 1/13/2026, at 1:08pm Licensing Program Analyst (LPA) Haner-Tomasko conducted a complaint visit to the facility to investigate the allegation to this complaint. LPA met with Licensee/Administrator Evelyn Strampe and explained the purpose of the visit.

During the visit the LPA toured the facility, reviewed resident records, and conducted interviews.

On the allegation: Facility staff did not ensure centrally stored medicines were locked. It was alleged that resident medications, gabapentin and seroquel, were in resident bedrooms in unlocked locations. LPA interviews revealed the seroquel was located in an unlocked bedside table of Resident #1’s (R1’s) bedroom and the gabapentin was in an unlocked closet of Resident #2’s (R2’s) bedroom.

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

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
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 29-AS-20260112082818
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: VALLEY VISTA RESIDENTIAL CARE III
FACILITY NUMBER: 405850047
VISIT DATE: 01/13/2026
NARRATIVE
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Both medications were unattended at times and accessible to residents in care. LPA noted during resident record review that 5 of 6 residents currently residing in the facility cannot manage their own medications.

During today’s visit LPA observed and photographed the following medications unattended and unlocked: at 1:10pm in Resident #4's (R4's) bedroom a bottle of Bayer aspirin with additional unmarked capsules inside with the aspirin tablets and a bottle of glucosamine chondroitin with capsules of different colors; at 1:16pm in Resident #1 (R1) and Resident #3's (R3's) bedroom a container of the Licensee's personal belongings including four medicated tubes of hydrocortisone cream, bottle of B-12 vitamins, bottle of alpranax, and in a separate bag in the dresser 9 medication bottles with medication in them including 2 bottles of hydromorphone 4mg, one bottle with 182 tablets and the other with 30; at 1:20pm in Resident #2's (R2's) bedroom a bottle of iron tablets, two bubble packs of medications, and two bottles of medications.

On 12/31/2025 LPA conducted an annual facility visit and cited for cleaning solutions and medications left unlocked and unattended and on 2/7/2025 during a complaint visit the facility was cited for centrally stored medications not being locked. Licensee stated they did not do a thorough check after the annual visit on 12/31/2025 because they were busy with the residents and had to to take care of other things for the facility. They also said they do not have enough room to store all the medications in the medication drawers located in the kitchen. LPA ensured Licensee locked up all medications in other locked storage during today's visit. Since this is a repeat violation of the same Title 22 regulation within 12-months an immediate civil penalty in the amount of $250 is being assessed today, for every day this deficiency is not corrected an additional civil penalty can be assessed of $100/day.

Based on all interviews conducted, record review and LPA observation, 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, deficiencies cited on LIC9099-D page, an immediate civil penalty in the amount of $250 is being assessed today on the attached LIC 421FC, report signed, report and appeal rights provided to the Licensee.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 29-AS-20260112082818
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: VALLEY VISTA RESIDENTIAL CARE III
FACILITY NUMBER: 405850047
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/14/2026
Section Cited
CCR
87465(h)(2)
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(h) ...(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by;
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Licensee locked up all medications found during the tour during LPA's visit. Licensee will create a policy to ensure medications are locked, include faciity checks for unlocked medicines and the destruction of discountued medications and email the policy to the LPA on or before 1/20/2026.
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Based on observation and interviews, the licensee did not comply with the section cited above when staff left multiple medications throughout the facility accessible and unlocked which possessed an immediate health and safety risk to residents 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: 01/13/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
LIC9099 (FAS) - (06/04)
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