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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608694
Report Date: 07/15/2025
Date Signed: 07/15/2025 12:01:07 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
07/09/2025 and conducted by Evaluator Trevor Byrne
COMPLAINT CONTROL NUMBER: 29-AS-20250709122724
FACILITY NAME:VILLAGE AT SHERMAN OAKS, THEFACILITY NUMBER:
197608694
ADMINISTRATOR:GRACE HARTNETTFACILITY TYPE:
740
ADDRESS:5450 VESPER AVETELEPHONE:
(818) 994-7900
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91411
CAPACITY:179CENSUS: 171DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
11:29 AM
MET WITH:Grace HartnettTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff are not properly addressing pest infestation in the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Trevor Byrne conducted an initial complaint visit for the above allegation. LPA arrived to the facility at 10:03 AM. LPA met with Executive Director Grace Hartnett (ED). Entrance interview conducted and the reason for the visit was explained.

During today’s visit, the LPA conducted a physical plant tour to ensure there are no health and safety hazards, conducted a facility file review, obtained copies of pertinent documentation, interviewed two (2) staff and the ED between 10:05 AM and 11:30 AM.

Continued on LIC 9099C.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Trevor Byrne
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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-20250709122724
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: VILLAGE AT SHERMAN OAKS, THE
FACILITY NUMBER: 197608694
VISIT DATE: 07/15/2025
NARRATIVE
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The allegation of “Staff are not properly addressing pest infestation in the facility” alleges that the facility was experiencing an active cockroach infestation in the dry food storage room of the kitchen area and facility staff were not taking appropriate measures to address the problem. Interviews with ED, staff #1 (S1), and staff #2 (S2) revealed that the facility had an inspection by a County of Los Angeles Department of Public Health, Health Inspector (W1) on 07/08/2025. LPA reviewed the inspection report from 07/08/2025 and observed the following. The inspection began at 02:18 PM and was concluded at 03:24 PM. During this inspection W1 observed approximately ten (10) live adult and nymph German cockroaches on inside the dry storage room, under the ice making machine. Additionally, W1 observed five (5) cockroach eggs and dead cockroaches on the floor, inside the dry storage room. Interviews with ED, S1, and S2 revealed that after learning of the infestation in the dry storage room facility staff took measures to immediately address the infestation. An interview with ED and a review of the facility’s pest control records revealed that the facility contacted a pest control specialist from Orkin and treatment was performed on 07/09/2025 between 03:58 AM and 04:50 AM. A review of the treatment record revealed that treatments for a cockroach infestation were applied to the kitchen and storage areas. The service invoice stated that Orkin will be providing a follow-up service to monitor the status of the treatment on the week following the initial treatment (07/14/2025-07/18/2025). Additionally, LPA observed the yearly pest control record for the facility. The facility’s last pest control service was conducted on 04/23/2025 and included treatments and preventions for cockroaches in the kitchen and dry food storage area. The interview with S1 revealed that in addition to the pest control treatment, facility staff removed all items from the dry storage room and performed a deep cleaning from floor to ceiling. Facility staff additionally removed all food from cardboard boxes and secured food items into plastic storage bins with tight fitting lids. S1 stated that facility staff sealed off two (2) of the three (3) drains in the floor and replaced the ice maker drainage tube to ensure proper function. Additionally, after all repairs, treatment, and cleaning were completed facility staff repainted the room. All staff interviewed stated that they have not observed cockroaches since the initial treatment and repairs. During the physical plant tour LPA observed the dry storage room, the kitchen, and the dining area. LPA did not observe any signs of a cockroach infestation during the tour of these areas. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff are not properly addressing pest infestation in 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: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2