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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850111
Report Date: 07/17/2025
Date Signed: 07/17/2025 04:08:49 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
06/20/2025 and conducted by Evaluator Teresa Camara
COMPLAINT CONTROL NUMBER: 29-AS-20250620120900
FACILITY NAME:LEXINGTON ASSISTED LIVINGFACILITY NUMBER:
565850111
ADMINISTRATOR:JILL MORRIS CHAPMANFACILITY TYPE:
740
ADDRESS:5440 RALSTON STTELEPHONE:
(805) 644-6710
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:125CENSUS: 68DATE:
07/17/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Joanna Enriques, Interim EDTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility staff did not assist resident with hygiene as needed
Facility staff did not assist resident with medical care as needed
Facility staff maintained a resident beyond their level of care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint investigation visit regarding the above noted allegation. LPA met with Interim Executive Director (ED) Joanna Enriques and Clinical Director Davi Rivas, RN, and explained the reason for the visit.


On 6/26/2025, LPA conducted the initial complaint investigation visit and reviewed pertinent documents. On 7/10/2025, LPA reviewed further documents, interviewed the Clincial Director, and interviewed Resident 1 (R1) at the adjacent skilled nursing facility.


(continued on LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
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-20250620120900
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: LEXINGTON ASSISTED LIVING
FACILITY NUMBER: 565850111
VISIT DATE: 07/17/2025
NARRATIVE
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(continued from LIC9099)

Regarding the allegations "Facility staff did not assist resident with hygiene as needed" and "Facility maintained a resident beyond their level of care": R1 has a healing wound which is not related to a pressure injury. Due to the type of wound, it can result in tissue breakdown which may cause a release of volatile compounds sometimes creating a strong odor. The facility staff followed physicians' orders to keep the wound covered, however the smell was sometimes offensive. Residential Care Facilities can keep residents who have healing wounds not caused by pressure. R1 was receiving home health services for the wound care. In addition, R1 was on a shower schedule of two days per week. R1 would occasionally refuse assistance with showers which is noted in the facility's records. Based on this information, these allegations are deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Facility staff did not assist resident with medical care as needed": The Clinical Director was working with R1's representative to get R1 to a physician to further address the care needed for the wound on R1's head. R1's primary physician referred R1 to a dermatologist. The dermatologist told R1 and their representative they could not treat the wound and R1 would need to see a plastic surgeon. The dermatologist did address other skin concerns and R1 visited the dermatologist four times over a four month period. During that time, R1's representative and the Clinical Director made attempts to find a plastic surgeon that would accept R1's insurance. On 5/9/2025, R1 was sent to a local hospital and then to a skilled nursing facility (SNF). When visiting with R1 on 7/10/2025, the wound was completely covered but there was still some odor. R1 stated they were unhappy staying at the SNF and they preferred the care they received at the facility. R1 felt their medical needs were addressed by the facility staff and did not have any complaints. Based on these observations and interviews, this allegation is deemed UNSUBSTANTIATED at this time.

No deficiencies cited. Exit interview conducted and report issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2