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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 425850025
Report Date: 03/25/2025
Date Signed: 03/25/2025 05:09:31 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
03/20/2025 and conducted by Evaluator Melisa Rankin
COMPLAINT CONTROL NUMBER: 29-AS-20250320162158
FACILITY NAME:SANTA MARIA TERRACEFACILITY NUMBER:
425850025
ADMINISTRATOR:ENRIQUEZ, SANJUANAFACILITY TYPE:
740
ADDRESS:1405 E MAIN STTELEPHONE:
(805) 925-8713
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:140CENSUS: 77DATE:
03/25/2025
UNANNOUNCEDTIME BEGAN:
12:52 PM
MET WITH:Administrator Joanna CasillasTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Staff are violating residents’ personal rights
INVESTIGATION FINDINGS:
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On 3/25/25 at 12:52 p.m. Licensing Program Analyst (LPA) Melisa Rankin arrived at the above to conduct a Complaint Investigation Site Visit. LPA met with Administrator Joanna Casillas and Wellness Director Vanessa Vazquez and explained the purpose of the visit.

During visit LPA conducted interviews with staff and resident and reviewed and gathered relevant documents.
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On allegation staff are violating residents’ personal rights
Complaint states the resident is unable to leave the facility unassisted when resident has requested to go to their vehicle, attend events in the community, and go to shopping centers.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
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-20250320162158
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: SANTA MARIA TERRACE
FACILITY NUMBER: 425850025
VISIT DATE: 03/25/2025
NARRATIVE
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 After interviewing resident, the concern has been they wish to leave the facility, in their vehicle and believe they are healthy and capable to do so unassisted. LPA reviewed recent MRI medical record dated 3/10/25 and admitting LIC 602A Physicians Report dated 01/28/25. MRI document stated “Indications: Mild Dementia” and 602A states “Dementia” Diagnosis. Due to the regulations regarding residents with a diagnosis of dementia stating: 87705 Care of Persons with Dementia (e)(3) Facility staff shall attempt to redirect a resident at risk for elopement who may be attempting to leave the facility without violating Section 87468.1, Personal Rights of Residents in All Facilities. (4) Residents who continue to indicate a desire to leave the facility following redirection shall be permitted to do so with staff supervision.

LPA interviewed facility staff, and all parties interviewed concur that residents with the dementia diagnosis are first redirected and then told they cannot leave the facility without someone to accompany them. Administrator, when interviewed also stated that when she and other staff have been approached by residents wanting to leave who have the dementia diagnosis, they do not physically restrain the residents, but the front staff, and wrist alerts do notify them of residents leaving and they work to redirect, and then will follow if the resident insists.

Currently the facility is following regulations, due to the noted diagnosis of the resident. The allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Copy of report printed and given to Licensee.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
LIC9099 (FAS) - (06/04)
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