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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565802464
Report Date: 07/20/2026
Date Signed: 07/20/2026 01:38:46 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/16/2026 and conducted by Evaluator Valeria Conway
COMPLAINT CONTROL NUMBER: 29-AS-20260716141324
FACILITY NAME:EMBRACING SENIORSFACILITY NUMBER:
565802464
ADMINISTRATOR:TRUPIANO, JOSEPHFACILITY TYPE:
740
ADDRESS:729 MUIRFIELD AVETELEPHONE:
(805) 422-8441
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:6CENSUS: 5DATE:
07/20/2026
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Joseph TrupianoTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff did not provide a copy of the admission agreement to resident's responsible person
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Valeria Conway conducted a 10-day initial complaint visit to investigate the above allegations. LPA met with staff, Regie Dulay, that contacted Administrator, Joseph Trupiano via telephone. At 10:43 A.M. Administrator arrived at the facility. LPA explained the reason for the visit. Entrance interview.

During today’s visit, between 10:43 A.M. and 1:45 P.M., LPA Conway briefly toured the facility, conducted interviews with the Administrator and obtained copies of pertinent documents relevant to the investigation. At 11:40 A.M. Administrator departed the facility, however, authorized designated staff to sign this report on their behalf.

The following was determined.

Continued on LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026
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 4
Control Number 29-AS-20260716141324
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: EMBRACING SENIORS
FACILITY NUMBER: 565802464
VISIT DATE: 07/20/2026
NARRATIVE
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Continued from LIC 9099

Regarding allegation “Licensee did not provide a copy of the admission agreement to resident's responsible person”. It was alleged by the Reporting Party (RP) that upon Resident #1’s admission to the facility, on 07/8/2026, a copy of the Admission Agreement was not provided despite multiple requests for the document.

During the investigation, the Licensee acknowledged that as of today, a copy of the Admission Agreement had not been provided to the RP. The Licensee stated that it was their intention to provide a copy; however, they explained that the Admission Agreements are in spiral-bound notebooks, and copies are not readily available. The Licensee explained that the documents would need to be removed from the binding in order to make copies. Based on the information obtained during the investigation, the licensee did not provide a copy of the signed and dated current Admission Agreement immediately upon signing it. LPA determined there is sufficient evidence to substantiate this allegation.

Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 9099-D.) Administrator was informed that failure to correct the deficiencies may result in civil penalties.

Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 29-AS-20260716141324
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: EMBRACING SENIORS
FACILITY NUMBER: 565802464
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/21/2026
Section Cited
CCR
87507(e)
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87507 (e)The licensee shall provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative, if any, immediately upon signing the admission agreement... This requirement is not met as evidenced by…
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The Licensee shall provide the resident's representative with a copy of the Adminission Agreement by emailing the document no later than 4 P.M. on 07/21/2026, and include the LPA on the email as verification of compliance.
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Based on interviews, the licensee did not comply with the section cited above in that a copy of the admission agreement was not provided to the resident or representative which poses a potential personal rights risk to persons 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: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4