Complaint Investigation Report

198601684-11-19-2024-31-AS-TAGD-DFTSFV-20250417135057

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

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

11/18/2024 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20241118113211

Facility staff did not ensure to abide by own plan of operation

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced initial complaint visit at this facility to investigate the above allegation. LPA met with Administrator Amparo Murvin and explained the reason for the visit.

LPA conducted physical plant tour at 9:34 AM, requested copies of facility document relevant to the investigation at 9:55 AM and reviewed records between 10:00 AM to 11:30 AM. It was alleged that two (2) staff members of the facility did not have required certifications based on their own plan of operations. LPA's record review today between 10:00 AM to 11:30 AM, confirmed that based on the review of Department of Developmental Services (DDS) on 08/28/24 and 08/29/24, Staff #1 (S1) and Staff #2 (S2) did not have Direct Support Professional (DSP) training certificates on file as required by their plan of operation. Based on the information gathered during this visit, the allegation is deemed substantiated at this time. Citation issued. Appeal rights discussed and given. Exit interview conducted. Copy of this report issued.