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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197603437
Report Date: 05/27/2026
Date Signed: 05/27/2026 02:42:51 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
05/22/2026 and conducted by Evaluator Angela Barutyan
COMPLAINT CONTROL NUMBER: 29-AS-20260522104458
FACILITY NAME:LEISURE LIVING INC.FACILITY NUMBER:
197603437
ADMINISTRATOR:PARVIN HASHEMIFACILITY TYPE:
740
ADDRESS:30821 CATARINA DR.TELEPHONE:
(818) 687-8855
CITY:WESTLAKE VILLAGESTATE: CAZIP CODE:
91362
CAPACITY:6CENSUS: 6DATE:
05/27/2026
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Evangelina RoxasTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Staff do not answer call buttons in a timely manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct an initial complaint investigation for the allegation listed above at 01:25PM. LPA was greeted by staff. Entrance interview conducted. Reason for the visit was explained.

During today's visit, LPA conducted a brief physical plant tour, interviewed two (2) staff and three (3) out of six (6) residents between 01:32PM-02:10PM, and reviewed and obtained copies of pertinent documents.

It was alleged that staff do not respond to Resident #1 (R1)’s call buttons timely. Per regulation, facilities licensed for 16 or more or having separate floors/buildings shall have a signal system. This facility is licensed for 6 and does not have separate floors or buildings.

Report Continued on LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
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 29-AS-20260522104458
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: LEISURE LIVING INC.
FACILITY NUMBER: 197603437
VISIT DATE: 05/27/2026
NARRATIVE
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Although the facility is not required to have a signal system according to regulation, LPA observed three (3) out of six (6) residents with bells in their rooms. LPA interviewed the three (3) residents, including R1, and no concerns regarding staff response times were noted. Residents stated that staff are responsive and will provide assistance when residents ring the bell or call for assistance. LPA observed the three (3) residents with different types of bells and staff interviews stated this is so that staff can differentiate which resident’s bell was rung by the differing sounds. LPA interviewed the two (2) staff members present and no evidence supporting the allegation was found. Based on interview, 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 do not answer call buttons in a timely manner” is deemed UNSUBSTANTIATED at this time.

Staff member Evangelina Roxas was designated to sign this report.

Exit interview conducted with Administrator Michelle Maurer telephonically. A copy of the report was issued.

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

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
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