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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565802444
Report Date: 03/13/2025
Date Signed: 03/13/2025 05:01:20 PM

Unsubstantiated


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
03/28/2024 and conducted by Evaluator Sandra Urena
COMPLAINT CONTROL NUMBER: 29-AS-20240328125225
FACILITY NAME:LAND OF ENCHANTMENT 1 BOARD AND CARE LLCFACILITY NUMBER:
565802444
ADMINISTRATOR:ROXANA LARAFACILITY TYPE:
740
ADDRESS:78 W GAINSBOROUGH RDTELEPHONE:
(805) 601-5202
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY:6CENSUS: 5DATE:
03/13/2025
UNANNOUNCEDTIME BEGAN:
11:38 AM
MET WITH:Roxana LaraTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not communicate with resident's responsible party in a timely manner.
Staff do not allow resident's responsible party to feed resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced subsequent visit to investigate the allegations listed above. LPA Urena met with the Manager Tiffany Lara and explained the reason for the visit. The Licensee Roxana Lara arrived shortly thereafter. The LPA and the Manager conducted a tour of the facility to ensure there are no health or safety concerns. LPA Urena interviewed the licesee and staff at 10:55 a.m.

On 04/02/2024, Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced complaint initial visit to investigate the allegations listed above. The LPA met with facility Manager Tiffany Lara at 11:40 a.m. and explained the reason for the visit. The manager called the licensee on the phone and allowed the LPA to explain the reason of the visit and interviewed the licensee on the phone. At 1:15 p.m. the LPA requested documents pertaining to the investigation and interviewed the manager and caregiver staff.
Continues on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
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 29-AS-20240328125225
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: LAND OF ENCHANTMENT 1 BOARD AND CARE LLC
FACILITY NUMBER: 565802444
VISIT DATE: 03/13/2025
NARRATIVE
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Staff did not communicate with resident's responsible party in a timely manner.

On the allegation that staff did not communicate in a timely manner, the concern of the RP is that they requested photographs taken by facility staff of R1 of a specific event, and as of 03/28/2024 the facility staff had not provided the photos to the RP. To investigate the allegation the LPA interviewed the staff and the licensee about the photos taken by S1 during a time when R1 was being changed by staff (S1). The interviews revealed that the process of taking the pictures of R1 was done in four (4) steps as requested by the RP. The pictures were taken accordingly except for step three (3) when the staff got distracted by the RP, and was unable to get the third picture and S1 explained to the RP why they didn’t take the picture. Furthermore, S1 stated that the RP was taking pictures at the same time as S1.

Base on the information obtained through interviews; although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed Unsubstantiated at this time.


Staff do not allow resident's responsible party to feed resident in care.

On the allegation that staff are not allowing the responsible party to feed R1, it is the concern of the Reporting Party that the responsible party has been told not to feed R1. The LPA interviewed the Licensee and S1 about preventing the responsible party to feed R1. The LIcensee and staff stated, “We have never told the responsible party not to feed R1, the responsible can if they want to come during the mealtimes. Furthermore, the Licensee and S1 stated that during one occasion the RP asked R1 who they prefer to be fed by, and R1 pointed to the staff.

Base on the information obtained through interviews; although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed Unsubstantiated at this time.



No citations were issued at this time. Exit interview was conducted and a copy of the report was issued.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Sandra Urena
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2