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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850150
Report Date: 10/30/2023
Date Signed: 10/30/2023 03:09:45 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
10/24/2023 and conducted by Evaluator Christine Yee
COMPLAINT CONTROL NUMBER: 29-AS-20231024142654
FACILITY NAME:VARENITA OF WESTLAKEFACILITY NUMBER:
565850150
ADMINISTRATOR:VEJAR, MERIFACILITY TYPE:
740
ADDRESS:95 DUSENBERG DRIVETELEPHONE:
(805) 413-3300
CITY:WESTLAKESTATE: CAZIP CODE:
91362
CAPACITY:90CENSUS: 85DATE:
10/30/2023
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Mark Brassfield, Wellness DirectorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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9
1. Staff curses at the residents while in care
2. Staff speaks inappropriately towards the residents
3. Staff denied a resident from eating while in care
4. Staff is mistreating the residents while in care
5. Staff yells at the residents while in care
INVESTIGATION FINDINGS:
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5
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13
Licensing Program Analyst (LPA) Christine Yee conducted an unannounced complaint visit to investigate the above allegations and met with Heliodoro Mark Martinez-Brassfield, Wellness Director. The reason for today's visit was explained.

On today's visit, LPA Yee conducted interviews with Mark Brassfield, Wellness Director at 11:03pm, Staff #1 at 12:49pm, Staff #2 at 1:01pm, Staff #3 at 1:27pm, Staff #4 at 1:46pm and Staff #6 at 2:09pm.

Per information received from interviews conducted with Memory Care staff, everyone stated that they have not witnessed any staff, including Staff #5, curse, speak inappropriately, deny food, mistreat or yell at any residents in care in the time they have worked at the facility. All memory care staff stated that they would report the staff immediately to managment. The staff treat the residents in care as they would their own
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023
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-20231024142654
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: VARENITA OF WESTLAKE
FACILITY NUMBER: 565850150
VISIT DATE: 10/30/2023
NARRATIVE
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family.

Per interview with Mark Brassfield, Wellness Director, there has been no reports or complaints from any family members about resident mistreatment or reports of resident abuse or mistreatment by staff.

Based on interviews conducted today, there is insufficient evidence to establish that the residents are being mistreated by staff, therefore the above allegations are unsubstantiated.

Exit interview was conducted with Mark Brassfield and a copy of this report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2