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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610847
Report Date: 09/10/2026
Date Signed: 09/10/2026 04:38:03 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
09/09/2026 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20260909094934
FACILITY NAME:MEADOWS, THEFACILITY NUMBER:
197610847
ADMINISTRATOR:SHERMAN, CELENAFACILITY TYPE:
740
ADDRESS:22901 VOSE STTELEPHONE:
(661) 236-6787
CITY:WEST HILLSSTATE: CAZIP CODE:
91307
CAPACITY:6CENSUS: 6DATE:
09/10/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Sarpreet GillTIME COMPLETED:
04:35 PM
ALLEGATION(S):
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Facility staff did not ensure to provide a safe environment for residents in care.
INVESTIGATION FINDINGS:
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At approximately 10:00 a.m. on 09/10/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit.

To investigate the allegation above, LPA toured the facility inside and out at 10:10 a.m., interviewed the administrator, three (03) staff, and five (05) out of six (06) residents between 10:15 a.m. and 3:30 p.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 4:00 p.m.

Regarding the allegation "Facility staff did not ensure to provide a safe environment for residents in care" it was alleged Resident #1 (R1) was verbally and physically abused by Resident #2 (R2). Telephonic interview with R1 at 3:30 p.m. today revealed they were not verbally or physically abused by R2. R1 and R2 had a disagreement, and R1 admitted to hitting R2. Interview with R2 confirmed they had a
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
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 2
Control Number 31-AS-20260909094934
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: MEADOWS, THE
FACILITY NUMBER: 197610847
VISIT DATE: 09/10/2026
NARRATIVE
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disagreement, and R1 hit R2 twice, but lightly. R2 did not have any pain from the incident. Neither R1 nor R2 suffered injuries. Interview with Staff #1 (S1) at 2:30 p.m. today revealed R1 and R2 had a misunderstanding which resulted in R1 hitting R2. Staff separated the two and de-escalated R1. Interview with Staff #2 (S2) at 1:55 p.m. today confirmed that during and after the incident, all residents were okay. Interviews with five (05) out of six (06) residents interviewed revealed they felt the facility was safe. Interviews with the administrator at 10:15 a.m. and the licensee at 11:15 a.m. today revealed R2 did not suffer any bruising or injury, and all residents have been provided with a safe environment. LPA observed the facility to be a safe environment today. Record review did not reveal any pertinent information to the investigation. Based on interviews and record review, it was concluded that although the allegation may have occurred, there is no measurable and verifiable information to confirm validity of the complaint. Hence the allegation is UNSUBSTANTIATED at this time.

No immediate health or safety concerns were 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: 09/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
LIC9099 (FAS) - (06/04)
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