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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565801810
Report Date: 05/21/2024
Date Signed: 05/21/2024 02:31:32 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/21/2021 and conducted by Evaluator Gina Saucedo
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20210721160917
FACILITY NAME:VENTURA TOWNEHOUSEFACILITY NUMBER:
565801810
ADMINISTRATOR:EVAN GRANUCCIFACILITY TYPE:
740
ADDRESS:4900 TELEGRAPH ROADTELEPHONE:
(805) 642-3263
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:566CENSUS: 242DATE:
05/21/2024
UNANNOUNCEDTIME BEGAN:
07:59 AM
MET WITH:Evan GranucciTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff did not follow residents care plan
Facility did not seek medical treatment for resident after fall
Staff are not ensuring residents receive three meals a day
Staff are not managing residents' incontinence needs
Residents rooms are not being cleaned as needed
Staff did not receive adequate training
INVESTIGATION FINDINGS:
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On 05/21/24, at 8:03am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Deserae Navarro, Front Desk Staff. Deserae Navarro called Executive Director, Evan Granucci via telephone and arrived about an hour later. LPA disclosed the purpose of the visit. LPA explained the purpose of this visit was to gather additional information, gather documentation, conduct additional interviews and deliver findings for this complaint.

On 07/28/2021, LPA JoAnn Rosales initiated the complaint investigation. On 07/28/2021, LPA JoAnn Rosales interviewed staff and residents and obtained documents. On 05/21/24, LPA Saucedo conducted a subsequent visit that consisted of obtaining the census, resident, and staff roster. LPA Saucedo conducted the physical tour at 8:25am. During this tour, LPA Saucedo conducted additional staff and resident interviews and obtained additional documentation.

LIC 9099C-continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
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 3
Control Number 31-AS-20210721160917
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: VENTURA TOWNEHOUSE
FACILITY NUMBER: 565801810
VISIT DATE: 05/21/2024
NARRATIVE
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Regarding the allegation: Staff did not follow residents care plan. It is being alleged that some residents need a higher level of care and/or need assistance from caregiving staff that are not getting help. It was confirmed that four (4) out of four (4) caregivers help residents with any type of assistance that they can provide to the resident. In addition, the Resident Care Director and Housekeeping Director confirmed that there are different care plans for different residents. There is Assisted Living Care and Memory Care at the above facility. There is Home Health and Hospice also being provided to different residents. Twenty (20) out of twenty-four (24) residents confirmed that their needs are being met. Twenty (20) out of twenty-four (24) residents also confirmed that staff treat them well. Therefore, based on the LPA's record reviews, staff and resident’s interviews the above allegation(s) above is unsubstantiated at this time.

Regarding the allegation: Facility did not seek medical treatment for resident after fall. It is being alleged that the facility did not seek medical treatment for residents after falling. There is documentation that shows residents are taken to the hospital when an incident happens. LPA Rosales obtained Unusual Incident/Injury Reports from residents that were sent to the hospital after incidents occurred. LPA Rosales also obtained information on the medical treatment that some residents received after being sent to the doctor. It is confirmed that twenty (20) out of twenty-four (24) residents get medical treatment if something does happen to them or/and if they feel sick. It was confirmed that ten (10) out ten (10) staff know the process of seeking medical treatment for residents if they need help. Therefore, based on the LPA's record reviews, staff and resident’s interviews the above allegation(s) above is unsubstantiated at this time.

Regarding the allegation: Staff are not ensuring residents receive three (3) meals a day. It is being alleged that some residents do not receive breakfast because they move to slow and then must wait for lunch time. Twenty (20) out of twenty-four (24) residents confirmed that they receive all three (3) meals. Some residents can order their food over the phone, and it is delivered to their room if they wish not to come to the dining area. It was confirmed that ten (10) out of ten (10) staff ensure that residents do receive their three (3) meals area. Therefore, based on the LPA's staff and resident interviews the above allegation(s) above is unsubstantiated at this time.

LIC 9099C-continued

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20210721160917
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: VENTURA TOWNEHOUSE
FACILITY NUMBER: 565801810
VISIT DATE: 05/21/2024
NARRATIVE
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Regarding the allegation: Staff are not managing resident’s incontinence needs. It is being alleged that there are not enough caregivers to provide help with incontinence needs. It was confirmed that four (4) out of four (4) caregivers do provide incontinence needs to the residents. It was confirmed that there is a list of residents that need incontinence needs. LPA obtained the list of the residents that need incontinence care. Twenty (20) out of twenty-four (24) residents confirmed that their incontinence needs are being met. Therefore, based LPA’s record reviews, staff, and resident’s interviews the above allegation(s) above is unsubstantiated at this time.

Regarding the allegation: Residents rooms are not being cleaned as needed. It is being alleged that the housekeepers and caregivers only clean once a week. It was confirmed that twenty (20) out of twenty-four (24) residents understand that housekeeping is only done once a week which was included and signed in their Residence and Care agreement. The residents also have an understanding that if they want additional cleaning services it will be provided based on the additional housekeeping services that charges a fee under Appendix A of the Residence and Care agreement. It is also confirmed that ten (10) out of ten (10) staff understand the different housekeeping services. LPA obtained the Residence and Care agreement and Appendix A from the Executive Director. Therefore, based on the LPA's record reviews, staff and resident’s interviews the above allegation(s) above is unsubstantiated at this time.

Regarding the allegation: Staff did not receive adequate training. It is being alleged that the housekeeping staff do not get an orientation, do not know how to mix chemicals properly and do not know how to care for memory care residents. Ten (10) out of ten (10) staff confirmed that they do get adequate training in different areas depending on their job title. It was confirmed that they get different types of training annually such as online/video training, Accident Prevention, Infection Control and Hand Washing. The Housekeeping Director did confirm that there is no mixture of chemicals at the above facility. There is a chemical machine that dispenses the different types of chemicals, and the bottles of chemicals have their individual labels according to their chemical type. LPA was able to observe the training records of the staff which is provided by a company named, Assisted Living Education. Therefore, based on the LPA's record reviews and staff interviews the above allegation(s) above is unsubstantiated at this time.

An exit interview was conducted, no citations were issued for above allegation(s), and a copy of this report was given to the executive director.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3