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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850339
Report Date: 08/08/2026
Date Signed: 08/31/2026 10:58:19 AM

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
04/02/2026 and conducted by Evaluator Zabel Chochian
COMPLAINT CONTROL NUMBER: 29-AS-20260402113333
FACILITY NAME:INN AT THE PARK VENTURAFACILITY NUMBER:
195850339
ADMINISTRATOR:ANGUIANO, ROSEFACILITY TYPE:
740
ADDRESS:21200 VENTURA BLVDTELEPHONE:
(818) 884-7100
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY:200CENSUS: 151DATE:
08/08/2026
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Martin Zepeda, Staff TIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff did not provide adequate supervision resulting in resident inappropriately touching another resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation findings. LPA met with staff Martin Zepeda. The reason for the visit was explained.

On 04/02/2026, Community Care Licensing Division (CCLD) received information regarding the above allegations. On 04/03/2026, an initial 10-day complaint visit was conducted by LPA Chochian. During the visit, LPA conducted a tour of the physical plant tour at approximately 10 a.m. During the tour, LPA observed the common areas, and random resident rooms. During the tour, LPA also met with and interviewed three (3) residents; additional residents were interviewed in the facility office. Total of twelve (12) random residents were interviewed from approximately 10:45 a.m.-12:15 p.m. LPA also conducted interviews with six (6) staff from approximately 12:30 p.m.-1:30 p.m. Records relevant to the investigation were reviewed at approximately 1:40 p.m. and copies were obtained. This case was referred to the Department’s Investigation Branch. The Department conducted additional interviews on 04/07/2026 with Resident #1 (R1) and facility staff. (Continue to 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2026
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 3
Control Number 29-AS-20260402113333
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: INN AT THE PARK VENTURA
FACILITY NUMBER: 195850339
VISIT DATE: 08/08/2026
NARRATIVE
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Resident #2 (R2) was interviewed on 04/14/2026 and R1’s Responsible Party was interviewed on 04/20/2026. Furthermore, potential witnesses were interviewed, and follow-up interviews were conducted with R1, R1’s Responsible Party, R2, and facility staff from 04/24/2026 to 04/30/206 and from 05/04/2026 to 05/08/2026.

Following is the summary of the allegations and investigation finding:

Regarding allegation “Staff did not provide adequate supervision resulting in resident inappropriately touching another resident in care”: Information was received that R1 was sexually assaulted by previous roommate, R2, during the first week of March 2026. A specific date was not disclosed. It was further reported that during the night R1’s roommate approached R1 while in bed and asked R1 to cover self-up with a blanket. The roommate pretended to try and help R1 and then started to touch R1's bare stomach. The roommate then proceeded to touch R1's breasts and other parts of the body. R1 asked the roommate to stop but they didn't listen. R1 stated they were too weak to stop the roommate.

Records reviewed revealed that R1, who has dementia, moved to the facility on 3/05/2026 and was placed in a shared room with R2, who also has dementia. Facility staff interviewed denied having any knowledge that R2 could sexually assault another client. Records reviewed indicated residents are checked every two hours around the clock as required by the facility. R1 confirmed that caregivers were checking on them regularly. Staff interviews revealed that they first learned of the incident that R2 touched R1’s chest when fixing R1’s blanket on 3/11/2026 from R1’s responsible person and that R1 did not feel comfortable being in the same room with R2. Therefore, R1 was relocated to another room the following day (3/12/2026). Staff interviews revealed that when R1’s family reported the incident they did not report any type of abuse. However, R1’s family provided inconsistent statements that staff were informed of the alleged inappropriate behavior on 03/08/2026. Staff denied having any knowledge about R1 being inappropriately touched until 03/11/2026. Staff explained that they did not know that the touching was intentional or that included touching other parts of R1’s body other than R1’s chest. Therefore, there was no abuse report filed until it was alleged by R1’s family that R2 intentionally touched R1 inappropriately. Law Enforcement made a site visit on 04/01/2026 and 04/06/2026; R1 and R2 were interviewed and because of both residents’ confusion and memory loss, the officers took an incident report for documentation purposes and advised that because this was an injury report and not a crime report, detectives will not be investigating the matter. (Continue to LIC9099C).
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20260402113333
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: INN AT THE PARK VENTURA
FACILITY NUMBER: 195850339
VISIT DATE: 08/08/2026
NARRATIVE
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The investigation could not prove that the facility knew or should have known about the abuse before 3/11/2026, and that the severity of the touching is unclear, the allegation that R2 sexually abused R1 as a result of facility neglect could not be proven.

Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation, “Staff did not provide adequate supervision resulting in resident inappropriately touching another resident in care” is deemed Unsubstantiated at this time.

Exit interview conducted. A copy of the report was provided.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3