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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 04:30:31 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
12/09/2025 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20251209084130
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 is not preventing resident from being harassed by others while in care.
Staff do not safeguard resident's personal belongings.
Staff do not treat resident with dignity or respect.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Emily Peraldi and Kelly Dulek conducted an unannounced subsequent complaint visit to this facility. At 10:37 a.m., the LPAs met with staff and explained the reason for the visit. At 10:49 a.m., Administrator Ray Sena met with the LPAs.

During the initial visit conducted on 12/16/2025 between 10:36 a.m. and 2:35 p.m., LPA Peraldi conducted a record review, a brief physical plant tour, interviewed the Administrator and two (2) staff. During today’s visit, 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 the Hospital Administrative Resident II (HAR II) Cynthia “Cindy” Gambill conducted a physical plant tour. Starting at 11:24 a.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)
Page: 1 of 2
Control Number 29-AS-20251209084130
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 allegations: 1.) Staff is not preventing residents from being harassed by others while in care. It was alleged that staff did not prevent Resident #1 (R1) from being harassed by Resident #2 (R2) in the dining room. Interviews with staff revealed that in December 2025, R1 and R2 did have a verbal altercation/confrontation in the dining area and staff immediately intervened and separated both R1 and R2. Interviews with Staff #1 (S1) revealed that staff were aware of the issues between R1 and R2 and did take preventative measures to minimize conflict between R1 and R2 such as asking R1 and R2 for the option of moving rooms to differing hallways. Interviews with staff revealed that staff identify, intervene and deescalate if there are conflicts between residents. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

2.) Staff do not safeguard resident's personal belongings. It was alleged that staff did not ensure that R1’s personal belongings were safeguarded. Interview with S1 revealed that R1 and R2 had conflict amongst themselves and R2 entered R1’s room and possibly moved items around. S1 stated that facility staff inspected R1’s room after being notified of the issue and it was confirmed that no items were stolen or misplaced when R2 entered R1’s room. Furthermore, S1 explained that conversations and meetings were held with both R1 and R2 regarding their conflict and staff were able to intervene and defuse the conflict. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

3.) Staff do not treat resident with dignity or respect. It was alleged that staff are not treating R1 with dignity or respect in relation to the above noted incident involving both R1 and R2. Interview with staff revealed concerns regarding staff, R1 and R2 have been resolved. Resident interviews revealed that staff are helpful and treat residents with respect. Interviews with residents did not voice any concerns regarding staff. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of 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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