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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565801637
Report Date: 02/20/2026
Date Signed: 02/20/2026 04:27:53 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
02/12/2026 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20260212114019
FACILITY NAME:VETERANS HOME OF CALIFORNIA-VENTURAFACILITY NUMBER:
565801637
ADMINISTRATOR:RAY SENAFACILITY TYPE:
740
ADDRESS:10900 TELEPHONE ROADTELEPHONE:
(805) 659-7501
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY:60CENSUS: 46DATE:
02/20/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Cynthia “Cindy” Gambill TIME COMPLETED:
04:35 PM
ALLEGATION(S):
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Staff abandoned resident.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Emily Peraldi and Kelly Dulek conducted an unannounced initial complaint visit to this facility. At 10:37 a.m., the LPAs met with staff and explained the reason for the visit. At 11:17 a.m., Administrator Ray Sena met with the LPAs.

At 11:17 a.m., the LPAs conducted an interview with the Administrator. At 11:49 a.m., the LPAs reviewed records and obtained copies of pertinent documents. Between 12:34 p.m. and 1:42 p.m., the LPAs along with Hospital Administrative Resident II (HAR II) Cynthia “Cindy” Gambill conducted a physical plant tour. Starting at 12:28 p.m., the LPAs conducted interviews with one (1) staff and seven (7) residents.

Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 29-AS-20260212114019
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: VETERANS HOME OF CALIFORNIA-VENTURA
FACILITY NUMBER: 565801637
VISIT DATE: 02/20/2026
NARRATIVE
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Regarding the allegation: Staff abandoned resident. It was alleged that the facility was refusing to accept Resident #1 (R1) back from the hospital. During today’s visit, the LPAs interviewed the Administrator and Staff #1 (S1), in which both confirmed that R1 is returning to the community today, February 20th, 2026. During the visit, the LPAs reviewed and obtained copies of relevant documents related to R1 and their hospital stay. At 02:06 p.m., LPAs observed R1 arrive at the facility and confirmed R1’s return to the community. Record reviews and interviews with staff revealed that during R1’s hospitalization, staff had constant communication with hospital staff and R1’s family regarding R1’s condition, safety and plan of care. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation, as the Administrator and facility staff took appropriate measures and ensured that R1 would safely return to the facility. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

Exit interview conducted with Cindy Gambill. A copy of the report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026
LIC9099 (FAS) - (06/04)
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