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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191221839
Report Date: 10/24/2025
Date Signed: 10/24/2025 01:20:13 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/03/2025 and conducted by Evaluator Antonia Alvizar-Ettima
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20250603104620
FACILITY NAME:BROADVIEW RESIDENTIAL CARE CENTERFACILITY NUMBER:
191221839
ADMINISTRATOR:BETSY K DAVISFACILITY TYPE:
740
ADDRESS:535 WEST BROADWAYTELEPHONE:
(818) 246-4951
CITY:GLENDALESTATE: CAZIP CODE:
91204
CAPACITY:180CENSUS: 80DATE:
10/24/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator, Betsy DavisTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff is wrongfully evicting resident
INVESTIGATION FINDINGS:
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At 9:30a.m., Licensing Program Analyst (LPA) Antonia Alvizar- Ettima conducted an unannounced subsequent visit to complete an investigation and deliver findings of the above noted allegation. LPA met with Administrator and explained the reason for the visit.
Initial visit was conducted on 06/04/2025 at about 2:20p.m., LPA requested and received copies of the facility resident and staff rosters. At 2:30p.m., LPA and Administrator conducted a physical plant walk-through. At approximately 2:50p.m., LPA interviewed Administrator and asked questions relevant to the investigation. LPA request copies of Resident #1 (R1) Identification Information, Admission Agreement, Physician Report, Needs and Services Plan, Rules & Regulations, Unusual Incident Reports, and other pertinent documentations.

Prior to this visit on 10/17/2025 LPA Alvizar-Ettima reviewed records and prior documentation obtained during the initial visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
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 31-AS-20250603104620
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: BROADVIEW RESIDENTIAL CARE CENTER
FACILITY NUMBER: 191221839
VISIT DATE: 10/24/2025
NARRATIVE
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Cont. from LIC 9099

During this visit at 10:10a.m., LPA and Administrator conducted a physical plan tour. Between 10:35a.m. – 12:20p.m. LPA conducted additional interviews with facility staff and Resident #1 (R1).

Staff is wrongfully evicting resident

It was alleged that when Skilled Nursing Facility (SNF) planned to discharge Resident #1 (R1) back to facility, the Administrator refused re-admission, citing that R1 was disruptive and a threat to staff.

Interview conducted with the Administrator denied the allegation and stated that R1 was not evicted from the facility. The Administrator explained that R1 had been hospitalized for an extended period and is scheduled to return back today. Administrator further stated that R1 exhibited repeated behavioral concerns prior to hospitalization, including verbal outbursts toward staff and refusal of care. Administrator indicated that no eviction letter was issued because R1 was hospitalized and not residing at the facility at the time. The Administrator confirmed that R1’s belongings remained secure, and the facility would have accepted R1’s payment had they been readmitted through proper discharge coordination. Staff interviews indicated that R1 had previously displayed verbal aggression toward staff and residents. Staff denied that R1 was wrongfully evicted and stated that the facility was awaiting discharge coordination from SNF before determining if R1 could safely return. Staff confirmed no written eviction notice was issued. Records reviewed do not demonstrate that the facility initiated or executed an eviction process. During interview, R1 stated she has never threatened or acted aggressively toward anyone and denied that any eviction process was initiated. R1 further stated she has not received a written eviction notice, continues to reside at facility and paying rent accordingly.

Based on interviews, observation and record reviewed, there is not sufficient information to support this allegation. Thus, this allegation is deemed to be UNSUBSTANTIATED at this time.

No immediate health and safety issues were noted.

Exit interview was conducted and copy of was provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Antonia Alvizar-Ettima
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2