197610442-9-28-2026-31-AS-TAGD-DYUNBT-20261014101941

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610442
Report Date: 09/28/2026
Date Signed: 09/28/2026 01:21:02 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.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
09/21/2026 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260921082959

FACILITY NAME:	LEISURE VALE ASSISTED LIVING		FACILITY NUMBER:	197610442
ADMINISTRATOR:	STEPHANIE ODEN		FACILITY TYPE:	740
ADDRESS:	413 E. CYPRESS STREET		TELEPHONE:	(818) 244-2323
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	199	CENSUS: 159	DATE:	09/28/2026
		UNANNOUNCED	TIME BEGAN:	09:29 AM
MET WITH:	Stephanie Oden, Administrator		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff do not ensure resident is provided nutritious meals
Staff do not safeguard residents personal belongings
Staff do not ensure resident is provided prescribed medications

INVESTIGATION FINDINGS:

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On 09/28/26, at 9:29am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Stephanie Oden, Executive Director. LPA explained the purpose of this visit was to gather additional information, conduct interviews and deliver findings regarding this complaint.

On 09/21/26, Licensing Program Analyst (LPA) Gina Saucedo conducted the 10-day, Initial visit. On 09/28/26, at 10:50am, LPA Saucedo conducted a physical tour, interviewed staff and residents and delivered findings.

LIC 9099C-continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026

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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Control Number 31-AS-20260921082959

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: LEISURE VALE ASSISTED LIVING	FACILITY NUMBER: 197610442
	VISIT DATE: 09/28/2026

NARRATIVE

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Regarding the allegation: Staff do not ensure resident is provided nutritious meals. It is alleged that resident #1 (R1) voiced concerns that staff would not feed them unless they went into the dining room, and that the food was not good. LPA obtained and reviewed R1’s Medical Assessment and Service Plan where it states that R1 is non-ambulatory and R1 does not need any assistance with eating and is mobile using a wheelchair. R1 does not have any documentation for them not to be able to go the dining hall to eat their food. During LPA’s interview with R1, R1 stated they do not want to go to the dining room and that food should be brought to them because food is brought to other people in the facility. When LPA interviewed the reporting party (RP) they stated that they feel the above facility is not a good match for R1 and R1 needs more care than the facility is providing. Let it be noted, R1 refuses to move from the facility. LPA interviewed three (3) staff that confirmed that R1 does get food delivered to their room. Staff#1 (S1) confirmed that R1 does get food delivered to their room and does not pay for the extra services. Staff #2 (S2) also confirmed that R1 does get food delivered to their room but R1 does not like any staff in their room so the food has to be left outside on a tray which R1 did confirm they do not let anyone in their room because they do not trust them. LPA interviewed thirteen (13) residents that do not have any issues with the food that is provided to the facility. One (1) resident refused to speak to LPA. Therefore, based on the interviews conducted and LPA's record review the allegation(s) is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff do not safeguard residents personal belongings. It is alleged that resident #1 (R1) had food delivered via Instacart, but they did not receive it, and they believe someone else is eating their meals. During LPA’s interview with R1, R1 stated that they do not order Instacart but get their meals delivered to their room and has plenty of food in their room. R1 also confirmed that their brother has never told them that they ordered Instacart for them. When LPA interviewed the reporting party (RP) they stated that they feel the above facility is not a good match for R1 and R1 needs more care than the facility is providing and that R1's brother was ordering Instacart for R1 but RP did not have any proof to send to LPA. Let it be noted, R1 refuses to move from the facility. LPA interviewed three (3) staff that confirmed that R1 has never received Instacart delivered at the facility. LPA interviewed thirteen (13) residents that confirmed the only thing they get delivered to the facility is their mail and they do not have any issues with receiving their mail. One (1) resident refused to speak to LPA. Therefore, based on the interviews conducted the allegation(s) is UNSUBSTANTIATED at this time.

LIC 9099C-continued

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260921082959

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: LEISURE VALE ASSISTED LIVING	FACILITY NUMBER: 197610442
	VISIT DATE: 09/28/2026

NARRATIVE

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Regarding the allegation: Staff do not ensure resident is provided prescribed medications. It is alleged that resident #1 (R1) is not being provided their pain medication for their residual limp. During LPA’s interview with R1, R1 stated they are getting their pain medication for their residual limp but must request it. When LPA interviewed the reporting party (RP) they stated that they feel the above facility is not a good match for R1 and R1 needs more care than the facility is providing. Furthermore, the RP stated R1 has mental health issues. Let it be noted, R1 refuses to move from the facility. LPA's received and reviewed R1’s Controlled Drug Records that shows morphine is provided to R1 for their pain and R1’s-MAR-Medication Administration Record for the months of August and September 2026 were also reviewed. During LPA’s medication list review regarding R1, R1 received morphine sulfate IR 30mg every six (6) hours for severe pain for the month of August 2026 and September 2026 several times a day and R1 did have to request it because it was a PRN-"As needed Medication." During LPA’s interview with four (4) medical staff they confirmed that R1 does get their pain medication for their residual limp several times a day and this is the only medication that R1 wants to take because R1 continues to refuse all other medication for other medical issues R1 has. LPA interviewed thirteen (13) residents that do not have any issues with receiving their prescribed medication. One (1) resident refused to speak to LPA. Therefore, based on the interviews conducted and LPA's record review the allegation(s) is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026

LIC9099 (FAS) - (06/04)

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