195850339-9-29-2025-29-AS-DPEA-DLZV9R-20250930161447

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 195850339
Report Date: 08/27/2025
Date Signed: 09/29/2025 03:13:04 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
08/13/2025 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20250813130227

FACILITY NAME:	INN AT THE PARK VENTURA		FACILITY NUMBER:	195850339
ADMINISTRATOR:	ANGUIANO, ROSE		FACILITY TYPE:	740
ADDRESS:	21200 VENTURA BLVD		TELEPHONE:	(818) 884-7100
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91364
CAPACITY:	200	CENSUS: 149	DATE:	08/27/2025
		UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Rose Anguiano		TIME COMPLETED:	12:41 PM

ALLEGATION(S):

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Staff is abusing resident
Staff are not addressing pests at facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation findings. Upon arrival LPA met with Executive Director (ED) Rose Anguiano.
The reason for the visit was explained.

On 08/13/2025, Community Care Licensing Division received information alleging “Staff is abusing resident” and “Staff are not addressing pests at facility”. Information was provided that a resident (name unknown) is being abused by the “administrator” and that there is a bed bug infestation in a room (room number not provided) at the facility. No other information was provided by the reporting party. Several attempts made to reach the reporting party was unsuccessful.

On 08/18/2025, LPA conducted the initial complaint visit and the allegations were discussed with the ED. LPA toured the facility common areas and resident rooms. LPA conducted an interview with three residents and two staff. Pertinent documents relevant to the investigation obtained. (Continue to LIC9099c)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025

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-20250813130227

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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 VENTURA	FACILITY NUMBER: 195850339
	VISIT DATE: 08/27/2025

NARRATIVE

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During today’s visit, an additional five residents and three staff were interviewed.
Following is a summary of the investigation findings:
Regarding allegation “Staff is abusing resident”: Investigation into this allegation consist of random resident interviews and staff interviews. Eight of eight residents denied any abuse from facility ED and reported that they never observed the facility ED to speak inappropriately or be abusive towards any resident. Staff interviewed denied the allegation and reported that they have not witnessed the ED to be abusive towards any resident. Several attempts made to reach the reporting party for details/supporting information was unsuccessful. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation “Staff is abusing resident” is deemed Unsubstantiated at this time.

Regarding allegation “Staff are not addressing pests at facility”: Investigation into this allegation consist of interview with random residents and staff; tour of the facility common areas and resident rooms. LPA interviewed eight residents and five staff. Residents interviewed reported no bed bug activity. Residents reported that if any bug activity is observed they report to the staff and either the facility maintenance or pest control company provides treatment to the rooms. Residents expressed being satisfied at this time with the procedures in place for pest control at the facility. Records reviewed revealed that the facility is contracted for monthly general exterior/interior pest control for various bugs; bed bug treatment is provided on call bases. ED stated that at this time only one resident reported bed bug activity in room (237). According to the ED room was inspected by facility staff and no bed bug activity was found. The ED also reported that the pest control company was contacted and inspected room 237 multiple times and no bed bug activity was found. The ED provided invoices from Hydrogen Pest Control for the month of July and August confirming general pest control treatment and bed bug inspection for room 237. Records reviewed revealed the facility is contracted for monthly general exterior/interior pest control for various bugs and for bed bug treatment they are on call bases. An invoice dated 08/06/2025 from the pest control company noted no bed bug activity was found in room 237, however treatment was provided.

Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation “Staff is abusing resident” is deemed Unsubstantiated at this time. Exit interview held/Copy of report issued.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025

LIC9099 (FAS) - (06/04)

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