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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197601592
Report Date: 07/09/2026
Date Signed: 07/09/2026 02:19:57 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.RO, 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
06/11/2026 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20260611115429
FACILITY NAME:TRUDEZ HOME CAREFACILITY NUMBER:
197601592
ADMINISTRATOR:LOPEZ, VIRGILIOFACILITY TYPE:
740
ADDRESS:23844 VIA JACARATELEPHONE:
(661) 259-7019
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY:6CENSUS: 4DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Remigia BergonioTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff kept a resident with a prohibited health condition
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility, met with Remigia Bergonio, and explained the reason for the visit. LPA spoke with the administrator, Waldi Trudez Lopez, who designated Bergonio to sign and accept this report.

---- Staff kept a resident with a prohibited health condition

It was alleged that Resident #1 (R1) has Stage 4 pressure ulcers without proper care. To investigate the allegation, on June 12, 2026, LPA requested documents at around 10:00a.m. On July 9, 2026, LPA interviewed the administrator, Waldi Trudez Lopez, and Staff #2 (S2) at around 9:30a.m. A review of the Admissions Agreement states R1 was admitted to the facility on April 15, 2023. A review of the Physician’s Report states R1 is non-ambulatory, has a primary diagnosis of dementia and a secondary diagnosis of hyperlipidemia.
(CONT. LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
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
Control Number 31-AS-20260611115429
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: TRUDEZ HOME CARE
FACILITY NUMBER: 197601592
VISIT DATE: 07/09/2026
NARRATIVE
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A review of hospice records states resident began receiving services May 22, 2024. Wound evaluation dated May 26, 2025 states weekly debridement to promote healing is initiated, clinical assessment left gluteal and left gluteal crease buttock pressure ulcer Stage 3 and that wound is unrelated to the hospice terminal illness diagnosis. A review of facility log states R1 was sent to the hospital June 10, 2026. During interviews, Lopez stated R1 was receiving hospice services in the facility when suddenly the agency closed May 15, 2026 without warning. We felt we could continue providing the wound care while searching for a new hospice agency but we could not find one in time so we had to send resident to the hospital.

Based on interviews, there is enough information to verify the allegation. Therefore, the allegation is SUBSTANTIATED at this time.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D):

No health and safety hazards noted during the visit.

Exit interview conducted and a copy of the report was issued.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 31-AS-20260611115429
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: TRUDEZ HOME CARE
FACILITY NUMBER: 197601592
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/12/2026
Section Cited
CCR
87615(a)(1)
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87615 Prohibited Health Conditions (a)Persons who require health services for or 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.
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The Administrator will review regulation and submit a written letter certifying that, moving forward, they will ensure to follow and adhere to 87615 Prohibited Health Conditions; The Administrator will also submit proof of training for all staff. All proof must be sent to the LPA by the POC due date.
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This requirement is not met as evidenced by; Based on record review and interviews, the facility retained a resident from May 15, 2026 to June 10, 2026 with Stage 3 pressure injuries which poses an immediate health, safety, and personal rights risk to residents 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: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 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.RO, 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
06/11/2026 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20260611115429

FACILITY NAME:TRUDEZ HOME CAREFACILITY NUMBER:
197601592
ADMINISTRATOR:LOPEZ, VIRGILIOFACILITY TYPE:
740
ADDRESS:23844 VIA JACARATELEPHONE:
(661) 259-7019
CITY:VALENCIASTATE:CAZIP CODE:
91355
CAPACITY:6CENSUS: 4DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Remigia BergonioTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Due to staff neglect, resident sustained pressure injuries.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility, met with Remigia Bergonio, and explained the reason for the visit. LPA spoke with the administrator, Waldi Trudez Lopez, who designated Bergonio to sign and accept this report.

--- Due to staff neglect, resident sustained pressure injuries.

It was alleged that Resident #1 (R1) has Stage 4 pressure ulcers, and chronic pain related to pressure ulcers and contractures resulting from months of improper care. To investigate the allegation, on June 12, 2026, LPA requested documents at around 10:00a.m. On July 9, 2026, LPA interviewed the administrator, Waldi Trudez Lopez and Staff #2 (S2) at around 9:30a.m. LPA interviewed three (3) out of four (4) residents at around 11:00a.m. LPA was unable to interview one (1) resident as they were out in the community. (CONT. on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 31-AS-20260611115429
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: TRUDEZ HOME CARE
FACILITY NUMBER: 197601592
VISIT DATE: 07/09/2026
NARRATIVE
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A review of the Physician’s Report states R1 is non-ambulatory, has a primary diagnosis of dementia and a secondary diagnosis of hyperlipidemia. A review of hospice records states resident began receiving services May 22, 2024. Wound evaluation states weekly debridement to promote healing is initiated, clinical assessment left gluteal and left gluteal crease buttock pressure ulcer Stage 3 and that wound is unrelated to the hospice terminal illness diagnosis. A review of facility log states R1 was sent to the hospital June 10, 2026. A review of facility Personnel Report shows there are at least two (2) staff available day and night. During interviews, Lopez stated were all following the instructions provided by the hospice agency and did not expect them to close their business and we are not the cause of the wound. Lopez stated once they were all out of supplies to properly care for wounds, they decided to admit R1 to hospital to get the necessary care. Lopez stated wound supplies are expensive. S2 stated when the hospice nurses were not available to care for the wound, the caregivers are the ones cleaning the surrounding area and treating the wound. All staff stated they check on residents every two (2) hours. During interviews, all residents stated they are checked on often and do not feel neglected.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards noted during the visit.

Exit interview conducted and a copy of the report was issued.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5