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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197600297
Report Date: 06/17/2026
Date Signed: 06/17/2026 03:34:10 PM

Unsubstantiated


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:
06/17/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Helen FaganTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff inappropriately cut resident's toe nails without POA's consent
Staff did not provide resident with personal accommodations
Staff did not notify resident's POA of incidents
Staff did not issue resident a refund
INVESTIGATION FINDINGS:
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At approximately 1:00 p.m. on 06/17/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit.

To investigate the allegations above, LPA conducted an initial visit on 03/05/26 and toured the facility inside and out at 9:50 a.m., interviewed staff and residents between 10:00 a.m. and 12:00 p.m., and conducted a record review of pertinent records at 11:15 a.m. LPA obtained hospital records on 03/15/26 and home health records on 04/17/26. Today, LPA reviewed medical records and invoices at 1:00 p.m. and toured the facility at 2:45 p.m.

Regarding the allegation "Staff inappropriately cut resident's toe nails without POA's consent" it was alleged a Witness (W1) observed Resident #1 (R1) with bloody toes. Interview with Staff #1 (S1) at 10:30 a.m. and Staff #2 (S2) at 10:45 a.m. on 03/05/26 revealed staff did not cut R1’s toenails. Staff noted R1 had a podiatrist referral for all nail care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
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 5
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: DATE:
06/17/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Helen FaganTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Resident sustained a pressure injury due to staff neglect
INVESTIGATION FINDINGS:
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At approximately 1:00 p.m. on 06/17/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit.
To investigate the allegations above, LPA conducted an initial visit on 03/05/26 and toured the facility inside and out at 9:50 a.m., interviewed staff and residents between 10:00 a.m. and 12:00 p.m., and conducted a record review of pertinent records at 11:15 a.m. LPA obtained hospital records on 03/15/26 and home health records on 04/17/26. Today, LPA reviewed medical records at 1:00 p.m. and toured the facility at 2:45 p.m.

Regarding the allegation "Resident sustained a pressure injury due to staff neglect" it was alleged Resident #1 (R1) was hospitalized with an unstageable pressure injury on their heel which was caused by staff neglect. Interview with the administrator at 11:00 a.m. on 03/05/26 revealed R1 was admitted with a Stage 2 pressure injury on their heel in August 2024. R1 contracted home health services for wound care until October 2024.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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: 06/17/2026
NARRATIVE
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R1 was discharged and did not receive medical attention for their heel until they were hospitalized in November 2025. Record review of R1’s home health records revealed their heel wound was last measured on 10/31/24 to be a Stage 2 pressure injury. Interview with Staff #1 (S1) at 10:30 a.m. on 03/05/26 revealed staff followed physician orders to care for R1’s wound. However, R1 was noncompliant with repositioning and maintained pressure on the heel which interrupted the healing process. Review of medical records from the hospital revealed they were admitted to the hospital on 12/04/25 with an unstageable pressure injury on their heel. Based on interviews and record review, staff neglect led to R1’s pressure injury. Therefore, the allegation is deemed SUBSTANTIATED at this time. A deficiency is cited on the corresponding LIC 9099-D page. A $500 immediate civil penalty is assessed today for a violation resulting in injury to R1. The licensee was informed that additional civil penalties might be assessed based on Health and Safety Code 1569.49(e) or (f), or 1548(e) or (f), 1568.0822(e) or (f).

No immediate health or safety concerns observed during today’s visit.

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

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
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: 06/17/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/18/2026
Section Cited
CCR
87615(a)
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87615 Prohibited Health Conditions (a) Persons who... have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement was not met as evidenced by:
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Licensee agreed to provide an in-service training on the cited section by the POC due date.
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Based on interviews and record review, the licensee did not comply with the section cited above by retaining Resident #1 (R1) with an unstageable pressure injury which posed an immediate risk to the Health, Safety, or Personal Rights of 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: 06/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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: 06/17/2026
NARRATIVE
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Interview with the administrator at 11:00 a.m. on 03/05/26 revealed R1 would bang their feet on the edge of their bed, causing the foot to bleed slightly. Interviews with three (03) out of three (03) residents between 11:00 a.m. and 12:00 p.m. on 03/05/26 revealed staff had not cut any of their toenails. At 12:00 p.m. on 03/05/26, LPA observed resident toenails to be in good condition. Based on interviews and observations, there is insufficient evidence to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.
Regarding the allegation "Staff did not provide resident with personal accommodations" it was alleged the facility charged R1 for a hospital bed to accommodate their large size. Interview with the administrator revealed they suggested a hospital bed so staff could appropriately care for R1 due to their large size. Multiple staff hurt their backs trying to lift R1 on their standard bed provided by the facility. The hospital bed helped elevate R1 for incontinence care and relieved pressure on R1’s skin. The administrator noted they did not charge R1 or demand that they have a hospital bed. Record review revealed no pertinent information to the investigation. Facility tour on 03/05/26 revealed three (03) out of three (03) residents had beds in good repair. Based on interviews and observations, there is insufficient evidence to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.
Regarding the allegation "Staff did not notify resident's POA of incidents" it was alleged R1’s responsible person was not notified of a Stage 2 pressure injury on their heel. Interview with the administrator revealed R1’s responsible person was informed of all necessary updates from the facility regarding R1’s care. Record review of R1’s medical assessment, home health notes, and hospital notes revealed R1 was admitted to the facility with a Stage 2 pressure injury on their heel. R1 also had a history of pressure injuries and skin integrity issues due to diabetes. R1’s heel was last measured to be a Stage 2 injury on 10/31/24. R1’s heel injury was determined to be unstageable after they were hospitalized and no longer a resident. Based on interviews and record review, facility staff reported all necessary updates to R1’s responsible person. R1’s change of condition was determined after they left the facility. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.
Regarding the allegation "Staff did not issue resident a refund" it was alleged the facility did not refund R1’s rent for their last month as a resident. Interview with the administrator revealed R1’s last day in the facility was 12/05/25. The administrator refunded R1 in the amount of $1610.50. The administrator also provided proof of payment to R1. Record review of R1’s admission agreement revealed the facility’s policy on refunds would be prorating. Record review of R1’s invoices revealed R1 was charged $2300 for 11/21/25 – 12/21/25. Based on interviews and record review, the administrator provided a refund in the approximate prorated rate to R1 in the amount of $1610.50 from 12/05/25 – 12/21/25. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns observed during today’s visit. Exit interview conducted. Copy of report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5