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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 567610007
Report Date: 12/16/2025
Date Signed: 12/16/2025 03:58:13 PM

Unsubstantiated


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
12/08/2025 and conducted by Evaluator Martha Arroyo
COMPLAINT CONTROL NUMBER: 29-AS-20251208151834
FACILITY NAME:VARENITA OF SIMI VALLEYFACILITY NUMBER:
567610007
ADMINISTRATOR:HELEN LEEFACILITY TYPE:
740
ADDRESS:3921 COCHRAN STREETTELEPHONE:
(805) 327-1100
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:110CENSUS: 74DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Helen LeeTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Residents are not being given 90 days written notice for an increase in rates.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Martha Arroyo conducted an initial complaint investigation for the allegation listed above. Upon arrival, the LPA met with met with Executive Director (ED), Helen Lee and explained the reason for the visit. Entrance interview.

During today's visit, the LPA conducted interviews with one staff member and five residents and obtained copies of pertinent documents relevant to the investigation.

Report Continued on LIC 9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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-20251208151834
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: VARENITA OF SIMI VALLEY
FACILITY NUMBER: 567610007
VISIT DATE: 12/16/2025
NARRATIVE
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Report Continued from LIC 9099...

It was alleged that residents are not being given 90 days written notice for an increase in rates. It is the complainant’s concern that the letter of increase was received in the first week on November; however, the increased rate is to take in effect on the first of the year. Record review and interviews conducted revealed that the facility issued written notices to all residents whose level of care was affected by the rate increase. The LPA obtained and reviewed a copy of the notice, dated 11/01/2025, which stated that the new service rates would be effective 02/01/2026. Interviews with facility staff revealed that following a change in management, resident care plans were reviewed, and it was determined that several residents were receiving services that were not reflected in their current care plans. As a result, care plans were updated to accurately reflect the appropriate level of care and corresponding fees. Interviews with residents revealed that they received written notice of the rate increase in their mailboxes. Four out of four residents interviewed confirmed receiving the notice in early November. Furthermore, residents interviewed did not express or report any concerns regarding insufficient notice of the rate increase. Based on the information obtained and reviewed, the Department has insufficient evidence to support the allegation of “residents are not being given 90 days written notice for an increase in rates”. Therefore, this allegation is deemed Unsubstantiated at this time.

Exit interview conducted. A copy of the report was issued.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2