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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565800476
Report Date: 10/04/2024
Date Signed: 10/04/2024 01:41:59 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
06/10/2024 and conducted by Evaluator Teresa Camara
COMPLAINT CONTROL NUMBER: 29-AS-20240610100123
FACILITY NAME:ATRIA LAS POSASFACILITY NUMBER:
565800476
ADMINISTRATOR:APRIL PRINCESAFACILITY TYPE:
740
ADDRESS:24 LAS POSAS RDTELEPHONE:
(805) 987-9872
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:140CENSUS: 119DATE:
10/04/2024
UNANNOUNCEDTIME BEGAN:
09:38 AM
MET WITH:Amber WintersteinTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff handled resident in a rough manner.
Staff does not treat resident with respect.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint investigation visit to deliver findings on the above noted allegations. LPA met with Administrator/Executive Director (ED) Amber Winterstein and explained the reason for the visit.

During today's visit, LPA interviewed the resident services director at 10:40 a.m. and resident 1 (R1) at 11:06 a.m. LPA also reviewed and obtained pertinent documents at 11:46 a.m.

R1 receives assistance with showering. On or about 6/5/2024, staff 1 (S1) was assigned to assist R1 with their shower. R1 felt S1 did not bathe them completely and felt S1 required more training. In addition, R1 did not like the way S1 put on their shoes. R1 stated that was the only time S1 assisted with their shower.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024
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-20240610100123
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: ATRIA LAS POSAS
FACILITY NUMBER: 565800476
VISIT DATE: 10/04/2024
NARRATIVE
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(continued from LIC9099, page 1)

R1 complained to the facility administrator at that time and was told by the administrator they would no longer receive showers from S1. R1 likes S1, just not for showering. S1 still assists R1 with other things and R1 has no complaints. R1 likes the current staff assigned to assist with showers.

R1 denied ever being handled roughly by staff.

Based on information obtained in this interview, the above noted allegations are deemed Unsubstantiated at this time.

No deficiencies cited. Exit interview conducted and a copy of the report was issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2