<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850091
Report Date: 06/09/2025
Date Signed: 06/09/2025 01:06:51 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
05/15/2025 and conducted by Evaluator Angela Barutyan
COMPLAINT CONTROL NUMBER: 29-AS-20250515140552
FACILITY NAME:PRESERVE AT WOODLAND HILLS, THEFACILITY NUMBER:
195850091
ADMINISTRATOR:SUSAN WEISBARTHFACILITY TYPE:
740
ADDRESS:6221 FALLBROOK AVENUETELEPHONE:
(747) 226-5834
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:60CENSUS: 47DATE:
06/09/2025
UNANNOUNCEDTIME BEGAN:
10:11 AM
MET WITH:Susan WeisbarthTIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not obtain documentation of a medical assessment prior to a person's acceptance as a resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a subsequent complaint investigation at 10:45AM. Upon arrival, LPA met with staff and Executive Director (ED) Susan Weisbarth at 10:11AM. Entrance interview conducted.

During today’s visit, LPA Barutyan conducted a brief physical plant tour between 10:12AM-10:20AM, interviewed three (3) staff between 10:18AM-11:15AM, and reviewed and obtained copies of pertinent documents between 10:23AM-12:55PM. During the initial visit on 05/20/2025, LPA interviewed three (3) staff, reviewed and obtained copies of pertinent documents, conducted a brief physical plant tour with ED, and discussed the allegation with ED

Report Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025
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-20250515140552
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: 06/09/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
It was alleged that the facility admitted Resident #1 (R1) on 05/13/2025 and Resident #2 (R2) two to three months ago without medical assessments. During the initial visit on 05/20/2025, LPA conducted a record review and observed that R1 had a preplacement appraisal dated 05/11/2025, a signed medical assessment dated 05/11/2025, a chest x-ray TB screening dated 05/12/2025, and a signed admission agreement dated 05/13/2025. LPA also reviewed records for two (2) residents admitted on 05/15/2025 and 05/19/2025. During today’s visit, LPA conducted a record review and observed that R2 was admitted on 02/23/2025 and had a preplacement appraisal dated 12/22/2024, a signed medical assessment dated 11/25/2024, a TB test dated 12/07/2024, and a signed admission agreement dated 02/23/2025. LPA also reviewed records for one (1) resident admitted on 05/28/2025. Five (5) out of five (5) resident files reviewed contained medical assessments, preplacement appraisals, and admission agreements. Staff interviews confirmed that staff are knowledgeable in admission procedures and Title 22 requirements. Based on interviews and record review, the information obtained during the investigation does not have sufficient evidence 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 above allegation “Licensee did not obtain documentation of a medical assessment prior to a person's acceptance as a resident” is deemed UNSUBSTANTIATED at this time.

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

DATE: 06/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2