195850091-4-15-2025-29-AS-KHEN-DG7436-20250428184413

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 195850091
Report Date: 04/15/2025
Date Signed: 04/15/2025 04:10:52 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
04/07/2025 and conducted by Evaluator Angela Barutyan

COMPLAINT CONTROL NUMBER: 29-AS-20250407142736

FACILITY NAME:	PRESERVE AT WOODLAND HILLS, THE		FACILITY NUMBER:	195850091
ADMINISTRATOR:	SUSAN WEISBARTH		FACILITY TYPE:	740
ADDRESS:	6221 FALLBROOK AVENUE		TELEPHONE:	(747) 226-5834
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91367
CAPACITY:	60	CENSUS: 42	DATE:	04/15/2025
		UNANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Tony Nunez		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff handled resident in a rough manner
Staff yells at residents in care

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Angela Barutyan and Quoc Huynh arrived at the facility unannounced to conduct an initial complaint investigation for the allegations listed above at 10:35AM. Upon arrival, LPAs met with staff and Executive Director (ED) Susan Weisbarth. Entrance interview conducted.

During today's visit, LPAs conducted a physical plant tour between 10:40AM-11:10AM, interviewed seven (7) residents and attempted interview with one (1) resident between 10:42AM-11:22AM, reviewed and obtained copies of pertinent documents relevant to the investigation between 11:33AM-12:25PM, interviewed five (5) staff members between 12:26PM-01:35PM, and discussed allegations with ED and Health and Services Director (HSD) Tony Nunez at 03:40PM.

CONTINUED ON LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:	DATE: 04/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20250407142736

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: PRESERVE AT WOODLAND HILLS, THE	FACILITY NUMBER: 195850091
	VISIT DATE: 04/15/2025

NARRATIVE

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It was alleged that Staff #1 (S1) yells at residents and handles them in a rough manner and that on 04/04/2025, S1 restrained and pushed Resident #1 (R1) and on 04/05/2025, S1 yelled at Resident #2 (R2) to leave. LPAs attempted an interview with R1, and interviewed R2 and six (6) other residents. No concerns were noted and no information supporting the allegations were found. Residents interviewed stated that staff treat them fairly and do not yell at them or handle them roughly. LPAs interviewed five (5) staff of which four (4) were on shift between 04/04/2025-04/05/2025. One (1) out of five (5) staff interviewed stated that S1 yells at residents and handles residents in a rough manner. Four (4) out of five (5) staff interviews had no evidence supporting the allegations and stated that staff have not been observed to yell at residents or handle them roughly. All staff and four (4) out of seven (7) resident interviews confirmed that R1 is combative, and staff physically redirect R1 from hitting staff or other residents as has happened in the past. LPAs observed R2 to be hard of hearing and staff interviews confirmed that R2 requires louder volume to hear. LPAs reviewed S1’s training transcript and observed all training up to date, including dementia care, ethics, and knowing the rights of residents. LPAs reviewed R1’s physician’s report dated 01/18/2023 documenting R1 with “inappropriate behavior” and R2’s physician’s report dated 04/17/2024 documenting R2 with “auditory impairment.” Based on interviews, record review, and LPAs’ observation, the information obtained during the investigation does not have sufficient evidence to corroborate the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations “Staff handled resident in a rough manner” and “Staff yells at residents in care” are 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: 04/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025

LIC9099 (FAS) - (06/04)

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