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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608905
Report Date: 04/01/2025
Date Signed: 04/01/2025 01:37:10 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.ASC, 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
02/05/2025 and conducted by Evaluator Jose Gary Tan
COMPLAINT CONTROL NUMBER: 31-AS-20250205121127
FACILITY NAME:MY HOME IIFACILITY NUMBER:
197608905
ADMINISTRATOR:MARK YULEFACILITY TYPE:
740
ADDRESS:6753 ESTEPA DRIVETELEPHONE:
(661) 219-4906
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY:6CENSUS: 6DATE:
04/01/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mark Yule - AdministratorTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff financially abused resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jose Tan conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegation. LPA met with administrator Mark Yule and explained the reason for the visit.

LPA conducted physical plant tour at 10:15 AM, requested copies of facility documents relevant to the investigation and interviewed staff and resident between 10:25 AM to 12:10 PM. Regarding the allegation that Staff financially abused resident, it was alleged that Staff #1 (S1) attempted to borrow money from Resident #1 (R1). LPA's interview with R1 on 02/11/25 at around 12:10 PM revealed that, R1 did not lend money to S1, they were just talking about it together with R1's brother. LPA's interview with R1 today revealed that there was no financial transaction happened between R1 and S1. LPA's interview with S1 on 02/11/25 at around 11:44 AM revealed that S1 was told by their landlord that they were selling the house because the landlord is moving out of state and S1 had the right of first refusal on the house and intended to buy the house. (continued on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2025
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-20250205121127
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: MY HOME II
FACILITY NUMBER: 197608905
VISIT DATE: 04/01/2025
NARRATIVE
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(continued from LIC 9099)

S1 secured the loan from the bank but needed the cash down payment immediately because the landlord needed to close the deal which prompted R1 to request for an exploratory talk with R1 fiduciary, which did not happen. Further, R1 dropped the would-be financial transaction with S1 altogether and today's interview with S1 also revealed that S1 successfully acquired the house and currently in escrow.

Based on the information gathered during this and prior visit, the allegation is deemed unsubstantiated.

Exit interview conducted. Copy of this report issued.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2