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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 425801376
Report Date: 11/25/2025
Date Signed: 11/25/2025 02:55:20 PM

Unsubstantiated


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
11/21/2025 and conducted by Evaluator Garrett Haner-Tomasko
COMPLAINT CONTROL NUMBER: 29-AS-20251121162700
FACILITY NAME:LE-NA' RESIDENTIAL #4FACILITY NUMBER:
425801376
ADMINISTRATOR:ESTELLA USHERFACILITY TYPE:
735
ADDRESS:151 PATTERSON ROADTELEPHONE:
(805) 934-2167
CITY:ORCUTTSTATE: CAZIP CODE:
93455
CAPACITY:4CENSUS: 3DATE:
11/25/2025
UNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Administrator - Estela UsherTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Licensee did not comply with food service requirements.
Licensee did not ensure residents were provided with planned activities.
Staff did not treat residents with dignity and respect.
INVESTIGATION FINDINGS:
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At 11:50am, on 11/25/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to investigate the allegations of this complaint. LPA met with Administrator Estela Usher, announced who he was and the reason for the visit.

During the visit LPA collected documents, reviewed resident files, and interviewed clients and staff.

On the allegation: Licensee did not comply with food service requirements. It was alleged the facility refuses to buy a variety of sweets or snacks, but they do provide crackers and granola bars. It was also alleged there are no menus posted. LPA toured the facility kitchen and observed a variety of snacks including but not limited to fresh fruit, yogurt, granola bars, jello, applesauce, crackers, peanut butter, jelly, and bread.

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

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
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 2
Control Number 29-AS-20251121162700
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: LE-NA' RESIDENTIAL #4
FACILITY NUMBER: 425801376
VISIT DATE: 11/25/2025
NARRATIVE
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Client and staff interviews revealed the clients are free to enjoy the snacks provided by the facility and the facility takes clients shopping who want to purchase additional snacks on a regular basis. Regulation does require nourishment or snacks be made available for all clients between meals, but does not specifically state the type, variety, or category of snacks that must be offered. Regarding meal menus, the facility was able to provide LPA with menus for February through July of 2025. Staff state the facilities printer broke and they have not been able to print the menu’s, but the menu’s have been available on the facility computer for clients; and the LPA during the visit. Based on all interviews conducted, documents obtained and LPA observation, the above allegation was found to be unsubstantiated at this time. LPA reviewed the regulation, to make weekly menus available for review by the clients or their authorized representatives and the licensing agency upon request, with the Administrator and provided the regulation as technical assistance.

On the allegation: Licensee did not ensure residents were provided with planned activities. It was alleged the staff do not take residents on outings as a household, so the residents are mostly inside the house 24/7. Resident and staff interviews revealed residents went on an outing on October 18th, 2025 for a community event and barbecue that included the client representatives and on November 5th, 2025 they went to the local park. The facility October 2025 activity calendar included outings to church, costume shopping for Halloween, shopping, walk to the park, flea market and the community event on the 18th. Interviews also revealed the staff offer to take clients with them grocery shopping. Based on all interviews conducted and documents obtained, the above allegation was found to be unsubstantiated at this time.

On the allegation: Staff did not treat residents with dignity and respect. It was alleged Staff #1 (S1) is mean, rude and yells at clients. Staff and client interviews reveal S1 has not been mean or rude to clients, but S1 does at times raise their voice to ensure clients can hear them and may speaks in a firm or commanding tone. Based on all interviews conducted, 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. LPA reviewed with S1 and the facility Administrator the importance of addressing clients with dignity and respect.

No deficiencies were cited at this time. 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: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2