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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197606349
Report Date: 03/23/2026
Date Signed: 03/23/2026 03:31:09 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/17/2026 and conducted by Evaluator Huma Rahimi
COMPLAINT CONTROL NUMBER: 31-AS-20260317113750
FACILITY NAME:GARNER'S HOME CAREFACILITY NUMBER:
197606349
ADMINISTRATOR:MARY JANE GARNERFACILITY TYPE:
740
ADDRESS:20959 STRATHERN STREETTELEPHONE:
(818) 268-1403
CITY:CANOGA PARKSTATE: CAZIP CODE:
91304
CAPACITY:6CENSUS: 5DATE:
03/23/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Estelita Agpaoa, Administrator DesigneeTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Licensee does not ensure that staff have fingerprint clearance.
INVESTIGATION FINDINGS:
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At 10:00 am, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced 10-day complaint visit at this facility to investigate the above allegation. LPA met with the Administrator Designee who granted access to the facility. LPA diclosed the purpose of the visit.

During course of the investigation, interviews and record review were conducted. At 10:05 AM, LPA requested resident and staff roster. At 10:10 AM, LPA requested copies of pertinent information which include, but not limited to Physician Report, Admission Agreement, Appraisal Needs and Service Plan, Staff Training, Facility Staff Records, etc., relevant to the investigation. At approximately 10:12 AM, LPA conducted a physical plant tour. Between 10:15 AM – 1:45 PM, LPA conducted an interview with the Administrator Designee, Staff #1 (S2), an Operation Manager (OM), and four (4) out of five (5) residents who were available.

Continue on LIC 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
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 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/17/2026 and conducted by Evaluator Huma Rahimi
COMPLAINT CONTROL NUMBER: 31-AS-20260317113750

FACILITY NAME:GARNER'S HOME CAREFACILITY NUMBER:
197606349
ADMINISTRATOR:MARY JANE GARNERFACILITY TYPE:
740
ADDRESS:20959 STRATHERN STREETTELEPHONE:
(818) 268-1403
CITY:CANOGA PARKSTATE: CAZIP CODE:
91304
CAPACITY:6CENSUS: 5DATE:
03/23/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Estelita Agpaoa, Administrator DesigneeTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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2
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9
Staff hit resident.
Staff yell at residents.
Staff speak inappropriately to residents.
INVESTIGATION FINDINGS:
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At 10:00 am, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced 10-day complaint visit at this facility to investigate the above allegations. LPA met with the Administrator Designee who granted access to the facility. LPA diclosed the purpose of the visit.

During course of the investigation, interviews and record review were conducted. At 10:05 AM, LPA requested resident and staff roster. At 10:10 AM, LPA requested copies of pertinent information which include, but not limited to Physician Report, Admission Agreement, Appraisal Needs and Service Plan, Staff Training, Facility Staff Records, etc., relevant to the investigation. At approximately 10:12 AM, LPA conducted a physical plant tour. Between 10:15 AM – 1:45 PM, LPA conducted an interview with the Administrator Designee, Staff #1 (S2), an Operation Manager (OM), and four (4) out of five (5) residents who were available.

Continue on LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 31-AS-20260317113750
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: GARNER'S HOME CARE
FACILITY NUMBER: 197606349
VISIT DATE: 03/23/2026
NARRATIVE
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Allegation: Staff hit resident.

It was alleged that a staff member hit Resident #1 (R1) with a chair on 03/16/2026. Interview with the Administrator Designee at 10:15 a.m. revealed that no staff member hit R1 with a chair and reported that on 03/15/2026, a care meeting took place with R1, management, and caregivers regarding R1’s behavior. The Administrator Designee reported that R1 has demonstrated flirtatious behavior toward staff and that previous incidents related to resident behavior had been addressed and reported to Community Care Licensing Division (CCLD). Interview with Staff #1 (S1) at 11:17 a.m. revealed S1 was working on 03/16/2026 and provided care to R1; however, S1 denied any incident involving a chair and denied hitting or touching R1 in an aggressive manner. Interview with the Operation Manager (OM) at 12:10 p.m. revealed that the OM visited the facility regarding a report received from the Administrator Designee and a placement agency concerning resident behavior. The OM reported speaking with residents and staff and did not observe any staff acting aggressively toward residents. The OM also reported that R1 has displayed flirtatious behavior toward staff and that a meeting was conducted to address appropriate boundaries. Interview with four (4) out of four (4) residents revealed that three (3) residents reported not observing staff hit any residents and stated staff do not engage in such behavior. One (1) out of four (4) residents interviewed stated being hit many times but declined to provide further details, did not identify the staff involved, and declined to describe the incident. Based on interviews conducted and lack of corroborating information, there is insufficient evidence to support the allegation. Therefore, the allegation is Unsubstantiated at this time.

Allegation: Staff yell at residents.


It was alleged that staff yell at residents in the facility. Interview with the Administrator Designee at 10:15 a.m. revealed staff maintain supervision and appropriate communication with residents. Interview with Staff #1 (S1) at 11:17 a.m. denied ever yelling at any of the residents and further stated that staff do not raise their voices at residents. Interview with the Operation Manager at 12:10 p.m. revealed no observation of staff yelling at residents and reported that staff interactions with residents are professional. Interview with four (4) out of four (4) residents revealed that residents reported staff do not yell at residents and residents reported feeling safe in the facility. LPA observations during the visit did not reveal staff yelling at residents. Based on interviews and observations, there is insufficient evidence to support the allegation that staff yell at residents. Therefore, the allegation is Unsubstantiated at this time.

Continue on LIC 9099C

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 31-AS-20260317113750
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: GARNER'S HOME CARE
FACILITY NUMBER: 197606349
VISIT DATE: 03/23/2026
NARRATIVE
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Allegation: Staff speak inappropriately to residents.

It was alleged that staff speak inappropriately to residents. Interview with the Administrator Designee at 10:15 a.m. revealed staff are expected to maintain professional interactions with residents and address resident behavior as needed. Interview with Staff #1 (S1) at 11:17 a.m. revealed staff communicate respectfully with residents. Interview with the OM at 12:10 p.m. revealed no observation of staff using inappropriate language toward residents and reported staff interactions with residents are professional. Interview with four (4) out of four (4) residents revealed that residents reported staff are respectful and do not use inappropriate language toward residents. Based on interviews conducted and available information, there is insufficient evidence to determine that staff speak inappropriately to residents. Therefore, the allegation is Unsubstantiated at this time.

Appeal rights explained and exit interview conducted.

Copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 31-AS-20260317113750
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: GARNER'S HOME CARE
FACILITY NUMBER: 197606349
VISIT DATE: 03/23/2026
NARRATIVE
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Allegation: Licensee does not ensure that staff have fingerprint clearance.
It was alleged that staff working at the facility do not have proper criminal record clearances. Interview with the Administrator Designee at 10:15 a.m. revealed that all staff currently employed at the facility are fingerprint cleared and associated to the facility. The Administrator Designee confirmed that current staff are employed and working at the facility. LPA conducted a review of staff records during the visit and reviewed association and criminal record clearance information. Record review revealed that Staff #2 (S2) began working at the facility effective 11/28/2025 and submitted paperwork to the Community Care Licensing Division (CCLD); however, the documentation submitted was incomplete and S2 was not fingerprint cleared and associated to the facility at the time of the visit. Further review determined that the facility did not contact CCLD to verify the status of the association or fingerprint clearance for S2 prior to allowing S2 to work in the facility. Based on interviews and record review, the facility allowed S2 to work without obtaining a criminal record clearance and association as required. Therefore, the allegation is Substantiated at this time. A deficiency is issued on the corresponding LIC 9099-D page.

No immediate health or safety hazards were observed during today’s visit.

Exit interview conducted. Appeal rights discussed. Copy of report provided.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 31-AS-20260317113750
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: GARNER'S HOME CARE
FACILITY NUMBER: 197606349
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/25/2026
Section Cited
CCR
87355(e)
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87355 Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility. This requirement was not met as evidenced by:
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Licensee to provide a written statement regarding the cited section and provide proof of correction by the POC due date.
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Based on interviews and record review, the licensee did not comply with the section cited above in one (01) staff #2 (S2) not being associated or fingerprint cleared which posed an immediate risk to the Health, Safety, or Personal Rights to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6