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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850537
Report Date: 07/23/2025
Date Signed: 07/23/2025 03:40:53 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
04/28/2025 and conducted by Evaluator Angela Barutyan
COMPLAINT CONTROL NUMBER: 29-AS-20250428083513
FACILITY NAME:ALLIANCE HEALTH RCFE INCFACILITY NUMBER:
195850537
ADMINISTRATOR:GOLFEIZ, SARAFACILITY TYPE:
740
ADDRESS:23601 CANZONETTELEPHONE:
(818) 426-1136
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:6CENSUS: 6DATE:
07/23/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Sara GolfeizTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Resident is not being accorded dignity in their personal relationships with staff
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a subsequent complaint investigation for the allegation listed above 10:45AM. Upon arrival, LPA met with staff and Administrator Sara Golfeiz who arrived at 11:03AM. Entrance interview conducted.

During today's visit, LPA conducted a brief physical plant tour at 10:47AM, interviewed two (2) staff and one (1) resident between 10:51AM-02:50PM, and reviewed and obtained copies of pertinent documents between 11:10AM-11:25AM. During the initial visit on 04/29/2025, LPA interviewed three (3) residents and attempted interviews with two (2) residents, interviewed two (2) staff members and Administrator, conducted a physical plant tour, reviewed and obtained copies of pertinent documents relevant to the investigation, and discussed allegations with Administrator.

CONTINUED ON LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
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-20250428083513
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ALLIANCE HEALTH RCFE INC
FACILITY NUMBER: 195850537
VISIT DATE: 07/23/2025
NARRATIVE
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It was alleged that Staff #1 (S1) is disrespectful in their communication with Resident #1 (R1) and threatened to dispose of R1’s personal belongings. LPA interviewed staff and residents related to this allegation. Two (2) out of three (3) residents interviewed indicated that the staff are kind and helpful. One (1) resident interview revealed concerns of staff communication regarding personal belongings. Staff interviews revealed that staff and resident communications are respectful, but that there was no space to store facility supplies because R1 was storing personal belongings in the garage and hallway closet. Administrator stated that R1’s belongings in their room also blocked the exit path and were potential fire hazards/clearance concerns as mentioned by the fire department. During today’s visit, LPA observed R1’s belongings were moved from the hallway closet by R1 and that R1’s personal belongings in the garage were significantly reduced to allow for other storage. LPA observed text communications between S1 and R1 and did not observe concerns about staff being disrespectful. All staff interviewed denied ever hearing any other staff not treating residents with respect. During today’s visit, LPA interviewed staff and residents related to this allegation and no concerns regarding the allegation were noted. Based on interviews and record review, the information obtained during the investigation does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the above allegation “Resident is not being accorded dignity in their personal relationships with staff” is deemed UNSUBSTANTIATED at this time.

Administrator was unable to stay for the remainder of the visit and designated staff Christian Trambulo to sign the report. LPA delivered report telephonically to Administrator.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC9099 (FAS) - (06/04)
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