197610442-1-28-2026-31-AS-NMAN-DR7RZB-20260211122741

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 01/28/2026
Date Signed: 01/28/2026 02:49:24 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
12/08/2025 and conducted by Evaluator Leslie Ngo-Castaneda

COMPLAINT CONTROL NUMBER: 31-AS-20251208105927

FACILITY NAME:	LEISURE VALE ASSISTED LIVING		FACILITY NUMBER:	197610442
ADMINISTRATOR:	STEPHANIE ODEN		FACILITY TYPE:	740
ADDRESS:	413 E. CYPRESS STREET		TELEPHONE:	(818) 244-2323
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	199	CENSUS: 169	DATE:	01/28/2026
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	STEPHANIE ODEN- Executive Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff did not get timely medical care for resident.
Staff do not treat resident with respect.
Due to lack of supervision, residents go into other resident's bedrooms at night.
Staff handled resident roughly.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Leslie Ngo-Castaneda conducted a subsequent complaint visit to the facility to investigate the above allegation. LPA met with the executive director (S1) and advised them about the visit.

An entrance interview was conducted.

To investigate the allegation, on 12.16.2025 at 10:30 AM, LPA conducted a physical plant tour to ensure the health and safety of the clients in care. LPA interviewed seventeen (17) out of one hundred sixty-seven (167) residents, the executive director, and seven (7) staff from 10:36 AM until 12:32PM. At 12:35 PM, LPA reviewed and received copies of documents related to the investigation, including the staff roster, resident roster, R1 physician report, identification and emergency information, resident appraisal, and other relevant documents.
Continue to LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

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-20251208105927

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: LEISURE VALE ASSISTED LIVING	FACILITY NUMBER: 197610442
	VISIT DATE: 01/28/2026

NARRATIVE

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Allegation #1: Staff did not get timely medical care for resident.

It was alleged that on 12/03/25, resident #1 (R1) was brought to the Emergency Department. R1 had blurred speech the day before and it was not clear why R1 was not sent to ER within the same day. LPA interviews with the Executive Director and other staff revealed that R1 was sent to the emergency department (ED) immediately when slurred speech was observed. Furthermore, staff revealed that medical assistance, such as calling 9-1-1 during an emergency, has been used for all residents when needed. Residents revealed that in addition to staff, they also have access to call 911 if they need to. A review of facility internal documents verified the information revealed from interviews. Therefore, based on LPA observations, record reviews, and interviews, this allegation is deemed Unsubstantiated.

Allegation #2: Staff do not treat residents with respect.

Regarding the above allegation, it is alleged that staff was rude and mean to R1 and R1 is trying not to call the police as it was going to make things worse for R1.

Interviews with residents revealed that they are happy and have not experienced such treatment from staff. Interviews with staff revealed that they treat all their residents with respect and dignity. Upon review of facility records, including internal incident logs, LPA did not obtain any information to support the allegation.
Based on observations, record reviews, and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Allegation #3: Due to lack of supervision, residents go into other residents’ bedrooms at night.

It was alleged that a few different men have been going in and out of R1’s room in the middle of the night.
LPA interview with S1 revealed that staff would not enter the resident's bedroom unless they are called. Staff would knock first before entering their bedroom. LPA interview with residents revealed that they are happy with the night staff and were well taken care of by the staff and provided with all the care they need.
A review of internal records did not provide any information to verify the a validity of the allegation.
Therefore, based on the information gathered during this and prior visits, these allegations are deemed unsubstantiated at this time. Continue to LIC 9099-C

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 31-AS-20251208105927

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: LEISURE VALE ASSISTED LIVING	FACILITY NUMBER: 197610442
	VISIT DATE: 01/28/2026

NARRATIVE

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Allegation #4: Staff handled resident roughly.

It was alleged that R1 was slammed against the wall by "a big Hispanic guy" staff member. Interviews with staff and the S1 revealed that no staff handle residents roughly or abuse them. They have no staff matching that description. During a facility tour on 12.16.2025, LPA observed staff handling residents gently and with respect. Based on interviews and observations, there was no evidence corroborating the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to S1.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

LIC9099 (FAS) - (06/04)

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