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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 425801657
Report Date: 09/13/2024
Date Signed: 09/13/2024 03:49:33 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/09/2024 and conducted by Evaluator Erika Miller
COMPLAINT CONTROL NUMBER: 29-AS-20240909105000
FACILITY NAME:LA SALLE CARE HOME INC.FACILITY NUMBER:
425801657
ADMINISTRATOR:MERLA P. VENTURAFACILITY TYPE:
740
ADDRESS:1603 LA SALLE DRIVETELEPHONE:
(805) 287-9570
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:6CENSUS: 4DATE:
09/13/2024
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Merla VenturaTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Illegal Eviction
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Erika Miller conducted an unannounced initial complaint visit to the facility above on September 13, 2024. LPA met with Administrator, Merla Ventura (Ventura), and explained the purpose of the visit. LPA interviewed staff and residents and obtained relevant documentation.

It was alleged that Resident 1 (R1) received an eviction notice from La Salle Care Home administrator, Merla Ventura. Reporting party (RP) alleges that the eviction notice is deficient and thus invalid. RP reports it does not list any specific violation of one of the five rules that are acceptable for eviction. RP alleges that the eviction notice does not state what rules have been broken, and it does not document “dates, places, circumstances surrounding the event(s) and identification and statements of witnesses” as per regulations (CCR 87224(d)). (Continued on 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Erika Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024
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 29-AS-20240909105000
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: LA SALLE CARE HOME INC.
FACILITY NUMBER: 425801657
VISIT DATE: 09/13/2024
NARRATIVE
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On September 4, 2024, LPA Miller communicated with Ventura via telephone and sent an email communication to summarize the requirements of the eviction notice dated August 31, 2024. LPA Miller advised Ventura that the eviction notice was not valid. As such, Ventura was required to revise and reissue the eviction notice with a new effective date. Merla was advised that pursuant to Title 22 Section 87224(d) Eviction procedures, states in part that “the licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons.”

Ventura was further advised that, pursuant to Title 22 Section 87224(d)(1)(D) Eviction procedures, you must include the following exact statement in the eviction notice, as specified in Health and Safety Code Section 1569.683(a)(4):

"In order to evict a resident who remains in the facility after the effective date of the eviction, the residential care facility for the elderly must file an unlawful detainer action in superior court and receive a written judgment signed by a judge. If the facility pursues the unlawful detainer action, you must be served with a summons and complaint. You have the right to contest the eviction in writing and through a hearing."

On September 9, 2024, administrator submitted a revised eviction notice for review by CCLD. Administrator was advised that the notice remained non-complaint and that R1 is under no obligation to vacate the premises. Administrator was advised that she may rescind the eviction notice in writing, previously issued, or reissue a revised eviction notice that met all requirements.

During the complaint visit, Administrator advised LPA that a new eviction notice dated September 10, 2024, was provided to R1. Administrator only provided copy of notice at the time of complaint visit. R1 stated that she did not receive the eviction notice dated September 10, 2024. R1 provided a copy of eviction notices dated August 1, 2024 and August 31, 2024. LPA noted that Administrator did not provide CCL a copy of the eviction notice dated August 1, 2024.

Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099-D. An Exit interview conducted and a copy of this report issued.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Erika Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20240909105000
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: LA SALLE CARE HOME INC.
FACILITY NUMBER: 425801657
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/20/2024
Section Cited
CCR
87224(d)
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87224(d) Eviction Procedures. The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. This requirement was not met as evidenced by:
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In LPA’s presence, Administrator informed R1 the eviction notice was invalid and was rescinded. Administrator agreed to submit a signed statement of understanding of regulation 87224 Eviction Procedures.
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Based on observations, interview and record review, the licensee did not comply with the section cited above when they issued an invalid eviction notice to R1, which posed a potential personal rights risk to residents 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: Kelly Burley
LICENSING EVALUATOR NAME: Erika Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3