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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 421700457
Report Date: 07/08/2025
Date Signed: 07/09/2025 08:28:52 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/18/2025 and conducted by Evaluator Kristin Kontilis
COMPLAINT CONTROL NUMBER: 29-AS-20250618100351
FACILITY NAME:WOOD GLEN HALL, INC.FACILITY NUMBER:
421700457
ADMINISTRATOR:JESSICA HONGFACILITY TYPE:
740
ADDRESS:3010 FOOTHILL ROADTELEPHONE:
(805) 687-7771
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY:72CENSUS: 51DATE:
07/08/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jessica Hong, Interim AdministratorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee does not ensure staff are conducting disaster drills.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to deliver final findings based on the above-stated allegation. At the time of arrival, LPA met with Interim Administrator Jessica Hong and explained the purpose of the visit. During the investigation, LPA Kontilis conducted a visit on 6/20/2025 from 11:15 am to 4:00 pm to interview staff and obtain relevant documents.
On the allegation, Licensee does not ensure staff are conducting disaster drills, Reporting Party stated concern that the facility has not conducted a fire or disaster drill within the last six months. Interviews conducted revealed that a disaster drill had not been conducted in the facility since November 2024.
On 6/26/2025, an all-staff Emergency Preparedness 101 Training and Drill was conducted with all staff currently employed at the facility. The Emergency Preparedness Drill conducted on 6/26/2025 included
identifying the location of the Public Announcement (PA) system and the fire panel which locates a fire.

Please continue to 9099-C, Pg 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
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 5
Control Number 29-AS-20250618100351
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: WOOD GLEN HALL, INC.
FACILITY NUMBER: 421700457
VISIT DATE: 07/08/2025
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
 The drill included how the fire panel would light up and guide staff on how to read the different zones in order to locate a fire. Drill activities included placement of staff throughout the facility with one staff member posing as “the fire” and staff practiced the steps to locate “the fire” then take the appropriate action to address the emergency.
Although an all-staff fire drill was conducted on 6/26/2025, it was determined that a disaster drill was not conducted in the first quarter of 2025. Based on records reviewed and interviews conducted the allegation the Licensee does not ensure staff are conducting disaster drills is Substantiated at this time.

The following deficiencies were observed (See LIC 9099-D) and cited from the California Code of Regulations, Title 22.

Exit interview conducted. Copy of report and Appeal Rights issued at the time of the visit.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 29-AS-20250618100351
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: WOOD GLEN HALL, INC.
FACILITY NUMBER: 421700457
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/09/2025
Section Cited
HSC
1569.695(c)
1
2
3
4
5
6
7
§1569.695 Emergency Plans: (c) A facility shall conduct a drill at least quarterly for each shift....

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
An all-staff disaster drill "Emergency Preparedness 101" was conducted on 6/26/2025.
POC cleared on this date.
8
9
10
11
12
13
14
The facility did not comply with the section cited above as a disaster drill had not been conducted between November 2024 and June 2025 which poses an immediate health and safety risk to residents in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
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
CCLD Regional Office, 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
06/18/2025 and conducted by Evaluator Kristin Kontilis
COMPLAINT CONTROL NUMBER: 29-AS-20250618100351

FACILITY NAME:WOOD GLEN HALL, INC.FACILITY NUMBER:
421700457
ADMINISTRATOR:JESSICA HONGFACILITY TYPE:
740
ADDRESS:3010 FOOTHILL ROADTELEPHONE:
(805) 687-7771
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY:72CENSUS: 51DATE:
07/08/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jessica Hong, Interim AdministratorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee does not ensure staff are receiving required training.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to deliver final findings based on the above-stated allegation. At the time of arrival, LPA met with Interim Administrator Jessica Hong and explained the purpose of the visit. During the investigation, LPA Kontilis conducted a visit on 6/20/2025 from 11:15 am to 4:00 pm to interview staff and obtain relevant documents.
On the allegation, Licensee does not ensure staff are receiving required training: Reporting Party stated concern that staff have not received trainings on what to do in emergency situations. During LPA’s visit on 6/20/2025, LPA conducted staff interviews from approximately 12:01 pm to 2:46 pm. Interviews conducted revealed monthly ‘all-staff trainings’ have been conducted on 1/15/2025, 2/19/2025, 3/19/2025, 4/16/2025, 5/21/2025, and 6/18/2025. The all-staff trainings were conducted by an outside safety compliance vendor covering a multitude of topics: Hazard Communication Training, Hazard Waste Training Requirements, Cleaning Products, Personal Protective Equipment; Kitchen Safety—Slips, Trips, & Falls; Illnesses, Emergency Evacuation, Emergencies; Emergency Action, Fire Sprinkler Checks, Fire
Please continue to 9099-C, Pg 2.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
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-20250618100351
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: WOOD GLEN HALL, INC.
FACILITY NUMBER: 421700457
VISIT DATE: 07/08/2025
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
Extinguisher Checks, Weather Conditions, News Predictions, Forewarning, Natural Disasters; Post Evacuation / Return Survival; and Violence in the Workplace & Active Shooter. LPA obtained a copy of the 2025 Safety Meeting Monthly Schedule during the initial visit on 6/20/2025.
Staff interviews further revealed the all-staff meetings are mandatory and staff members are notified verbally via their supervisors, directors, and/or co-workers as well as notices are posted on a white board near the time clock about one week prior to the meeting. Staff stated if they are unable to attend a meeting, follow-up with the employee is conducted to brief them on the contents of the meeting.
Based on interviews conducted and records reviewed revealed monthly all-staff meetings are held covering relevant topics promoting safety awareness, overall health and well-being, and open communication. Based on interviews conducted and records reviewed, the allegation Licensee does not ensure staff are receiving required training is Unsubstantiated at this time.

Exit interview conducted. Copy of report issued at the time of the visit.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5