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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850150
Report Date: 01/24/2025
Date Signed: 01/24/2025 02:41:29 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
01/08/2025 and conducted by Evaluator Angela Barutyan
COMPLAINT CONTROL NUMBER: 29-AS-20250108161737
FACILITY NAME:VARENITA OF WESTLAKEFACILITY NUMBER:
565850150
ADMINISTRATOR:HANNAH MYERSFACILITY TYPE:
740
ADDRESS:95 DUSENBERG DRIVETELEPHONE:
(805) 413-3300
CITY:WESTLAKESTATE: CAZIP CODE:
91362
CAPACITY:115CENSUS: DATE:
01/24/2025
UNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Mehrnoush "Mimi" GhorbankhaniTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Staff does not ensure facility is free of odor
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a subsequent complaint investigation with the purpose of delivering findings for the allegation listed above at 02:25PM. LPA met with Wellness Manager (WM) Mehrnoush "Mimi" Ghorbankhani. Reason for the visit was explained.

During the initial visit on 01/13/2025, LPA conducted a brief physical plant tour, interviewed two (2) staff members and three (3) residents, reviewed and obtained copies of pertinent documents relevant to the investigation, and discussed allegation with WM Ghorbankhani and Executive Director (ED) Brad Stewart.

It was alleged that a sewer gas odor has been emanating from resident bathroom sinks since mid-October 2024. LPA interviewed three (3) residents who stated that an odor has been observed from their bathroom sinks, but the odor is intermittent and can vary in intensity.
Report Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
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-20250108161737
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: VARENITA OF WESTLAKE
FACILITY NUMBER: 565850150
VISIT DATE: 01/24/2025
NARRATIVE
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Residents, complainant, ED, and WM confirmed that the facility scheduled maintenance services after the odor was first reported on 10/23/2024. The facility’s maintenance director cleaned out bathroom drains and the facility contracted a licensed plumber on 11/01/2024 who removed seven (7) pop-up drains, cleaned and flushed out drains, scrubbed the drains with brushes and bleach, ran hot water to flush out buildup, and reassembled the pop-up drains. The licensed plumber did not observe issues with the drains or pipes. ED stated that no complaints of odor were made to management after the plumbing service. LPA interviewed residents who confirmed that the issue had not been brought up to management after it was first addressed in early November 2024. Residents interviewed do not receive care-services as they are independent, and therefore, caregivers do not enter the private apartments often and cannot detect or report the odor to management if residents do not notify them.

On 01/03/2025, it was reported that the Ombudsman conducted a visit, and the odor was observed in a resident’s bathroom. During the initial visit on 01/13/2025, LPA checked for odor in three (3) resident rooms and no odors were noted. While the odor was confirmed by three (3) residents and an outside agency representative, the allegation that the staff is not ensuring the facility is free of odor is not supported, as staff acted to address the issue when it was first reported, and staff were not notified and did not have another way of knowing that the odor was persisting afterwards. Per interview with ED, drain cleanings are conducted monthly but will now be conducted weekly and staff will be monitoring resident rooms for an odor. Staff will also encourage residents to notify them if an odor is observed from their bathrooms so that facility maintenance can act quickly to address the root cause of the odor. Information obtained through interview, record review, and observation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation “Staff does not ensure facility is free of odor” is deemed UNSUBSTANTIATED at this time.



No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2