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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850339
Report Date: 08/27/2025
Date Signed: 09/29/2025 11:12:44 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
08/18/2025 and conducted by Evaluator Zabel Chochian
COMPLAINT CONTROL NUMBER: 29-AS-20250818130840
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: 149DATE:
08/27/2025
UNANNOUNCEDTIME BEGAN:
02:16 PM
MET WITH:Rose AnguianoTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Illegal Eviction
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding for the above allegation. LPA met with Executive Director (ED) Rose Anguiano and the allegation finding was discussed.

On 8/18/2025, between 4pm - 6pm, LPA interviewed the ED, staff and reviewed facility records relevant to the investigation. Copies of pertinent documents relevant to the investigation was obtained.
Regarding allegation of “illegal eviction”, information was reported that on 08/15/2025 the facility Social Worker reported that they will not be accepting resident #1 (R1) back due to being a high fall risk. R1 has lived at the facility for five years. According to the reporting party, R1 was evicted and not provided an eviction notice. According to the ED and the facility social worker R1 was never evicted and therefore an eviction notice was not issued. Staff reported that they never stated that R1 cannot return to the facility. ED and staff reported that R1 was hospitalized on 07/29/2025 post fall and later transferred to Stoney Point Health Care Center on 08/04/2025 for rehabilitation. (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)
Page: 1 of 2
Control Number 29-AS-20250818130840
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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According to ED and staff they communicated with the rehab facility and were waiting to reassess R1 when ready for discharge. Staff confirmed that they communicated with R1’s responsible person and informed them that R1 will be reassessed by the facility prior to discharge from Stoney Point and if R1 requires a higher level of care they will not be able to meet the needs of R1. Both the ED and staff reported that R1 was not ready for discharge from the rehab facility and that R1 was picked up by family from Stoney Point on 08/18/2026. It was confirmed with Stoney Point Health Care Center that R1 was discharged against medical advice to family on 08/18/2025; R1 was dropped off at the facility by family without any notice.

ED and staff expressed that they are aware of the eviction procedures and therefore would follow through with the eviction process accordingly when necessary.

Based on the interviews, and facility records review revealed that R1 was never issued an eviction notice and R1 was never told they cannot return to the facility. R1 currently resides in the memory care unit and was unable to be interviewed. Attempts made to contact R1’s family on 08/19/2025 at approximately 9am, 11:15am and 2pm were unsuccessful.

Based on information gathered during this visit, the department does not have sufficient evidence to determine that facility illegally evicted resident. Therefore the allegation is Unsubstantiated at this time.

Exit interview conducted and copy of report provided.
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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