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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610644
Report Date: 05/27/2026
Date Signed: 05/27/2026 12:39:32 PM

Substantiated


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
05/21/2026 and conducted by Evaluator Angelica Segovia
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20260521135543
FACILITY NAME:TOUCH OF AN ANGEL LANCASTERFACILITY NUMBER:
197610644
ADMINISTRATOR:THOMAS, STACYFACILITY TYPE:
740
ADDRESS:2647 WEST AVENUE K4TELEPHONE:
(323) 385-8298
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY:6CENSUS: 6DATE:
05/27/2026
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Stacy Thomas- AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff did not address a resident's change in medical condition in a timely manner.
Staff are not properly trained.
INVESTIGATION FINDINGS:
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On 5/27/2026 at approximately 9:20 AM, Licensing Program Analyst (LPA) Angelica Segovia conducted an unannounced initial complaint visit to the facility. LPA was greeted by the Administrator, Stacy Thomas and stated the reason for their visit.


To investigate the allegation(s), at approximately 9:30 AM, LPA requested relevant documentation such as but not limited to: Staff training, Re-appraisals and Needs/Services. By 10:00 AM, LPA conducted a physical plant tour. From 09:30 AM to 12:00 PM, LPA attempted to interview six (6) residents (R1-R6), two (2) staff members (S1-S2) and conducted record review.

(continue to LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
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 4
Control Number 31-AS-20260521135543
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: TOUCH OF AN ANGEL LANCASTER
FACILITY NUMBER: 197610644
VISIT DATE: 05/27/2026
NARRATIVE
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Regarding the allegation: Staff did not address a resident's change in medical condition in a timely manner. It was alleged that staff did not address R1’s change of condition in a timely manner. To investigate the allegation, LPA conducted interviews with one (1) resident and one (1) staff member. LPA’s interview with S1 revealed on 5/21/2026, R1 experienced a seizure resulting in R2 calling emergency services. S1 stated this was R1’s first seizure and they do not take any medication. When LPA questioned if they have conducted re-appraisals for R1, S1 stated, “No”. LPA’s interview with R1 revealed this was not their first seizure since residing at the facility. LPA’s interview with R2 confirmed they called emergency services for R1.

LPA conducted a record review of R1’s file. LPA’s record review of R1’s file revealed it to be incomplete and not updated. LPA’s record review of R1’s file confirmed there to be no re-appraisals since R1’s Admission Agreement into the facility dated 11/04/2024.

Based on interviews and record review, there is enough information to verify the allegation, therefore the allegation is SUBSTANTIATED at this time.

Regarding the allegation: Staff are not properly trained. It was alleged S2 was not properly trained to provide care and supervision to the residents. To investigate the allegation, LPA conducted interviews with two (2) staff members. When LPA questioned S1 if they could provide them with S2’s training, S1 could not provide the documentation requested. When LPA questioned S2 if they could provide information regarding the training they have received, S2 could not provide LPA with the information requested. LPA conducted a record review of staff files. LPA’s record review of staff files revealed them to be incomplete and not updated. LPA’s record review of staff files confirmed there to be no documentation of staff training pertaining to such topics as but not limited to: Principles of good nutrition, dementia, skill and knowledge required to provide necessary resident care and supervision, knowledge required to safely assist with prescribed medications which are self-administered, and knowledge necessary in order to recognize early signs of illness and the need for professional help. Further record review revealed S1 received a Technical Assistance violation during their annual facility inspection on 8/12/2025 where, “Licensees shall maintain in the personnel records verification of required staff training and orientation” was reviewed and documented.

Based on interviews and record review, there is enough information to verify the allegation, therefore the allegation is SUBSTANTIATED at this time.

(continue to LIC-9099-C)

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
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)
Page: 2 of 4
Control Number 31-AS-20260521135543
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: TOUCH OF AN ANGEL LANCASTER
FACILITY NUMBER: 197610644
VISIT DATE: 05/27/2026
NARRATIVE
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Citations issued, please refer to LIC 9099-D.

No other immediate health and safety issues observed during the day of the visit. Exit interview was conducted, appeal rights given, and a copy of this report was provided to the Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
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)
Page: 3 of 4
Control Number 31-AS-20260521135543
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: TOUCH OF AN ANGEL LANCASTER
FACILITY NUMBER: 197610644
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/10/2026
Section Cited
CCR
87466
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87466 Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided...
This requirement was not met evidenced by:
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The Licensee/Administrator will review the regulation and email LPA Segovia a statement of understanding by POC due date: 6/10/2026. Additionally, the Administrator will email LPA Segovia a reappraisal for R1.
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Based on interviews and record review, S1 had not completed a re-appraisal for R1 since their admission into the facility which poses a potential health and safety risk to persons in care.
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Type B
06/10/2026
Section Cited
CCR
87411(a)
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87411 Personnel Requirements – General. (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.
This requirement was not met evidenced by:
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The Licensee/Administrator will review the regulation and email LPA Segovia a statement of understanding by POC due date: 6/10/2026. Additionally LPA the Licensee/Administrator will email LPA Segovia S2’s training log.
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Based on interviews and record review, documentation of staff training could not be located nor provided which poses a potential health and safety 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.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:

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

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4