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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610372
Report Date: 11/05/2025
Date Signed: 11/05/2025 03:43:25 PM

Substantiated


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
10/30/2025 and conducted by Evaluator Lorena Casillas
COMPLAINT CONTROL NUMBER: 31-AS-20251030092102
FACILITY NAME:WILLOWVIEW HOME TWO, LLCFACILITY NUMBER:
197610372
ADMINISTRATOR:ANGUIANO, EMALYNFACILITY TYPE:
740
ADDRESS:44148 12TH ST WESTTELEPHONE:
(661) 418-6180
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:6CENSUS: 3DATE:
11/05/2025
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Elbert PerezTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff yells at resident.
INVESTIGATION FINDINGS:
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On 11/05/25 at 01:20 pm, Licensing Program Analyst (LPA) Lorena Casillas conducted an unannounced 10-day complaint visit to the facility to investigate the above allegation. LPA was greeted and granted access to the facility by staff. LPA spoke with Administrator Emalyn Anguiano and explained the reason for the visit. Administrator stated that the facility has been sold to Ellis Paradise but had no exact date to provide. LPA explained that until there is a change of ownership the facility still falls under the current Licensee and Administrator. Administrator was reluctant but accepted that responsibility is still under Willowview Home Two LLC and that she is the current Administrator. Administrator stated that they would not be able to join LPA since they were an hour away taking care of a previously made appointment. Administrator designated staff Elbert Perez to assist LPA and sign the report. Entrance interview conducted.

Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
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 3
Control Number 31-AS-20251030092102
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: WILLOWVIEW HOME TWO, LLC
FACILITY NUMBER: 197610372
VISIT DATE: 11/05/2025
NARRATIVE
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At approximately 01:45 pm, LPA requested copies of resident and staff rosters, liability insurance and Administrator Certificate. LPA also requested copies any documents relevant to the investigation. At 02:00 pm, LPA conducted a physical plant tour to ensure the health and safety of the residents are protected. At approximately 2:30 pm LPA conducted a file review of documents provided. Between 01:30 pm and 03:30 pm, LPA conducted interviews with one (1) staff, and three (3) out of three (3) residents.

Allegation: Staff yells at resident.

It is reported that staff yells at resident. Regarding this allegation it is reported that resident #1 (R1) is constantly yelled at by a staff member. LPA interviewed R1 and R1 stated that the current staff member is not the one that has yelled at R1. R1 revealed that a different staff member that is no longer working at the facility was the one that had previously yelled at R1. Interview with Resident #2 (R2) revealed that staff do not yell at them. Interview with Resident #3 (R3) revealed that staff sometimes yell but R3 also stated that they are hard of hearing and that’s why staff yell. Interview with Staff #1 (S1) present at the facility revealed that they have not witnessed any other staff yell at the residents, but did acknowledge that there has been another staff member in their place when S1 took a day off, therefore they did not witness any yelling. S1 was not able to provide any information regarding the staff member in question as there is no facility file on them. LPA contacted Administrator over the phone and inquired about additional staff at the facility and Administrator revealed Staff #2 (S2)’s identity. LPA was not able to locate S2 on the Guardian website and explained that all staff need to be fingerprint cleared and associated to the facility prior to working and providing direct care and supervision to residents. This will be addressed in a case management. Based on interviews, observations and file reviews this allegation is deemed substantiated.

Citation issued. Exit interview conducted and a copy of the report provided to designee.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20251030092102
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: WILLOWVIEW HOME TWO, LLC
FACILITY NUMBER: 197610372
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/17/2025
Section Cited
CCR
87468.1(a)(1)
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Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This was not met as evidenced by:
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Administrator discussed and agreed to Personal Rights training for all staff and will submit proof of training with attendance roster to LPA via email by POC due date.
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Based on interviews, the licensee did not comply with the section cited above by permitting Staff #2 (S2) to yell at residents, which posed a potential Health, Safety, or Personal Rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
LIC9099 (FAS) - (06/04)
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