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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850294
Report Date: 02/26/2025
Date Signed: 02/26/2025 01:37:02 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
02/18/2025 and conducted by Evaluator Teresa Camara
COMPLAINT CONTROL NUMBER: 29-AS-20250218091237
FACILITY NAME:VARSITY MANOR, THEFACILITY NUMBER:
565850294
ADMINISTRATOR:TECSON, ALEXANDERFACILITY TYPE:
740
ADDRESS:4656 VARSITY STTELEPHONE:
(805) 402-0304
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:6CENSUS: 3DATE:
02/26/2025
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Alexander TecsonTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff handle residents in a rough manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Teresa Camara conducted an initial complaint investigation visit to the facility regarding the above noted allegation. LPA initially met with a caregiver who called the administrator. Administrator Alex Tecson arrived at 11:57 a.m. and LPA explained the reason for the visit.

LPA interviewed three residents starting at 12:25 p.m.
LPA interviewed two staff at 11:53 a.m. and 12:22 p.m.
LPA reviewed and obtained pertinent records at 12:10 p.m.
LPA conducted a brief facility tour at 1:07 p.m.


(continued on LIC9099-C, page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
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-20250218091237
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: VARSITY MANOR, THE
FACILITY NUMBER: 565850294
VISIT DATE: 02/26/2025
NARRATIVE
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(continued from LIC9099)

Staff training records were up to date. Staff received dementia training in June of 2024 and postural support training in July 2024. Based on interviews with staff, they appear to understand how to handle fragile residents.

Based on interviews with residents, they have never been handled roughly staff. Residents were happy with how staff treat them at the facility. Residents had nothing negative to say about staff or the administrator.

Based on interviews and training records, the allegation staff handle residents in a rough manner is deemed UNSUBSTANTIATED at this time.

No deficiencies were observed. Exit interview conducted and report issued to the administrator.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2