Preserve At Woodland Hills, The

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff handled resident in a rough manner Staff yells at residents in care

Licensing Program Analysts (LPAs) Angela Barutyan and Quoc Huynh arrived at the facility unannounced to conduct an initial complaint investigation for the allegations listed above at 10:35AM. Upon arrival, LPAs met with staff and Executive Director (ED) Susan Weisbarth. Entrance interview conducted. During today's visit, LPAs conducted a physical plant tour between 10:40AM-11:10AM, interviewed seven (7) residents and attempted interview with one (1) resident between 10:42AM-11:22AM, reviewed and obtained copies of pertinent documents relevant to the investigation between 11:33AM-12:25PM, interviewed five (5) staff members between 12:26PM-01:35PM, and discussed allegations with ED and Health and Services Director (HSD) Tony Nunez at 03:40PM. CONTINUED ON LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 15, 2025 · control 29-AS-20250407142736

Allegation investigated: Staff negligence caused injury to resident Facility door poses a safety concern for residents

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct an initial complaint investigation for the allegation listed above 10:40AM. Upon arrival, LPA met with Executive Director (ED) Susan Weisbarth and staff. Entrance interview conducted. During today's visit, LPA interviewed five (5) staff members between 10:43AM-1:01PM, reviewed and obtained copies of pertinent documents relevant to the investigation between 11:40AM-12:36PM, conducted a brief physical plant tour at 12:40PM, attempted interviews with two (2) residents between 03:04PM-03:06PM, and discussed allegations with ED and Health and Services Director (HSD) Tony Nunez at 01:05PM. REPORT CONTINUED ON LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 11, 2025 · control 29-AS-20250305161155

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff retained resident without proper admission procedures

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct an initial complaint investigation for the allegation listed above 01:05PM. Upon arrival, LPA met with Executive Director (ED) Susan Weisbarth. Entrance interview conducted. During today's visit, LPA delivered final finding for the above allegation. During the initial visit on 02/11/2025, LPA conducted a brief physical plant tour, conducted interviews with five (5) staff members and four (4) residents, reviewed and obtained copies of pertinent documents relevant to the investigation, and discussed allegation with ED and Health and Services Director (HSD) Tony Nunez. It was alleged that on 07/20/2024, the previous ED Michael Owens retained Resident #1 (R1) without proper admission procedures. ED Owens was in communication with responsible party(ies) of R1 and informally agreed to move R1 to the facility, as evidenced by text messages between ED Owens and responsible party dated 07/19/2024 – 07the state’s words, verbatim · CDSS document, Feb 20, 2025 · control 29-AS-20250207095420

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff do not ensure that resident is provided their medication(s) according to physician’s instructions.

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced subsequent complaint visit to this facility at 10:00 a.m. At 10:10 a.m., the LPA met with the Executive Director (ED), Susan Weisbarth and explained the reason for the visit. During the initial visit conducted on 08/31/2023 between 9:00 a.m. and 12:30 p.m., LPA Peraldi conducted an interview with the Administrator at the time, Trevin Willis, five (5) residents, and four (4) staff. During the initial visit, the LPA also conducted a physical plant tour and obtained copies of pertinent documents. During today’s visit, between 10:10 a.m. and 2:30 p.m., the LPA conducted interviews with the ED, four (4) residents, and two (2) staff. The LPA also conducted a physical plant tour and obtained copies of pertinent documents during the time of the visit. During today’s visit, between 10:28 a.m. and 11:15 a.m., the LPA conducted a review of medication and medication documentation with staff for four (4) residents. Continued onthe state’s words, verbatim · CDSS document, Dec 19, 2024 · control 29-AS-20230823123714

Allegation investigated: . Staff did not follow the care plan established by the resident's physician 2. Staff did not inform resident's authorized person of a change to resident's care plan 3. Staff do not meet resident's toileting needs; 4. Staff do not keep the facility clean & sanitary 5. Staff did not meet the resident's hygiene needs; 6. Staff did not maintain residents laundry 7. Staff did not safeguard resident's personal items; 8. Staff do not ensure that resident is adequately fed 9. Facility window is in disrepair; 10. Staff did not keep the facility free of spiders 11. Staff did not keep the facility free of ants; 12. Staff do not prevent residents from entering another resident's room; 13. Resident's shower rod is in disrepair

Licensing Program Analyst (LPA) Christine Yee conducted another unannounced subsequent complaint visit to investigate the above allegations and met with Lorrain Walters, Business Office Manager. The reason for today's visit was provided. On 12/11/23 Licensing Program Analyst (LPA) Teresa Camara conducted an initial complaint investigation visit regarding the above noted allegations. LPA met with administrator Trevin Willis and explained the reason for the visit. At 11:03 a.m. LPA discussed the complaint with the administrator. Based on the allegations the administrator was aware of the resident this complaint was regarding. While LPA was conducting a quick tour of the facility at 11:40 a.m. LPA observed housekeeping cleaning the room of resident 1 (R1). At 11:45 a.m. LPA observed R1 in the dining room. R1 appeared well groomed but anxious. At 12:30 p.m. R1 had an aggressive outburst and threw a plate of food at resident 2 (R2). Staff redirected R1 who then started yelling and wanderingthe state’s words, verbatim · CDSS document, Dec 18, 2024 · control 29-AS-20231208120748

Allegation investigated: Facility does not have enough staff to meet the needs of residents in care.

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a second subsequent complaint investigation for the allegation listed above at 02:45PM. LPA met with Health and Services Director (HSD) Antonio “Tony” Nunez and Executive Director (ED) Susan Weisbarth and explained the reason for the visit. During today's visit, LPA delivered final finding for the above allegation. During the subsequent visit which took place on 10/17/2024, LPA interviewed ED and HSD, reviewed and obtained copies of pertinent documents, conducted a brief physical plant tour, and interviewed two (2) residents and one (1) visitor. During the initial complaint visit which took place on 09/04/2024, LPAs Barutyan and K. Dulek reviewed records, conducted interviews, conducted a brief physical plant tour, conducted a medication review, and obtained copies of pertinent documents. Continued on LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 13, 2024 · control 29-AS-20240830143412

Allegation investigated: Resident was physically abused while in care.

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a subsequent complaint investigation for the allegation listed above at 02:45PM. LPA met with Health and Services Director (HSD) Antonio “Tony” Nunez and Executive Director (ED) Susan Weisbarth and explained the reason for the visit. During today's visit, LPA met with the HSD and ED to deliver final findings for the above allegation. During the initial complaint visit which took place on 10/17/2024, LPA interviewed ED and HSD, reviewed and obtained copies of pertinent documents, conducted a brief physical plant tour with ED at 04:47PM, and interviewed two (2) residents and one (1) visitor between 04:49PM - 05:05PM. Continued on LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 13, 2024 · control 29-AS-20241015125318

Allegation investigated: Staff overmedicate resident(s) in care.

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a subsequent complaint investigation for the allegation listed above at 04:00PM. LPA met with Health and Services Director (HSD) Antonio Nunez and Executive Director (ED) Susan Weisbarth and explained the reason for the visit. During today's visit, LPA interviewed ED and HSD between 04:02PM - 6:00PM, reviewed and obtained copies of pertinent documents, conducted a brief physical plant tour with ED at 04:47PM, and interviewed two (2) residents and one (1) visitor between 04:49PM - 05:05PM. During the initial complaint visit which took place on 09/04/2024, LPAs Barutyan and K. Dulek reviewed records, conducted interviews, conducted a brief physical plant tour, conducted a medication review, and reviewed and obtained copies of pertinent documents. Continued on LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 17, 2024 · control 29-AS-20240830143412

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff violated resident’s personal rights.

Licensing Program Analysts (LPAs) Angela Barutyan and Kelly Dulek arrived at the facility unannounced to conduct a subsequent complaint investigation for the allegation listed above at 09:38AM. LPAs met with staff and Executive Director (ED) Trevin Willis and explained the reason for the visit. During today's visit, LPAs reviewed records, conducted interviews, conducted a brief physical plant tour at 10:56AM, conducted a medication review at 12:15PM, and obtained copies of pertinent documents. During the initial complaint visit which took place on 08/29/2024, LPA Barutyan spoke with ED, reviewed and obtained copies of pertinent documents, reviewed staff personnel and resident files, conducted a brief physical plant tour, and interviewed two (2) staff and four (4) responsible parties of residents. On 08/21/2024, LPA Barutyan conducted a Case Management – Incident visit to investigate two (2) incidents, of which one (1) relates to the complaint, that were self-reported to the Department.the state’s words, verbatim · CDSS document, Sep 4, 2024 · control 29-AS-20240823102422

Allegation investigated: Licensee does not ensure that staff are adequately trained.

Licensing Program Analysts (LPAs) Angela Barutyan and Kelly Dulek arrived at the facility unannounced to conduct an initial complaint investigation for the allegation listed above at 09:38AM. LPAs met with staff and Executive Director (ED) Trevin Willis and explained the reason for the visit. During today's visit, LPAs reviewed records, conducted interviews, conducted a brief physical plant tour at 10:56AM, conducted a medication review at 12:15PM, and obtained copies of pertinent documents. Report continued on LIC 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Sep 4, 2024 · control 29-AS-20240830143412

Allegation investigated: Resident was locked in room while in care Staff did not provide resident with meals in a timely manner Staff did not meet resident's care needs.

Licensing Program Analysts (LPAs) Angela Barutyan and Kelly Dulek arrived at the facility unannounced to conduct an initial complaint investigation for the allegations listed above at 09:38AM. LPAs met with staff and Executive Director (ED) Trevin Willis and explained the reason for the visit. Entrance interview conducted. During today's visit, LPAs spoke with Administrator/ED at 09:40AM, spoke with Management company representative telephonically at 10:00AM, reviewed and obtained copies of pertinent documents, conducted a brief physical plant tour with ED at 10:55AM, observed lunch service at 12:11PM, observed medications for 5 (five) residents at 12:17PM, spoke with 3 (three) resident family members, and observed 5 (five) resident rooms/door locks beginning at 03:21PM. Previously, during unrelated visits at the facility, LPA Barutyan had conducted staff and family member interviews related to these complaint allegations. The following was then determined: Report Continued on LIC 9099the state’s words, verbatim · CDSS document, Sep 4, 2024 · control 29-AS-20240903124736

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff handle residents in a rough manner.

Licensing Program Analysts (LPAs) Angela Barutyan and Emily Peraldi arrived at the facility unannounced to conduct a subsequent complaint investigation for the allegation listed above at 09:46AM. LPAs met with staff and Executive Director (ED) Trevin Willis and explained the reason for the visit. During today's visit, LPAs reviewed resident records and conducted a medication review. During the initial complaint visit which took place on 08/07/2024 beginning at 09:47AM, LPAs spoke with Administrator/ED, reviewed and obtained copies of pertinent documents, reviewed staff personnel records, interviewed 4 (four) staff and 5 (five) residents, and toured the facility with facility staff at 12:48PM. Report Continued on LIC 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 13, 2024 · control 29-AS-20240731164044

Allegation investigated: Facility staff admitted a resident beyond their level of care. Facility staff not ensuring resident's diabetic needs are met.

Licensing Program Analysts (LPAs) Emily Peraldi and Angela Barutyan conducted an unannounced subsequent visit to this facility to deliver findings. At 9:45 a.m., the LPAs met with staff and explained the reason for the visit. At 10:03 a.m., Executive Director (ED) Trevin Willis arrived at the facility. During the initial visit conducted on 07/24/2024, between 1:00 p.m. and 4:05 p.m., LPA Peraldi met with Resident Care Coordinator (RCC) Ana Gutierrez and conducted a physical plant tour and requested pertinent documents. The LPA also conducted interviews with seven (7) staff and two (2) residents. During today’s visit, the LPAs conducted a brief physical plant tour and reviewed resident records. Continued on LIC 9099-C. Substantiatedthe state’s words, verbatim · CDSS document, Aug 13, 2024 · control 29-AS-20240723133024

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Administrator abandoned facility.

Licensing Program Analysts (LPAs) Emily Peraldi and Angela Barutyan conducted an unannounced initial complaint visit to this facility. At 9:30 a.m., the LPAs met with staff and explained the reason for the visit. At 9:40 a.m., the LPAs met with Trevin Willis. Between 9:41 a.m. and 10:38 a.m., the LPAs conducted interviews with Trevin W., four (4) staff and three (3) residents. At 9:55 a.m., the LPAs reviewed records and obtained copies of pertinent documents. At 10:26 a.m., the LPA along with Trevin W. conducted a physical plant tour. Continued on LIC 9099-C. Substantiatedthe state’s words, verbatim · CDSS document, Jul 31, 2024 · control 29-AS-20240725095157

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility is not adhering to resident's Admission Agreement

Licensing Program Analyst (LPA) Kelly Dulek conducted an initial complaint visit to address the allegation listed above. LPA arrived at 09:26AM and was greeted by front desk staff. Shortly after arrival, LPA met with Executive Director Michael Owens. Entrance interview conducted. During today’s visit, LPA interviewed Executive Director (ED) at 09:30AM, toured the facility with ED at 10:38AM, and LPA reviewed and obtained copies of pertinent documents. The following was then determined: The complaint alleges that following Resident #1 (R1)'s death and personal belongings were removed from the facility, no refund was issued to R1's family/estate, per the Admission Agreement. Based on interview and record review, R1 passed away on 12/19/2023. Interview revealed that R1's personal items were removed as of 12/30/2023. Payment for R1's December fees had been paid in full, including both Report Continued on LIC 9099-C Substantiatedthe state’s words, verbatim · CDSS document, May 8, 2024 · control 29-AS-20240429101753

Allegation investigated: Staff failed to report incident

Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit regarding above noted allegation. Reason for the visit is to deliver the investigation finding. Upon arrival LPA met with staff who then contacted designated staff in charge. Executive Director Trevin Willis was not available during todays visit. Reason for visit was discussed with Michael Owen, Acting Executive Director. Following is a summary of the investigation: On 8/11/2023, the Department received information that facility manager/administrator did not follow reporting requirements upon haveing knowledge of an alleged sexual assault happening sometime around 7/2022. It was alleged that, although the former Administrator Eileen Esquivel was informed about two staff allegedly sexually assaulting resident #1 (R1), the former Administrator did not follow through to report to Community Care Licensing as mandate through with reporting requirements by submitting a Special Incident Report (SIR) to the Lthe state’s words, verbatim · CDSS document, Mar 29, 2024 · control 29-AS-20230811115447

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility failed to conform with fire safety regulations

Licensing Program Analyst (LPA) Teresa Camara conducted an initial complaint investigation visit regarding the above noted allegations. LPA met with administrator Trevin Willis and explained the reason for the visit. At 11:30 LPA discussed the issue with a glass door separating the residents' dining room from the main entry lobby. At 11:47 a.m. LPA observed the door was locked and required a code to open or for the lock to be electronically released by the receptionist. It has a magnet that is connected to the fire system which will release the door in the event there is a fire. There is no delayed egress on this door. The Los Angeles Fire Department (LAFD) Inspector informed the facility on 12/8/2023 that this door is not in compliance with fire regulations. (continued on 9099-C) Substantiatedthe state’s words, verbatim · CDSS document, Dec 11, 2023 · control 29-AS-20231208151409