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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609632
Report Date: 01/28/2026
Date Signed: 03/30/2026 12:35:21 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/30/2025 and conducted by Evaluator Zabel Chochian
COMPLAINT CONTROL NUMBER: 29-AS-20251230145835
FACILITY NAME:RESERVE AT THOUSAND OAKS, THEFACILITY NUMBER:
197609632
ADMINISTRATOR:SPENCER, ELIZABETHFACILITY TYPE:
740
ADDRESS:3575 N. MOORPARK ROADTELEPHONE:
(805) 492-2471
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY:170CENSUS: 143DATE:
01/28/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Elizabeth Spencer, Executive DirectorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff are not following safe food service practices.
INVESTIGATION FINDINGS:
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This is an amended report to include additional supporting information. Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to the facility. The purpose of the visit is to continue with the complaint investigation. Upon arrival LPA met with the Executive Director (ED) Elizabeth Spencer. Reason for the visit was explained.

On 12/30/2025, Community Care Licensing Division received the above complaint allegation. It was alleged that a resident tested positive for Campylobacter. According to the reporting party, the resident’s symptoms started on 11/9/2025. Reporting party also expressed concerns that other residents may be ill.

During the initial visit on 01/08/2026, LPA and ED toured the dining and kitchen areas and interviewed staff. In addition, LPA interviewed eight (8) residents including R1. A subsequent visit was made today and additional records were reviewed including but not limited to the facility’s most recent dieticians report. (Continue to LIC 9099c)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026
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-20251230145835
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: RESERVE AT THOUSAND OAKS, THE
FACILITY NUMBER: 197609632
VISIT DATE: 01/28/2026
NARRATIVE
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Also during the subsequent visit today, additional eight (8) random residents and other potential witnesses were interviewed at 11:30am and from 12:30pm-2:30pm. Furthermore, LPA and ED toured the facility kitchen and reviewed food service during lunch.

Following is a summary of the investigation findings:

During the initial complaint visit, LPA observed the kitchen to be clean and without any noticeable issues handling/cooking food items. The LPA noted staff present in the kitchen preparing and cooking meals. During the subsequent complaint visit the kitchen was observed to be clean and hazard free. Facility's January 2026 Dietitian Report did not reveal any food preparation and meal service issues. According to staff interviews, the cooks and staff preparing/handling food items including but not limited to meats wear gloves. Staff in the kitchen observed wearing gloves and hair nets. LPA was informed that the servers that do not handle/prepare meals are not required to wear hair nets or gloves. Staff stated that meats and seafood are put in the refrigerator overnight to thaw for the weeks planned menu. Facility cook stated that all meals are cooked well and nothing is ever under cooked or left out in the kitchen; everything requiring refrigeration is covered and stored appropriately. No complaints received from the residents regarding undercooked meats. According to the ED there have been no known reportable issues with any illness in relation to facility food contamination. Interview conducted with sixteen (16) random residents revealed no issues or concern with the facility, food or food service. Residents interviewed expressed being satisfied with the food service and meals. Sixteen (16) out of sixteen (16) residents interviewed were all satisfied with the culinary team and food quality. Potential witness interview revealed R1 tested positive for “Campylobacter” which is a foodborne illness; cause from cross contamination; consuming undercooked poultry or drinking contaminated water. Interview with R1 and records reviewed revealed that R1 is independent and responsible for self. According to R1 they have no issues or concerns with the meals at the facility. R1 did not recall getting ill from anything that they ate at the facility. R1 shared that they don’t always eat the facility meals. R1 confirmed that they do eat out sometimes. R1 could not recall when they last ate out. R1 did not recall if they ate out in the month of 10/2025 or 11/2026.

Based on the above information gathered, although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Staff do not prepare and serve food in a safe and healthful manner” is deemed unsubstantiated at this time.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2