197609342-3-9-2026-31-AS-TAGD-DSZNMQ-20260410103530

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609342
Report Date: 03/09/2026
Date Signed: 03/09/2026 01:23:16 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
03/03/2026 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260303103544

FACILITY NAME:	LOS FELIZ GARDENS		FACILITY NUMBER:	197609342
ADMINISTRATOR:	SHAPIRO, NONNA		FACILITY TYPE:	740
ADDRESS:	205 E LOS FELIZ ROAD		TELEPHONE:	(818) 241-2273
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	199	CENSUS: 91	DATE:	03/09/2026
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Maria Chengcuenca, Medical Technician		TIME COMPLETED:	01:35 PM

ALLEGATION(S):

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Staff did not prevent a client from hitting another client
Resident sustained injuries due to staff neglect or physical abuse

INVESTIGATION FINDINGS:

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On 03/09/26, at 9:35am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Maria Chengcuenca, Medical Technician. LPA explained the purpose of this visit was to gather information and deliver findings for this complaint.

On 03/09/26, LPA Saucedo asked for the census, staff, and resident rosters. On 03/09/26, at 10:15am, LPA Saucedo conducted a physical tour, interviewed staff and residents.

LIC 9099C-continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260303103544

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: 03/09/2026

NARRATIVE

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Regarding the allegation: Staff did not prevent a client from hitting another client. It is being alleged that resident #1 (R1) was hit by Resident #2 and staff did not prevent it. LPA interviewed two (2) caregivers that were working on the day of 02/28/26 when R1 returned from the hospital and both confirmed that when R1 returned from the hospital, R1 already had bruises. One (1) staff documented it and alerted the administrator. R1 was returned back to the hospital that same day and a police report was filed. LPA obtained the Unusual Incident Report regarding R1 that was sent to Community Care Licensing Department. In addition, LPA interviewed two (2) social workers from the hospital that confirmed R1 is at times confused and disoriented. LPA reviewed R1's resident appraisal and physician's report that also confirms that R1 has confusion, forgetfulness and unspecified dementia. LPA attempted to interview R1 via telephone/face time. LPA asked R1 if they were hit by R2 and R1 replied, "no." LPA asked R1 how did they obtain the bruises to their facial area but R1 did not know. LPA asked R1 again about the bruises but R1 fell asleep. Furthermore, LPA interviewed R2 and R2 stated, "no, I never hit R1 but R1 was in a lot of pain when they returned from the hospital." LPA interviewed eight (8) additional residents that confirm they have never been hit by R2 and they also feel safe at the facility and staff intervene if there are problems amongst each other. Therefore, based on the record review and interviews conducted the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Resident sustained injuries due to staff neglect or physical abuse. It is being alleged that due to staff neglect at the facility, resident #1 (R1) was hit by another resident and R1 sustained injuries to their facial area. LPA interviewed two (2) caregivers that were working on the day of 02/28/26 when R1 returned from the hospital and One (1) of the caregivers reported to the administrator that R1 had returned from the hospital with bruises to their facial area from the hospital. R1 was then returned to the hospital on the same day 02/28/26 so R1’s facial bruising could be treated. LPA obtained the Unusual Incident Report regarding R1 that was sent to Community Care Licensing Department and a police report was filed. LPA interviewed R1 and R1 was asked if they were hit by another person and R1 stated, “no.” LPA asked R1 how the bruises happened but R1 did not answer anymore of LPA’s questions. In addition, LPA interviewed eight (8) additional residents including R1’s roommate to determine if they have ever sustained injuries due to staff neglect and/or if any physical abuse from another resident and/or staff has happened and all eight (8) residents confirmed by saying, "no." Therefore, based on the staff and resident interviews conducted the allegation is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026

LIC9099 (FAS) - (06/04)

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