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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850093
Report Date: 01/17/2025
Date Signed: 01/17/2025 02:51:09 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 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
06/03/2024 and conducted by Evaluator Brian Phillips
COMPLAINT CONTROL NUMBER: 29-AS-20240603180222
FACILITY NAME:VENTURA VILLA ASSISTED LIVINGFACILITY NUMBER:
565850093
ADMINISTRATOR:WARD-MICHAYLUK, EVANGELINEFACILITY TYPE:
740
ADDRESS:3482 LOMA VISTA ROADTELEPHONE:
(805) 644-1292
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:49CENSUS: 22DATE:
01/17/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Angelica Arambulo, Operations Manager and Catalina Gonzalez, Direct Support StaffTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff inappropriately touched residents in care
INVESTIGATION FINDINGS:
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On 01/17/2024, Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced subsequent complaint investigation visit to the facility above. LPA arrived at the facility, met with Direct Support Staff Catalina Gonzalez in person and Operations Manager Angelica Arambulo by telephone as the administrator was unavailable, and announced the purpose of the visit.

On the allegation: Staff inappropriately touched residents in care. It is alleged that a facility staff, Staff #1 (S1), has been sexually abusing and inappropriately touching Resident #1 (R1) and other residents in the facility. The Reporting Party (RP) stated that they were informed of this allegation by Witness #1 (W1), but it was unknown how W1 learned this information. The names of the alleged victims were not known, and it was unknown if there were any witnesses to corroborate the allegation.

Interviews conducted by the Licensing Agency with Witness #1 (W1) could not confirm the allegation and W1 was not able to specifically identify the concerns that were allegedly reported. Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Brian Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
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-20240603180222
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VENTURA VILLA ASSISTED LIVING
FACILITY NUMBER: 565850093
VISIT DATE: 01/17/2025
NARRATIVE
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W1 stated that they did not witness Staff #1 (S1) or any Staff behave indecently toward Resident #1 (R1) or other residents in care. Furthermore, W1 denied that staff reported that they witnessed S1 sexually abuse any residents. An interview with R1 did not reveal that they were sexually abused and R1 denied that they were inappropriately touched by any staff. No information was found by the Licensing Agency Investigations Branch (IB) to warrant a full investigation. The Reporting Party (RP) stated to the Licensing Agency that Resident #1 (R1) has not disclosed any sexual abuse to them but noted that R1 is mentally disabled and not capable of articulating due to a diagnosis of dementia. When interviewed, R1 did not express that any of the staff made them feel uncomfortable or unsafe. They also denied that any of the staff made them feel threatened or intimidated. R1 denied that any of the staff touched them inappropriately. R1 was asked if they knew the staff member, S1, named in the allegation and R1 stated that yes, they did know S1 but there was no problem with them. R1 did not remember the last time they saw S1. R1 denied that S1 made any sexual gestures toward them while they were around each other. All other residents in care at the facility interviewed by LPA stated that no staff member has made them feel threatened or intimidated. Residents stated to LPA that no staff member has physically touched them in an inappropriate way or made any type of sexual movement/gesture.

Based on the information gathered, there is insufficient evidence to prove Staff inappropriately touched residents at the facility. Therefore, the allegation is Unsubstantiated.

Exit interview conducted. Copy of this report provided to the facility.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Brian Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
LIC9099 (FAS) - (06/04)
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