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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197600297
Report Date: 03/05/2026
Date Signed: 03/05/2026 03:38:42 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/27/2026 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20260227093402
FACILITY NAME:TRUDEZ HOME CAREFACILITY NUMBER:
197600297
ADMINISTRATOR:LOPEZ, VIRGILIOFACILITY TYPE:
740
ADDRESS:25821 OLIVAS PARK ROADTELEPHONE:
(661) 259-1827
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY:5CENSUS: 3DATE:
03/05/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Walditrudez LopezTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff did not keep resident's records in a secure location
INVESTIGATION FINDINGS:
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At approximately 9:45 a.m. on 03/05/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit.

Regarding the allegation "Staff did not keep resident's records in a secure location" it was alleged the records of Resident #1 (R1) were not kept confidential and kept on a bookshelf. To investigate the allegation, LPA toured the facility inside and out at 9:50 a.m. today, interviewed staff and residents between 10:00 a.m. and 12:00 p.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, and care plan at 11:15 a.m.

At approximately 10:10 a.m. today, LPA observed a locked file cabinet with confidential resident and staff files. Near the locked cabinet was an accessible shelf with medication administration records (MARs) and two (02) hospice files belonging to residents.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
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 4
Control Number 31-AS-20260227093402
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: TRUDEZ HOME CARE
FACILITY NUMBER: 197600297
VISIT DATE: 03/05/2026
NARRATIVE
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Interview with the licensee at approximately 10:45 a.m. today revealed the hospice nurse may have left out the hospice files. The licensee also believed Staff #1 (S1) left out the MARs while auditing them. Based on observations and interviews, the licensee did not ensure resident records remained confidential. Therefore, the allegation is deemed SUBSTANTIATED at this time. Deficiency issued on the corresponding LIC 9099-D page.

Exit interview conducted. Appeal rights discussed. Copy of report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20260227093402
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: TRUDEZ HOME CARE
FACILITY NUMBER: 197600297
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/16/2026
Section Cited
CCR
87506(c)
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87506 Resident Records (c) All information and records obtained from or regarding residents shall be confidential. This requirement was not met as evidenced by:
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Licensee directed staff to lock up the files left out during the visit. Deficiency cleared.
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Based on interviews and observations, the licensee did not comply with the section cited above by not ensuring the records of two (02) residents were kept confidential which posed a potential risk to the Health, Safety, or Personal Rights or persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4