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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850339
Report Date: 02/07/2025
Date Signed: 02/07/2025 05:47:22 PM

Document Has Been Signed on 02/07/2025 05:47 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
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:INN AT THE PARK VENTURAFACILITY NUMBER:
195850339
ADMINISTRATOR/
DIRECTOR:		ANGUIANO, ROSEFACILITY TYPE:
740
ADDRESS:21200 VENTURA BLVDTELEPHONE:
(818) 884-7100
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY: 200CENSUS: 169DATE:
02/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Rose AnguianoTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Zabel Chochian conducted an unannounced Case Management - Incident visit at the facility today. Upon arrival LPA met with Administrator Rose Anguiano.

The purpose of today's visit was to review records and obtain pertinent copies of facility records pertaining to a self reported incident of alleged sexual abuse received by Community Care Licensing (CCL). It is alleged that on 01/10/2025, facility staff (S1) sexually abused client #1 (C1).

During today's visit LPA conducted interview with Administrator, reviewed C1's and S1's records and obtained copies of pertinent documents. Administrator was informed that a referral was made to Community Care Licensing Division's (CCLD) Investigation Branch (IB) on 02/06/2025; the case was excepted and assigned to Investigator Dennis Seng.

Further investigation is needed regarding the alleged sexual abuse.

Exit interview held. Copy of report provided.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
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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