<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565801876
Report Date: 01/13/2026
Date Signed: 01/13/2026 01:46:07 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/19/2025 and conducted by Evaluator Kelly Dulek
COMPLAINT CONTROL NUMBER: 29-AS-20250919115058
FACILITY NAME:ATRIA GRAND OAKSFACILITY NUMBER:
565801876
ADMINISTRATOR:EDEN TOLENTINOFACILITY TYPE:
740
ADDRESS:2177 E THOUSAND OAKS BLVDTELEPHONE:
(805) 370-5400
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91362
CAPACITY:140CENSUS: 107DATE:
01/13/2026
UNANNOUNCEDTIME BEGAN:
01:08 PM
MET WITH:Eden TolentinoTIME COMPLETED:
01:54 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Illegal Eviction
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a subsequent complaint investigation with the purpose of delivering findings for the allegation listed above at 01:08PM. Upon arrival, LPA met with Executive Director (ED) Eden Tolentino. Entrance interview conducted.

During an initial complaint visit, conducted by LPA Dulek and LPA Angela Barutyan on 09/26/2025, LPAs conducted a brief physical plant tour between 09:15AM-02:10PM, conducted interviews with three (3) staff, two (2) residents, and attempted an interview with one (1) resident between 09:33AM-02:05PM, reviewed and obtained copies of pertinent documents relevant to the investigation between 12:05PM-02:20PM, and discussed allegation with ED at 03:05PM. During a subsequent complaint visit conducted by LPA Dulek on 12/16/2025, LPA spoke with Sales Director at 01:54PM, Business Director Sarah Dodd at 01:57PM, conducted a telephone interview with staff at 02:00PM, and resident interview at 02:31PM. LPA also obtained
copies of relevant documents. Throughout the course of the investigation, LPA reviewed all documents
Report Continued on LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
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-20250919115058
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ATRIA GRAND OAKS
FACILITY NUMBER: 565801876
VISIT DATE: 01/13/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
obtained, including additional correspondence with the facility. The following was then determined:

The complaint alleges that Atria issued an eviction notice to Resident #1 (R1) and the reason for the eviction was not valid. LPA reviewed the 30-day notice to terminate which indicated that during an incident that occurred on 08/30/2025, R1 violated the facility’s house rules and as thus, R1’s residency will terminate effective 10/05/2025. According to the house rules, which R1 signed upon admission to the facility and as stated in the notice to terminate, “residents…must display respect for others in the community. Neither verbal, nor physical abuse towards residents, employees, visitors and/or anyone who is present in the Community will be tolerated.” Interview with Executive Director, who was not present during the alleged incident on 08/30/2025, revealed ED believed R1’s behavior that day did in fact constitute verbal abuse. However, interview with all parties that were directly involved in or observed the alleged incident, which included two (2) residents and two (2) staff, revealed that although R1 did appear to be upset and raised their voice, at no time was R1’s behavior abusive. The staff running the activity stated R1 was upset with Atria and the choice of activities. However, none of R1’s comments were directed at the staff nor was R1 yelling at the staff. Staff interviewed indicated that other residents have yelled directly at the staff, called staff names and cursed, which the staff did identify as abuse, but R1 did not engage in any such behavior during this incident or at any other time. Staff noted other residents who they believed were being verbally abusive are still residing at the facility. ED indicated R1 was angry the whole time and R1’s behavior instigated the other resident present, who also got upset. LPA reviewed all incident reports received at the Regional Office (RO), and this alleged incident was not reported to the RO. It is unclear why if this behavior was so extreme as to constitute abuse, an incident report detailing the event was not sent to the RO. Following a meeting held including R1 and their legal representative, an addendum to termination notice was issued, which extended the date of the eviction to 01/31/2026. The eviction notice was not rescinded. Prior to the facility issuing the eviction notice, R1 frequently attended activities, however, after the notice was issued, staff and residents reported R1 no longer attended activities and R1 remained mainly in their own room. LPA was informed during the subsequent complaint visit that R1 moved out of the facility on 12/11/2025. Interview with R1 revealed that the reason for the move was due to the eviction notice issued. Based on the information gathered during the investigation, the preponderance of evidence standard has been met, therefore, the allegation is deemed SUBSTANTIATED at this time.

Pursuant to Title 22, California Code of Regulations, the following deficiency is cited (refer to LIC 9099-D). ED was informed that failure to correct to correct the deficiency may result in civil penalties.

Exit interview conducted. A copy of today’s report and appeal rights were provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20250919115058
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ATRIA GRAND OAKS
FACILITY NUMBER: 565801876
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/27/2026
Section Cited
CCR
87224(a)(3)
1
2
3
4
5
6
7
87224(a)(3) Failure of the resident to comply with general policies of the facility. Said general policies must be in writing, must be for the purpose of making it possible for residents to live together and must be made part of the admission agreement.
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Executive Director agreed to write a statement of understanding regarding evictions and send to CCL by POC due date.
8
9
10
11
12
13
14
Based on interview and record review, the licensee did not comply with the above cited section, as R1 was issued an eviction notice for violating house rules, however all parties involved did not believe R1’s behavior was abusive, which posed a potential personal rights risk to persons in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3