197609767-8-27-2026-31-AS-MGFS-DXGUT7-20260831155127

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609767
Report Date: 08/27/2026
Date Signed: 08/27/2026 11:27:13 AM

Unfounded

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
06/17/2026 and conducted by Evaluator Mariana Agban

COMPLAINT CONTROL NUMBER: 31-AS-20260617092755

FACILITY NAME:	ASSURE CARE VILLA		FACILITY NUMBER:	197609767
ADMINISTRATOR:	SUSAN L. NUGUID		FACILITY TYPE:	740
ADDRESS:	8854 OAKDALE AVE		TELEPHONE:	(714) 618-0016
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91324
CAPACITY:	6	CENSUS: 5	DATE:	08/27/2026
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Dennis Bonifacio- Administrator Designee		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Resident sustianed serious injuries as a result of elopment due to lack of supervision
Staff did not notice change in resident's condition
Staff did not seek higher level of care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mariana Agban conducted a complaint investigation visit regarding the above allegation. LPA met with Dennis Bonifacio and explained the reason for the visit.

Based on interviews conducted with staff and Resident Roster review it was determined that Resident#1 (R1) has never resided in this location. Therefore, the allegation is unfounded.

This agency has investigated the complaint alleging "Resident sustianed serious injuries as a result of elopment due to lack of supervision, Staff did not notice change in resident's condition and
Staff did not seek higher level of care ”. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened, and/or is without a reasonable basis. We have therefore dismissed the complaint.

Exit interview conducted and copy of this report issued.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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