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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610023
Report Date: 02/25/2025
Date Signed: 02/25/2025 02:30:06 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
02/19/2025 and conducted by Evaluator Jose Gary Tan
COMPLAINT CONTROL NUMBER: 31-AS-20250219160039
FACILITY NAME:A TIMIA OASISFACILITY NUMBER:
197610023
ADMINISTRATOR:JHA, AKHILESH KUMARFACILITY TYPE:
740
ADDRESS:15116 ROXFORD STREETTELEPHONE:
(310) 995-4859
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:6CENSUS: 5DATE:
02/25/2025
UNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Patria Dufrenne - AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Insufficient staffing to meet the needs of residents in care

Staff do not treat residents with dignity or respect

Staff are not adequately trained to meet the needs of residents in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tan conducted an unannounced complaint visit at this facility to investigate the above allegations. LPA met with Patria Dufrenne and explained the reason for the visit.

LPA conducted physical plant tour at 10:00 AM, requested copies of facility documents relevant to the investigation at 10:15 AM, reviewed records between 10:30 AM to 11:30 AM and interviewed residents and staff between 11:30 to 1:00 PM. Regarding the allegation that the facility has Insufficient staffing to meet the needs of residents in care, it was alleged that the facility is under staff with one (1) staff for twenty-two (22) residents. LPA's record review today revealed that this facility has (1) staff for every shift (Morning, Afternoon and NOC) for the current census of (5) residents. LPA's interview with five (5) residents today between 11:30 AM to 1:00 PM revealed that five (5) out of five (5) residents stated that they have sufficient staff and provide all their care needs.

(continued on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
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-20250219160039
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: A TIMIA OASIS
FACILITY NUMBER: 197610023
VISIT DATE: 02/25/2025
NARRATIVE
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(continued from LIC 9099)

Regarding the allegation that Staff do not treat residents with dignity or respect, it was alleged that "patient" is not well treated. LPA's interview with five (5) residents today between 11:30 AM to 1:00 PM revealed that five (5) out of five (5) residents stated that all the staff are respectful and treat them with dignity and respect and provide all the care that their need.

Regarding the allegation that Staff are not trained to meet the needs of residents in care, it was alleged that that the facility staff are not equipped to meet the needs of residents. LPA's record review today between 10:30 AM to 11:30 AM revealed that all the staff working at the facility have all the required training on file. LPA's interview with two (2) staff on duty today confirmed that they were all trained before working and continuously since started working.

Based on the information gathered during this visit, these allegations are deemed unsubstantiated at this time.

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

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2