<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850390
Report Date: 08/26/2026
Date Signed: 08/26/2026 06:24:47 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
08/25/2026 and conducted by Evaluator Esther Cortez
COMPLAINT CONTROL NUMBER: 29-AS-20260825152629
FACILITY NAME:HOME SWEET HOME VAN BURENFACILITY NUMBER:
565850390
ADMINISTRATOR:VALENCIA, GLORIA P.FACILITY TYPE:
740
ADDRESS:7520 VAN BUREN STREETTELEPHONE:
(805) 659-4427
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:6CENSUS: 6DATE:
08/26/2026
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Facility Manager Karthiga VijayakumarTIME COMPLETED:
06:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not provide comfortable temperature to residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced initial 10-day complaint visit for the above allegations. Upon arrival, LPA met with staff and explained the reason for the visit. Facility Manager Karthiga Vijayakumar arrived shortly thereafter and was explained the reason for the visit. Entrance interview conducted.

During today's inspection, between 04:00 p.m. and 6:00 p.m., the LPA interviewed the Facility Manager, two guest, conducted a tour of the facility and checked the temperature in all of the resident bedrooms.

Report will continue on LIC9099-C,2nd page.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
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-20260825152629
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: HOME SWEET HOME VAN BUREN
FACILITY NUMBER: 565850390
VISIT DATE: 08/26/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
On the allegation “Staff do not provide comfortable temperature to residents,” it is the concern of the Reporting Party (RP) that the facility is excessively hot, noting the indoor temperature reached 88 degrees Fahrenheit. At 4:08 p.m., the Licensing Program Analyst (LPA) conducted a comprehensive tour of the home and observed the living room temperature to be 88 degrees Fahrenheit, as displayed on a digital clock equipped with a temperature reading. The LPA observed three portable fans and one window air conditioning (AC) unit operating in the living room. Staff disclosed that the window AC unit and one of the portable fans in the living room were provided by resident’s family. At 4:08 p.m., the LPA inspected room number one and observed a small portable fan, which staff confirmed was also provided by the resident’s family. A small digital clock inside room number one indicated a temperature reading of 86 degrees Fahrenheit. The LPA observed that room number two lacked any cooling devices and felt noticeably warm. Upon this observation, staff immediately placed a portable fan into room number two. The LPA verified that the remaining resident bedrooms each contained one portable fan. From 5:13 p.m. to 5:17 p.m., the LPA measured the temperature of each bedroom using a facility-provided infrared thermometer set to the room temperature reading mode; every resident room registered at 86 degrees Fahrenheit. The facility does not have thermostats installed in the residents’ rooms. The Administrator stated that the home lacks a centralized AC unit and relies entirely on portable fans and the single living room window AC unit to cool the premises. Two visitors interviewed during the inspection stated that the home felt clammy and hot. The LPA also experienced the indoor environment to be uncomfortable, clammy, and warm throughout the visit. At 5:42 p.m., the digital clock in the living room indicated that the temperature had risen to 90 degrees Fahrenheit. Based on the evidence obtained, specifically the indoor temperatures measuring up to 90 degrees Fahrenheit, which exceeds the regulatory limit mandated by California Code of Regulations Title 22, the Department has determined there is sufficient evidence to support the allegation. Therefore, the allegation is Substantiated at this time.

Pursuant to Title 22, California Code of Regulations, the following deficiencies are cited (refer to LIC9099-D). Exit interview conducted, appeal rights discussed, and a copy of this report issued.

Exit interview conducted. Today's report was reviewed and Provided.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 29-AS-20260825152629
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: HOME SWEET HOME VAN BUREN
FACILITY NUMBER: 565850390
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/27/2026
Section Cited
CCR
87303(b)(2)
1
2
3
4
5
6
7
87303 (b) A comfortable temperature for residents shall be maintained at all times.
(2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C)...less than the outside temperature. This requirement is not met
1
2
3
4
5
6
7
Administrator indicated new air conditioning units will be delivered and installed by 08/27/2026. Administrator will attempt to find out if an AC unit can be purchased and installed today. Proof of new installed AC units will be submitted to LPA by 08/27/26.
8
9
10
11
12
13
14
as evidenced by:Based on observation and interview, the temperatures inside the facility measured between 86 and 90 degrees Fahrenheit inside, which poses an immediate health, safety and personal rights risk to residents in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4