425801658-7-16-2026-29-AS-KBUY-DWG5J9-20260729195934

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425801658
Report Date: 07/16/2026
Date Signed: 07/16/2026 11:27:26 AM

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
04/09/2026 and conducted by Evaluator Melisa Rankin

COMPLAINT CONTROL NUMBER: 29-AS-20260409122534

FACILITY NAME:	LE-NA' RESIDENTIAL #5		FACILITY NUMBER:	425801658
ADMINISTRATOR:	ESTELLA USHER		FACILITY TYPE:	735
ADDRESS:	1448 WEST CALLE MARGARITA		TELEPHONE:	(805) 287-9473
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY:	4	CENSUS: 3	DATE:	07/16/2026
		UNANNOUNCED	TIME BEGAN:	08:22 AM
MET WITH:	Estrela Usher		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff touches residents inappropriately
Staff speaks to residents inappropriately
Staff uses corporal punishment on residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Melisa Rankin conducted a subsequent complaint visit to deliver findings for the above allegations. LPA met with Estela Usher and explained the reason for the visit. Tri-counties Regional Center Quality Assurance Specialist Wesley Markings attended the visit. Visit was done in conjunction of annual visit.

On initial visit 4/10/26 LPA reviewed and collected relevant documentations. On 7/7/26 LPA conducted phone interview with staff. On 5/4/26 and 5/5/26 the Department apart from the LPA conducted interviews.

On the allegations: Staff touches residents inappropriately; Staff speaks to residents inappropriately; and Staff use corporal punishment on residents
On 4/09/26, Community Care Licensing (CCL) received a complaint regarding staff’s inappropriate behavior towards Client 1 (C1) and Client 3 (C3). The complaint alleged Staff 2 (S2) play fights with clients and inappropriately grabs and touches them, speaks inappropriately to clients in care, and that staff have used corporal punishment, forcing a client to get on their knees for hours.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

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 4

Control Number 29-AS-20260409122534

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 #5	FACILITY NUMBER: 425801658
	VISIT DATE: 07/16/2026

NARRATIVE

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During visit on 7/16/26 LPA interviewed C3 who stated they have no concerns with S2, or with their return to work.

Based on the interviews, observations, and records reviewed, although the allegation may have happened there is not a preponderance of evidence to prove the allegations occurred therefore the allegations are UNSUBSTANTIATED at this time. Technical Assistance is provided to recommend additional personal rights training, including about facility policies regarding staff filming clients using their personal cell phones.

Exit interview conducted and a copy of the report was given to the administrator.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 29-AS-20260409122534

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 #5	FACILITY NUMBER: 425801658
	VISIT DATE: 07/16/2026

NARRATIVE

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The Department conducted the following interviews: on 5/4/26 at approximately 11:26 am interviewed a client; at approximately 11:32 am and 11:44 am interviewed Client 1 (C1)’s family members; at approximately 12:12 pm interviewed staff; at approximately 12:19 pm interviewed a client; at approximately 2:59pm interviewed a client. S2 was interviewed on 5/5/26 at approximately 2:25pm. During the investigation, there was collaboration with Tri-Counties Regional Center Quality Assurance Specialist Wesley Marking.

An interview was attempted with C1, who is non-verbal, and the interview was not successful. C1’s family members stated C1 had contusions on their back on or about 6/25/25, which the facility indicated were due to behaviors. C1’s family members confirmed C1 has these behaviors, and did not indicate they felt the facility was at fault. At the time, law enforcement was not involved and family member also confirmed C1 has a history of falls.

C3 stated they never had any issues with S2 and were never abused by S2. Clients interviewed stated they loved S2, S2 would cook, was patient, and was a nice person and a “cool person.” Clients indicated they were happy and felt safe at the facility, and had no complaints. Clients stated S2 never harmed them, and has never witnessed S2 harm anyone physically or sexually at any time. Clients interviewed indicated C1 had seizures and would fall from the seizures and become upset. C1 would also throw themselves on the floor when upset and would self-harm by hitting themselves with their arms. Clients were unaware if C1 ever sustained injuries. Clients stated they never witnessed any issues with S2 and C1, and stated C1 seemed to get along with the staff member.

Staff interviewed stated S2, the accused staff, is on leave pending investigation. Staff stated that S2 was a good worker, they did not believe based on their time with S2 that this is within S2’s personality, that clients like S2 and that they had never witnessed any abuse by S2, nor had they heard of any issues regarding S2. Regarding concerns of C1 sustaining injuries, staff stated there is a history of seizures, falls, and behaviors of throwing themselves to the floor when upset. Regarding allegations involving C1, there are no histories of injuries or contusions, it was stated that C1 “loves being around [S2]…”. Staff had not witnessed clients acting distressed or uncomfortable around S2. LPA also reviewed documentation and found no evidence of injuries or abusive behaviors documented in any staff or client files.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20260409122534

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 #5	FACILITY NUMBER: 425801658
	VISIT DATE: 07/16/2026

NARRATIVE

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S2 was interviewed and stated that C1 moved out in 2025 due to level of care concerns and fees. S2 stated they never physically or sexually abused any clients in care. S2 stated clients enjoy their company and never appeared afraid of S2. S2 stated they “never put hands on any clients,” and stated they would not put themselves in any situation that could cause injuries or make clients feel uncomfortable as it would jeopardize S2’s job. S2 stated that C1 suffers from seizures and would fall regularly and that C1 would self-harm by hitting themselves or throwing themselves on the ground. S2 stated that C1 did not have any issues with staff or other clients.

During the investigation, 3 videos were sent to Licensing on 5/20/26, which were 13 seconds, 20 seconds, and 9 seconds in length. The first video shows images of S2 with C1, S2 appears to have PPE gloves on and is cleaning or attending to C1’s hand, staff appeared calm, seated on the couch above the client who was laying on the floor. The second video shows S2 with C3 in the office of facility, C3 was kneeling in the office, both office doors were open, C3 was heard singing in the beginning of the video, and didn’t present any signs of being upset, as they were swinging the door next to them, and did not cry, scream, or show any negative behaviors. The third video is an image of 2 individuals, one on top of the other, the location appears to be in the family room area. The video is 9 seconds long but only shows the individuals for 4 seconds. It is unclear who the 2 individuals are, it is unclear if someone is crying or laughing, and the person on top appears to be tickling or poking the other person with their right hand. In each instance, the person taking the videos appears to walk casually into or through the rooms and make no comments to separate or stop the actions as they walk through the areas.

Following receipt of the videos, on 7/7/25 at approximately 4:43 pm, LPA interviewed S2. S2 stated that staff do not wrestle or play fights with clients in care, there would be no reason to be on top of a client, and clients sometimes wrestle but the staff try to redirect that type of play. S2 denied ever having a client get on their knees as punishment and stated there would be no reason a client would be on their knees, unless they are playing or just hanging out that way. S2 stated they have not been back to the facility during the investigation.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

LIC9099 (FAS) - (06/04)

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