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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565801215
Report Date: 03/21/2024
Date Signed: 03/21/2024 06:53:12 PM

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
10/30/2023 and conducted by Evaluator Zabel Chochian
COMPLAINT CONTROL NUMBER: 29-AS-20231030170141
FACILITY NAME:ANGELS IIFACILITY NUMBER:
565801215
ADMINISTRATOR:JOANN TRUPIANOFACILITY TYPE:
740
ADDRESS:2375 MCDONALD COURTTELEPHONE:
(805) 404-5201
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:6CENSUS: 5DATE:
03/21/2024
UNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:Honorata Perla AvestroTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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Staff are not providing responsible party with access to resident's records
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding. Reason for visit was explained. Administrator was contacted however was not feeling well therefore could not come to the facility and asked that staff sign for the report.
Investigation into the above allegation consist of interview with Mrs. JoAnn Trupiano on 11/08/2023 and interview with reporting party on 10/30/2023 and 11/09/2023. On 11/08/2023, Mrs. Trupiano stated that she sent everything via email to the requestor. After review of the records it was revealed that records were sent to a wrong email and Mrs. Trupiano never followed up or returned any of the requestor's calls. Mrs. Trupiano confirmed that she did not follow up with the requestor or return their call due to a pending litigation. Interview with reporting party confirmed that Mrs. Trupiano did not return any of their calls or responded to the many request sent for copies of records pertaining to former resident (R1). Based on interviews conducted and records reviewed allegation "Staff are not providing responsible party with access to resident's records" is substantiated at this time.
Citation issued (see attached LIC 9099-D). Exit interview conducted. Copy of report and appeal rights issued.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Desaree PereraTELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel ChochianTELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
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-20231030170141
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: ANGELS II
FACILITY NUMBER: 565801215
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/21/2024
Section Cited
CCR
87468.1
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Personal Rights of Residents in All facilities
(9) To have communications to the licensee from their representatives answered promptly and appropriately.
This requirement is not met as evidence by:
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Licensee/Administrator eventually sent records to the requestor and informed LPA that due to the pending litigation her attorney advised her not to communicate with requestor. Requestor confirmed receipt of former resident's records POC cleared.
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Based on interview with Licensee/ administrator, licensee did not comply with the above regulation. Licensee did not communicate or provide records to former resident's family representative despite the several attempts made by requestor/family representative.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Desaree PereraTELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel ChochianTELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
LIC9099 (FAS) - (06/04)
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