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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850240
Report Date: 01/03/2025
Date Signed: 01/03/2025 02:39:57 PM

Document Has Been Signed on 01/03/2025 02:39 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:VARIEL OF WOODLAND HILLS, THEFACILITY NUMBER:
195850240
ADMINISTRATOR/
DIRECTOR:
JOYCE AQUINOFACILITY TYPE:
740
ADDRESS:6233 VARIEL AVETELEPHONE:
(818) 651-6018
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY: 436CENSUS: 352DATE:
01/03/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Allison MartyTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Angela Barutyan conducted a subsequent unannounced case management - incident visit at 01:45PM. Upon arrival, LPA met with staff and Executive Director (ED) Allison Marty. Reason for the visit was explained.

On 10/31/2024, the Department received an incident report stating that on 10/30/2024, the facility was made aware of fraudulent activity from a staff member toward Resident #1 (R1). The SOC 341 reports that two (2) personal checks were made out from R1’s account to Staff #1 (S1) for “service pay” in the amounts of $3000 and $5000. S1 has since been terminated. The facility cross-reported to Adult Protective Services, the Long-Term Care Ombudsman, and Law Enforcement.

During the initial visit on 11/26/2024, LPA conducted a brief physical plant tour, conducted interviews with Director of Nursing (DN) Jessica Saks at 02:35PM, two (2) staff members, and eight (8) residents between 03:20PM - 04:30PM, and reviewed and obtained copies of pertinent documents relevant to the investigation.

Record review documented that S1 was suspended immediately on 10/30/2024 and terminated 10/31/2024. S1 did not have prior disciplinary actions. The facility staff pulled a report to see which residents S1 was in contact with and interviewed those residents to see if they could be at risk. Facility staff also contacted several families from the list who were briefly informed about the incident and were encouraged to monitor financial accounts for suspicious activity. Facility staff stated that no other parties stated they had suspicious activity on their financial accounts. Report Continued LIC 809-C...

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE: DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: VARIEL OF WOODLAND HILLS, THE
FACILITY NUMBER: 195850240
VISIT DATE: 01/03/2025
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Facility management physically went to the police station to file a report but were told to submit one online. Management was unable to file an online report because the incident did not fit reporting requirements since R1’s bank stopped the crime from “completing.” Management reported the incident to the Department and cross-reported to appropriate agencies. Adult protective services (APS) conducted a visit shortly thereafter. No monies were taken from R1’s account(s) as R1’s bank prevented the checks from processing. LPA interviewed R1 who stated that the facility did everything they could to help and acted quickly. Based on interviews and record review, the facility responded quickly and effectively, made reasonable efforts to safeguard resident property, and took appropriate measures to safeguard resident’s cash resources.

No citations issued. Copy of the report was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025
LIC809 (FAS) - (06/04)
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