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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197600430
Report Date: 06/23/2025
Date Signed: 06/23/2025 03:52:54 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
06/16/2025 and conducted by Evaluator Trevor Byrne
COMPLAINT CONTROL NUMBER: 29-AS-20250616161248
FACILITY NAME:VALLEY VIEW RETIREMENT CENTERFACILITY NUMBER:
197600430
ADMINISTRATOR:JUDITH MONTOYAFACILITY TYPE:
740
ADDRESS:7720 WOODMAN AVE.TELEPHONE:
(818) 997-6756
CITY:PANORAMA CITYSTATE: CAZIP CODE:
91402
CAPACITY:116CENSUS: 72DATE:
06/23/2025
UNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Judith MontoyaTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff did not prevent resident from contracting scabies at the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced complaint investigation visit at the facility at 10:31 AM. LPA met with facility Administrator Judith Montoya entrance interview was conducted and the reason for the visit was explained.

During today’s visit LPA conducted a physical plant tour, reviewed one (1) resident file, and conducted interviews with the Administrator, three (3) witnesses, and seven (7) residents between 10:35 AM and 02:15 PM.

Continued on LIC-9099C

Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
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 3
Control Number 29-AS-20250616161248
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: VALLEY VIEW RETIREMENT CENTER
FACILITY NUMBER: 197600430
VISIT DATE: 06/23/2025
NARRATIVE
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The allegation of “Staff did not prevent resident from contracting scabies at the facility” alleges that the facility did not take appropriate precautions to prevent Resident #1 (R1) from contracting scabies while residing at the facility. Interviews with the Administrator, staff #1 (S1) and Witness #1 (W1) revealed that R1 has a skin condition that results in itching and a rash similar to scabies. The Administrator and S1 stated that R1 was admitted to the facility with this condition and was receiving care for the condition while they resided at the facility. W1 confirmed that R1 was diagnosed with this condition around the time they moved to the facility. Additionally, W1 confirmed that R1 has been tested for scabies on multiple occasions and each test returned negative results. LPA interviewed Witness #2 (W2) who stated that R1 has not been confirmed to be diagnosed with scabies but received treatment as a precautionary measure. LPA reviewed R1’s file. LPA observed R1’s admission appraisal needs and services plan dated 02/17/2025 which stated that R1 had a “Skin condition but being treated.” All current residents interviewed stated that the facility staff maintain a clean facility and conduct room cleanings/bath towel changes daily with bedsheets being changed weekly. No current residents had concerns with the cleanliness of the facility. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff did not prevent resident from contracting scabies at the facility.” Therefore, the allegation is deemed Unsubstantiated at this time.

A copy of the report was printed and exit interview was conducted.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3