Complaint Investigation Report

197608838-9-26-2025-31-AS-NGID-DQRR3T-20260128114025

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

WOODLAND HILLS S.RO , 21731 VENTURA BLVD., STE. 250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

12/13/2024 and conducted by Evaluator Mariana Agban

COMPLAINT CONTROL NUMBER: 31-AS-20241213122323

Staff did not properly address resident's multiple falls at facility.

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced subsequent complaint visit to include additional interviews for the Substantiated complaint report on 12/30/2024. LPA arrived and was greeted by the receptionist and met with the Assisted Living Director Mary Okahata, and explained the reason for the visit. LPA requested copies of pertinent information, which includes LIC 500 and the Resident Roster. LPA conducted a physical plan tour to ensure the health and safety of the residents are protected and are in compliance with Title 22 Regulations. During today's visit, LPA interviewed an additional 5 residents, 3 staff member, and the Executive Director. Based on information obtained, the allegation remains Substantiated at this time. Facility staff did not properly address multiple falls at the facility. Resident#1(R1) Service Plan acknowledges that R1 is a fall risk; however did not address actions taken to prevent future falls. R1 had 18 fall incidents at the facility from January to December 2024. Exit interview conducted, POC is cleared, copy of this report signed and delivered.