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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850330
Report Date: 03/03/2025
Date Signed: 03/03/2025 12:59:39 PM

Unsubstantiated


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
02/24/2025 and conducted by Evaluator Martha Arroyo
COMPLAINT CONTROL NUMBER: 29-AS-20250224152117
FACILITY NAME:VENUS RESIDENTIALFACILITY NUMBER:
565850330
ADMINISTRATOR:URAMOTO, TODD KAZUYUKIFACILITY TYPE:
735
ADDRESS:1871 BURCH AVETELEPHONE:
(818) 518-8701
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:4CENSUS: 3DATE:
03/03/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Todd UramotoTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff does not ensure facility grounds are free of rodents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Martha Arroyo conducted an initial complaint visit to the facility to investigate the above allegation. Upon arrival, there was one staff and one resident present. Staff contacted the Administrator telephonically and informed them of the visit. The Administrator arrived at approximately 10:15AM and Licensee, Todd Uramoto arrived during the inspection. Entrance interview conducted.

During today’s visit, LPA Arroyo conducted a plant tour inside and outside starting at 9:15AM, conducted an interview with the Administrator, Licensee, one staff, and one resident between at 10:16AM and 11:15AM, and obtained copies of pertinent documents relevant to the investigation.

Report Continued on LIC 9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

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

DATE: 03/03/2025
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 5
Control Number 29-AS-20250224152117
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: VENUS RESIDENTIAL
FACILITY NUMBER: 565850330
VISIT DATE: 03/03/2025
NARRATIVE
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Report Continued from LIC 9099...

It was alleged that staff does not ensure facility grounds are free of rodents. It was reported that rodents were seen running out of the piles of junk at the facility. During the facility walkthrough, the LPA did not observed rodents on the inside or outside of the perimeter. Additionally, record review and interviews conducted revealed that the facility has had a pest control company service the facility to ensure rodents aren't present at the home. Based on observations and information obtained and reviewed, the Department has insufficient evidence to support the allegation of “staff does not ensure facility grounds are free of rodents”. Therefore, this allegation is deemed Unsubstantiated at this time.

Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

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

DATE: 03/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
02/24/2025 and conducted by Evaluator Martha Arroyo
COMPLAINT CONTROL NUMBER: 29-AS-20250224152117

FACILITY NAME:VENUS RESIDENTIALFACILITY NUMBER:
565850330
ADMINISTRATOR:URAMOTO, TODD KAZUYUKIFACILITY TYPE:
735
ADDRESS:1871 BURCH AVETELEPHONE:
(818) 518-8701
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:4CENSUS: 3DATE:
03/03/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Todd Uramoto TIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff does not ensure facility grounds are kept clear of hazardous obstruction.
INVESTIGATION FINDINGS:
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3
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5
6
7
8
9
10
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13
Licensing Program Analyst (LPA), Martha Arroyo conducted an initial complaint visit to the facility to investigate the above allegation. Upon arrival, there was one staff and one resident present. Staff contacted the Administrator telephonically and informed them of the visit. The Administrator arrived at approximately 10:15AM and Licensee, Todd Uramoto arrived during the inspection. Entrance interview conducted.

During today’s visit, LPA Arroyo conducted a plant tour inside and outside starting at 9:15AM, conducted an interview with the Administrator, Licensee, one staff, and one resident between at 10:16AM and 11:15AM, and obtained copies of pertinent documents relevant to the investigation.

Report Continued on LIC 9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

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

DATE: 03/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 29-AS-20250224152117
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: VENUS RESIDENTIAL
FACILITY NUMBER: 565850330
VISIT DATE: 03/03/2025
NARRATIVE
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Report Continued from LIC 9099A...

It was alleged that staff does not ensure facility grounds are kept clear of hazardous obstruction. It was reported that the facility piles garbage and junk outside in the front of the yard and on the side of the fence. During the facility walkthrough, the LPA observed several large items on the front lawn which included a large black trash bag, a water cooler, and a white metal rack. Additionally, wood planks from the side fence were also observed falling off with nails still attached creating a fall hazard to residents in case of an emergency. Interviews conducted with staff revealed that they have been actively working on cleaning up the property on the outside perimeters and will clean up the passageways to ensure it is accessible in case of an emergency. Based on observations, the Department has sufficient evidence to support the allegation of “staff does not ensure facility grounds are kept clear of obstructions”. Therefore, this allegation is deemed Substantiated at this time.

Pursuant to Title 22, California Code of Regulations (CCR), the following deficiencies are cited (refer to LIC809-D).

Exit interview conducted. A copy of report and appeal rights were provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

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

DATE: 03/03/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20250224152117
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: VENUS RESIDENTIAL
FACILITY NUMBER: 565850330
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/07/2025
Section Cited
CCR
80077(c)
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80087(c) All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction.

This requirement was not met as evidenced by:
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The Licensee has agreed to the following:
1.) Have items removed from the front yard and disposed of.
2.) Clean up the outdoor passageways from all obstructions and send proof to CCL no later than POC due date.
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Based on observation, the licensee did not comply with the section cited above as wood planks on the side fence were observed falling off creating a fall hazard and large items were observed on the front yard by the front entrance, which poses/posed a potential health, safety or personal rights risk to persons in care.
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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.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

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

DATE: 03/03/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5