421700411-5-12-2023-29-AS-KBUY-CSBS2P-20230530132953

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 421700411
Report Date: 05/12/2023
Date Signed: 05/12/2023 09:42:51 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 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
05/09/2023 and conducted by Evaluator Brian Phillips

COMPLAINT CONTROL NUMBER: 29-AS-20230509113301

FACILITY NAME:	VALLE VERDE		FACILITY NUMBER:	421700411
ADMINISTRATOR:	SUSAN E PONCE		FACILITY TYPE:	741
ADDRESS:	900 CALLE DE LOS AMIGOS		TELEPHONE:	(805) 883-4193
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93105
CAPACITY:	547	CENSUS: 373	DATE:	05/12/2023
		UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Andy Sheen-Turner, Director of Dining Services		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Facility does not serve food of good quality

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced 10-day complaint visit and met with Andy Sheen-Turner, Director of Dining Services. LPA explained the purpose of the visit. LPA requested documents pertaining to the investigation and conducted observations of the pertinant areas of the facility.

On the allegation: Facility does not serve food of good quality. It was alleged that the meat is dry, burnt, and vegetables are sometimes of poor quality. The reporting party indicated that the quality of food is too salty. Reporting party also indicated an unwillingness to receive custom food orders accommodated by the facility.

LPA observed the dining room areas in separate sections of the facility and found the food items on the menu to be of good quality while served to residents. LPA toured the kitchen and observed the food supply. All foods observed were of good quality. There was no indication of any expired/stale food items and all food items were stored properly at correct temperatures. Contd. on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Brian Phillips	TELEPHONE: (805) 956-1636
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20230509113301

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: VALLE VERDE	FACILITY NUMBER: 421700411
	VISIT DATE: 05/12/2023

NARRATIVE

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During the LPA's touring of the kitchen area, policies and procedures on the handling of food were observed and food items had the dates that they were received by the facility labeled on the food product. There were no observable deficiencies in the quality of the food at the facility.

Based on the information obtained, the allegation is deemed Unsubstantiated at this time.

Exit interview, report was printed and emailed.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Brian Phillips	TELEPHONE: (805) 956-1636
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

LIC9099 (FAS) - (06/04)

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