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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609342
Report Date: 02/12/2026
Date Signed: 02/12/2026 01:55:29 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
02/02/2026 and conducted by Evaluator Angelica Segovia
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20260202094224
FACILITY NAME:LOS FELIZ GARDENSFACILITY NUMBER:
197609342
ADMINISTRATOR:SHAPIRO, NONNAFACILITY TYPE:
740
ADDRESS:205 E LOS FELIZ ROADTELEPHONE:
(818) 241-2273
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:199CENSUS: 98DATE:
02/12/2026
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Nonna Shapiro- AdministratorTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff did not seek timely medical care for resident
INVESTIGATION FINDINGS:
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On 2/12/2026 at approximately 9:50 AM, Licensing Program Analyst (LPA) Angelica Segovia conducted an unannounced initial complaint visit to the facility. LPA was greeted by staff and stated the reason for their visit. The Administrator, Nonna Shapiro arrived later to assist with today’s visit.

To investigate the allegation(s), at approximately 10:00 AM, LPA conducted a physical plant tour. By 10:30 AM, LPA requested relevant documentation. From 10:30 AM to 02:00 PM, LPA attempted interviews with ten (10) resident (R1), three (3) staff members (S1-S3) and conducted record review.

(Continue to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
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 2
Control Number 31-AS-20260202094224
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: LOS FELIZ GARDENS
FACILITY NUMBER: 197609342
VISIT DATE: 02/12/2026
NARRATIVE
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Regarding the allegation: Staff did not seek timely medical care for resident. It was alleged S1 did not seek timely medical attention for R1. To investigate the allegation, LPA conducted interviews with ten (10) residents and two (2) staff members. LPA’s interview with R1 revealed about two (2) weeks from today’s date (they could not provide a specific timeframe) they became ill where they were vomiting consistently for five (5) days. R1 stated they told staff. When questioned if staff had denied them medical treatment, R1 stated, “No”. When questioned if they were ever seen by a medical professional, R1 stated, “Yea”. LPA’s interview with 9 of the 9 residents confirmed that staff have not denied them medical attention.

LPA’s interview with S1 revealed R1 was attended to by their physician where medication was prescribed to help with their symptoms of vomiting. S1 stated once they observed R1 was not becoming better, they sent them to the hospital on 1/30/2026. LPA’s interview with S2 confirmed S1’s interview regarding R1’s hospitalization.

LPA’s record review of R1’s Centrally Stored and Destruction Medication Record (CSDMR) and Medication Administration Record (MARS), showed R1 was prescribed Metoclopramide on 1/27/2026 from 1/27/2026 to 2/10/2026. The order of the medication stated, “Take 1 tab by mouth. 3xs daily for Nausea/vomiting”. LPA's record review of R1's discharge paperwork from the hospital confirmed they were attended to.

Based on interviews and record review, R1 stated staff attended to their medical needs. Therefore, the allegation is UNSUBSTANTIATED at this time.

No immediate health and safety issues observed during the day of the visit. Exit interview was conducted and a copy of this report was provided to the Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
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