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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195850240
Report Date: 06/03/2026
Date Signed: 06/03/2026 04:45:59 PM

Unsubstantiated


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
11/25/2025 and conducted by Evaluator Angela Barutyan
COMPLAINT CONTROL NUMBER: 29-AS-20251125090348
FACILITY NAME:VARIEL OF WOODLAND HILLS, THEFACILITY NUMBER:
195850240
ADMINISTRATOR:LOURDES BUSTAMANTEFACILITY TYPE:
740
ADDRESS:6233 VARIEL AVETELEPHONE:
(818) 651-6018
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:436CENSUS: 375DATE:
06/03/2026
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Allison MartyTIME COMPLETED:
04:55 PM
ALLEGATION(S):
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Resident sustained an injury due to staff neglect
Staff did not provide proper first aid treatment to resident after a fall
Staff did not answer resident's call button in a timely manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a subsequent complaint investigation for the allegations listed above at 01:35PM. LPA met with staff, Executive Director (ED) Allison Marty, and Associate Executive Director (AED) Jessica Saks. Entrance interview conducted.

During today's visit, LPA conducted a brief physical plant tour and reviewed and obtained copies of pertinent documents. During the initial visit on 12/02/2025, LPA conducted interviews with two (2) staff and one (1) resident, reviewed and obtained copies of pertinent documents relevant to the investigation, conducted a brief physical plant tour, and discussed allegations with ED and AED.

REPORT CONTINUED ON LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026
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 3
Control Number 29-AS-20251125090348
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: VARIEL OF WOODLAND HILLS, THE
FACILITY NUMBER: 195850240
VISIT DATE: 06/03/2026
NARRATIVE
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It was alleged that Resident #1 (R1) sustained a fall due to staff neglect after pressing their call button and attempting to self-transfer when staff did not arrive to provide assistance. LPA interviewed R1, R1’s responsible party, and staff. Interviews revealed that R1 attempted to self-transfer without first pressing their call button for staff assistance. R1 stated that they did not use the call button because response times are often lengthy. However, R1 also reported that staff check on them multiple times throughout the day and evening and that call button response times are generally no longer than 15 minutes. Interviews with staff, R1, and R1’s responsible party confirmed that R1 is a fall risk and is frequently monitored by staff. LPA reviewed R1’s care plan, signed and dated 10/21/2025, which states that R1 “requires supervision and cueing for transfers for safety” and “requires status checks every two hours due to recent hospitalization, illness, history of falls, medication change, etc.” The care plan further directs staff to perform a “SAFETY CHECK: Every 2 hrs. Please do not ring the bell. DO NOT CHECK ON [R1] AFTER 11PM.” Regarding fall prevention, the service plan documents the goal that R1 “will be encouraged to call for assistance when needed.” Interventions include maintaining a clutter-free environment, ensuring support and assistive devices are available and in good repair, keeping the bed in a low position at night when possible, placing personal items and the call device within reach, and providing non-glare soft lighting at night, among other measures. LPA also reviewed call button response records for R1 and observed that calls were typically answered in under four (4) minutes. Records from 11/01/2025 through 12/02/2025 show an average response time of five (5) minutes for 203 pendant alarms and bathroom e-calls. R1 fell during the overnight hours on 11/25/2025 and pressed their call button for assistance at 02:47AM after the fall. Staff arrived in R1’s room to provide assistance five (5) minutes later at 02:52AM. R1’s service plan directs staff to discontinue safety checks after 11:00PM at R1’s request. Therefore, based on interview and record review, the Department does not have sufficient evidence to corroborate the allegations. Although the allegations may be valid, at this time there is insufficient evidence to support the allegations or that a violation occurred, therefore, the allegations “Resident sustained an injury due to staff neglect” and “Staff did not answer resident's call button in a timely manner” are deemed UNSUBSTANTIATED at this time.

Report Continued on LIC9099-C.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20251125090348
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: VARIEL OF WOODLAND HILLS, THE
FACILITY NUMBER: 195850240
VISIT DATE: 06/03/2026
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It was further alleged that R1 fell on 11/25/2025 and sustained gashes on their back and experienced severe pain but staff did not provide first aid to R1. Interviews with R1, R1’s responsible party, and staff revealed that R1 pressed their call button after their fall and staff attempted to assist R1 afterwards. Staff gave verbal checks to see if R1 hit their head or was experiencing pain. Interviews confirmed that staff attempted to perform a skin and body check but R1 declined and requested to go back to sleep. Staff stated there were no apparent observations such as grimacing, high blood pressure, or pain that could signal R1 needed additional first aid. Staff further stated that for residents in memory care, paramedics are automatically called for unwitnessed falls because those residents cannot verbalize or remember the fall. However, record review confirms that R1 does not have cognitive impairment or behavioral expression. R1 stated that they did not sustain injuries on their back from their fall on 11/25/2025 besides a rug burn which facility staff cleaned and applied ointment on. Staff stated that the nurse checked R1 on the morning of 11/25/2025 after the fall and saw redness on the upper left back but no open wounds or skin tears. Staff cleaned the abrasion and provided basic first aid. LPA reviewed photographs of R1’s back and observed redness and no open wounds. Staff stated that the full body check was done within the same day five (5) hours after the fall because R1 denied the initial body check but then accepted later after waking up. Furthermore, R1’s care plan signed and dated 10/21/2025 documents that R1 does not have fragile skin and “Resident does not need skin checks.” R1 stated that they want staff “to try more even though [R1] decline[s]." Staff stated that they cannot force R1 as it is their personal right to decline. Based on interview and record review, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation “Staff did not provide proper first aid treatment to resident after a fall” is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. A copy of the report was issued.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3