197610911-8-31-2026-31-AS-MGFS-DY2S5C-20260918133406

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610911
Report Date: 08/31/2026
Date Signed: 08/31/2026 11:41:37 AM

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
07/06/2026 and conducted by Evaluator Leslie Ngo-Castaneda

COMPLAINT CONTROL NUMBER: 31-AS-20260706104704

FACILITY NAME:	HEALING PINES SENIOR LIVING LLC		FACILITY NUMBER:	197610911
ADMINISTRATOR:	GHUKASYAN, KRISTINE		FACILITY TYPE:	740
ADDRESS:	19733 HEMMINGWAY ST		TELEPHONE:	(747) 352-2385
CITY:	WINNETKA	STATE: CA	ZIP CODE:	91306
CAPACITY:	6	CENSUS: 5	DATE:	08/31/2026
		UNANNOUNCED	TIME BEGAN:	08:05 AM
MET WITH:	James Pangalila- Staff designee		TIME COMPLETED:	12:10 PM

ALLEGATION(S):

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Staff do not keep a comfortable temperature at all times.
Facility does not have hot water.
Staff do not provide hygiene items.
Staff do not safeguard residents' personal belongings.
Facility has bed bugs.
Facility is in disrepair.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced subsequent visit for the above allegation. LPA met with facility staff designee, James Pangalila, and explained the reason for the visit.

On 7.8.2026 at 8:50 AM, LPA Ngo-Castaneda conducted a physical plant tour and requested copies of pertinent information at 10:30 AM, which include, but are not limited to, Physician’s report, Admission Agreement, LIC 500 (staff roster), LIC 9020 (resident roster), needs and service plan, and relevant documents to the investigation. LPA interviewed the Administrator over the phone, staff designee, and four (4) out of four (4) residents.

Allegation: Staff do not keep a comfortable temperature at all times.

Continue to LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2026

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-20260706104704

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: HEALING PINES SENIOR LIVING LLC	FACILITY NUMBER: 197610911
	VISIT DATE: 08/31/2026

NARRATIVE

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It was alleged that staff did not ensure the facility was at a comfortable temperature. During the physical plant tour, LPA observed that the wall temperature at the facility was set at 72-73°F. LPA interview with facility staff revealed that the facility shares a common temperature and did not receive any complaint from any resident about their room temperature because if they did, they would have adjusted the temperature to their preference. LPA interviews with residents revealed that they did not have any problem with the temperature in their respective rooms.

Based on the interview and observation, there is insufficient information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Allegation: Facility does not have hot water.

It was alleged that facility sink in the bathroom hallway did not provide hot water. During the physical plant tour, LPA Ngo-Castaneda measured the hot water temperature measured 106.8°F for the hallway bathroom sink. The private bathroom sink in bedroom #3 measured 107.0°F. Interview with residents confirmed that the facility provides hot water and stated that there have been no issues regarding water temperature.

Based on LPA’s observations and interviews conducted, the allegation is deemed Unsubstantiated at this time.

Allegation: Staff do not provide hygiene items.

It was alleged that the facility does not provide hygiene products (soap, paper towels, and toilet paper) to residents in care. During the physical plant tour, LPA observed the facility hallway lock cabinets to be fully stock of hygiene products. LPA also observe, bathrooms were properly supplied with toilet paper beside the toilet, full soap dispenser beside the sink, and paper towel beside the sink. Interviewed staff who revealed that there is no shortage of personal or hygiene supplies. Staff informed LPA that they always have supplied residents with soap, paper towels, toilet paper, and any required items. Interviews with residents revealed that they have no issue with hygiene products, which facility staff always provide.

Based on interviews and observations, the allegation is UNSUBSTANTIATED at this time. Continue to LIC 9099-C

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2026

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260706104704

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: HEALING PINES SENIOR LIVING LLC	FACILITY NUMBER: 197610911
	VISIT DATE: 08/31/2026

NARRATIVE

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Allegation: Staff do not safeguard residents' personal belongings.

It was alleged that staff do not safeguard R1 personal belongings during laundry. Interviews with residents, stated that their belongings have never gone missing and that they have never encountered a time where they were given someone else’s belongings during their stay. Interview with R1 revealed they could not describe what was missing and just stated their belongings are missing. During interviews with staff, revealed that they do each resident’s laundry separately and store them accordingly. During physical plant tour LPA observe each resident has their own basket for laundry. Staff also stated that none of R1’s belongings were left behind, and the none current residents complained about any missing belongings.

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

Allegation: Facility has bed bugs.

It was alleged that the facility had bugs that bit the residents. During the facility inspection, LPA inspected all of the residents’ bedrooms and found no signs of bugs. Staff denied seeing bugs in the facility. Interviews with residents revealed that they did not see any bugs at the facility, nor did they experience being bitten by one. LPA did not observe any bug bites on R1 body.

Based on the interview and observation, there is insufficient information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Allegation: Facility is in disrepair.

Regarding the allegation that the facility is in disrepair, it was alleged that the bathroom toilet seat is worn down. During the physical plant tour, LPA observe both bathroom toilet seats are fine. LPA interview with residents revealed that bathroom toilets fine and no issues at all. LPA interview with staff also revealed that the facility bathrooms toilet seat are working, and no issue was ever raised.

Based on interviews and observations, the allegation is UNSUBSTANTIATED at this time.

Exit interview conducted. A copy of this report issued.

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2026

LIC9099 (FAS) - (06/04)

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