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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608506
Report Date: 08/26/2025
Date Signed: 08/26/2025 01:42:33 PM

Unsubstantiated


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
08/20/2025 and conducted by Evaluator Lorena Casillas
COMPLAINT CONTROL NUMBER: 31-AS-20250820144001
FACILITY NAME:GLEN PARK AT GLENDALE - MARIPOSA STFACILITY NUMBER:
197608506
ADMINISTRATOR:SUSAN PARKFACILITY TYPE:
740
ADDRESS:1220 S MARIPOSA STTELEPHONE:
(818) 242-9000
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:120CENSUS: 90DATE:
08/26/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Jessica FavelaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff did not ensure the Wi- Fi internet was fixed in a timely manner.
INVESTIGATION FINDINGS:
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On 08/26/2025 at 10:00 am Licensing Program Analyst (LPA), Lorena Casillas conducted an unannounced complaint visit to investigate the above stated allegation. Staff greeted and allowed LPA entry. Assistant Administrator Jessica Favela met with LPA. LPA explained the reason for the visit and an entrance interview was conducted.

At 10:35 PM LPA Casillas conducted a physical plant tour with the Administrator Assistant. During the investigation, interviews and record reviews were conducted. LPA requested resident roster, LIC 500, and Liability Insurance. LPA requested copies of pertinent information relevant to the investigation including, but not limited to, facility records, repair receipts and any other information related to the allegation. Record review was conducted from approximately 11:30am to 12:30pm, and LPA received copies of requested documents. Staff, third-party vendor and resident interviews were done from 12:30 pm to 1:30pm.

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
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 31-AS-20250820144001
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: GLEN PARK AT GLENDALE - MARIPOSA ST
FACILITY NUMBER: 197608506
VISIT DATE: 08/26/2025
NARRATIVE
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Allegation: Staff did not ensure the Wi-Fi internet was fixed in a timely manner.

Regarding this allegation it is reported that staff did not ensure that Wi-Fi internet was fixed in a timely manner. Interview with the Assistant Administrator (AA) revealed that the Wi-Fi has been intermittently working in some areas of the facility for approximately two (2) weeks. The AA stated that Spectrum, the internet provider, has been contacted twice, on 8/11/25 and 8/22/25 to resolve the matter, however the internet is still intermittent. Facility has hired a third-party vendor to resolve the concern and interview with this vendor indicates that internet will be at full capacity within the next 72 hours. The facility currently has six (6) access points and will be upgraded to ten (10) access points to provide better coverage for residents and staff. LPA inquired if an alternative was offered and AA stated that residents are free to use the areas of the facility such as the activities room for their internet needs since these areas seem to have Wi-Fi access. Furthermore, the AA made arrangements for staff to help residents make appointments and calls to providers when needed, as well as the use of their hot spots for Wi-Fi access. AA stated that ethernet or hard wire internet is functioning and only Wi-Fi is down, further providing internet to residents in the administration area. Interview with office staff confirmed that the Wi-Fi has been intermittently down, but that staff has been assisting residents with making appointments and any needs that require internet use. Interview with ten (10) out of ten (10) residents revealed that although the Wi-Fi is down, they have no concerns since if/when they ask for assistance to make appointments or need to access the internet, it is always granted. Therefore, based on interviews, observations and record reviews this allegation is deemed unsubstantiated.

No citation issued. Exit interview conducted. A copy of the report provided to the Administrator.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2