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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850339
Report Date: 02/05/2025
Date Signed: 02/06/2025 03:42:25 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
12/06/2024 and conducted by Evaluator Zabel Chochian
COMPLAINT CONTROL NUMBER: 29-AS-20241206094839
FACILITY NAME:INN AT THE PARK VENTURAFACILITY NUMBER:
195850339
ADMINISTRATOR:ANGUIANO, ROSEFACILITY TYPE:
740
ADDRESS:21200 VENTURA BLVDTELEPHONE:
(818) 884-7100
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY:200CENSUS: 168DATE:
02/05/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Rose AnguianoTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff inappropriately spoke to resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding.Upon arrival LPA met with Administrator Rose A. and reason for visit was explained.
On 12/06/2024, Community Care Licensing Division received the above allegation. It was alleged that a male staff (name unknown) inappropriately spoke to resident #1. Furthermore, it was stated that this same staff entered resident #1’s room without knocking and questioned resident about another resident's (name unknown) personal item. On 12/16/2024, LPA imitated complaint visit to investigated the allegation; between 11:45am-1:30pm, LPA conducted interview with ten (10) residents and three staff. Staff interviewed denied the allegation and stated that some residents do speak inappropriately with staff however staff do not retaliate and treat all residents with respect. Resident interviewed expressed that they like the facility and are treated well by staff. Resident #1 did not want to be interviewed however LPA did ask Resident #1 if they are being mistreated in anyway by staff and resident #1 stated "no". Based on the above information gathered, there is insufficient evidence to support the allegation; therefore, allegation is deemed unsubstantiated at this time. Exit interview held copy of report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2025
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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