195850339-1-17-2026-29-AS-DPEA-DRPS5S-20260227123450

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 195850339
Report Date: 01/15/2026
Date Signed: 01/17/2026 11:55:56 AM

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
12/23/2025 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20251223091758

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: 140	DATE:	01/15/2026
		UNANNOUNCED	TIME BEGAN:	11:39 AM
MET WITH:	Rose Anguiano and Alexander Solorio, Assistant Administrator		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff did not ensure resident's dietary needs were met.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding. Upon arrival LPA met with Administrator Rose A. and assistant Administrator Alex S. The reason for the visit was explained.

On 12/23/2025, Community Care Licensing Division received information alleging that the facility is serving foods high in fat, salt, sugars, and carbs, which resident cannot eat due to having diabetes. It was also mentioned that facility prepares meats that covered in sauce, which residents’ cannot eat due to excess sugar, fats, and salt. According to the reporting party Administrator Rose A. stated that the facility cannot cater to individual needs when it comes to preference.

On 12/30/2025, LPA conducted the initial complaint visit and the allegation was discussed with the Administrator. A physical plant tour was conducted. Also during initial visit LPA interviewed four (4) residents and two (2) staff from approximately 1:15pm-2:45pm.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026

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-20251223091758

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: 01/15/2026

NARRATIVE

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Copies of records relevant to the investigation was requested and reviewed. On 01/15/2026, a subsequent visit was conducted, and additional residents (6) were interviewed from approximately 12pm-1pm. Residents were observed in the dining room as well. LPA toured the kitchen at approximately 2:45pm.

Following is a summary of the investigation finding:

Regarding allegation “Staff did not ensure resident's dietary needs were met.”: LPA interviewed Administrator, staff, and resident #1 (R1). LPA also interviewed other residents, reviewed R1’s records and facility menu. R1 confirmed that they do manage their own medications and diet. R1 reported that the facility does not have a variety of options for diabetics. R1 reported that they have had five hospital visits in recent months due to high blood sugar levels. Interview conducted with R1, staff and records reviewed revealed that R1 is alert/oriented x3 and able to make own decisions. R1 was hospitalized once on June 9th, 2025, and once on December 6th, 2025, due to dizziness and nausea. R1 does have type 2 diabetes, however, does not have a prescribed diet to be followed at this time. R1 stated that they are currently working on changing physicians. R1 stated that the facility offers sugar free snacks, however R1 does not like the options. R1 did confirm that the facility offers alternative meals however they are tired of eating steamed vegetables, salad with protein or sandwiches. Administrator reported that R1 is independent and able to manage own medications and diet. Administrator confirmed that R1 does not have a prescribed diet at this time. Administrator recalled an incident discussed with R1 on or around 12/22/2025, where kitchen staff made a mistake and served R1 meat covered in sauce. Administrator informed kitchen staff to provide all sauces on the side moving forward. According to the cook and administrator, alternative items such as a salad with/protein, vegetables or a sandwich is always available, and regular meals can also be served with or without sauce when requested a head of time by residents.

Random residents interviewed reported being satisfied with the facility food service at this time.

Based on the above information gathered, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Staff did not ensure resident's dietary needs were met” is deemed unsubstantiated at this time. Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026

LIC9099 (FAS) - (06/04)

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