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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565850112
Report Date: 03/12/2025
Date Signed: 03/12/2025 03:53:05 PM

Document Has Been Signed on 03/12/2025 03:53 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:REGENCY PALMS OXNARDFACILITY NUMBER:
565850112
ADMINISTRATOR/
DIRECTOR:		KENNETH MAHLERFACILITY TYPE:
740
ADDRESS:1020 BISMARK WAYTELEPHONE:
(805) 247-0227
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY: 127CENSUS: 90DATE:
03/12/2025
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:55 AM
MET WITH:Ken MahlerTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced Case Management - Annual Continuation at the facility today continuing the inspection that began on 01/28/2025. At 10:55 a.m., the LPA met with the Executive Director (ED) Ken Mahler and explained the reason for the visit.

At 12:07 p.m., the LPA along with the ED conducted a physical plant tour to ensure there are no health and safety hazards. During the physical plant tour, the LPA conducted interviews with twelve (12) residents and no concerns were voiced. The facility consists of one (1) memory care unit (MC), and an assisted living unit (AL). The memory care unit is secured with delayed egress doors which lead to secured outdoor patios. The second floor has no resident apartments but was observed to have a gymnasium for resident use, facility storage, and office space.

Starting at 1:15 p.m., the LPA conducted a review of medication and medication documentation with staff for eight (8) residents and observed that medications were properly documented and assisted with as prescribed.

BEDROOMS: The LPA observed 22 randomly selected resident rooms throughout facility. Rooms were furnished with clean linens, appropriate furniture and sufficient lighting. Inside temperature was maintained at a comfortable level.

RESTROOMS: The LPA observed restrooms in 22 resident units and common area restrooms. All restrooms were fully stocked with supplies. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. Water temperature was tested throughout the visit and measured within the required range.

Continued on LIC 809-C.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: REGENCY PALMS OXNARD
FACILITY NUMBER: 565850112
VISIT DATE: 03/12/2025
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COMMON AREAS: The LPA observed common areas to be relatively clean and properly furnished. The LPA observed the fire extinguishers throughout the facility to be fully charged and last serviced on 04/12/2024. The LPA observed required postings on the wall near the entrance and hallways. The facility's smoke alarms are hard wired, and the facility is equipped with sprinkler system. Fire alarm/sprinkler system was last tested on 01/23/2024 with Oxnard Fire Department. At 1:07 p.m., the LPA observed residents watching a movie in the theater room.

OUTDOOR SPACE: The LPA observed the courtyards throughout the facility, which has a covered outdoor area for resident use. There are multiple emergency exits located throughout the facility. Passageways were free and clear from obstruction. There were no bodies of water noted.

OTHER: Medications and first aid kits are located in locked medication rooms. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in the maintenance closet. The laundry units are located inside the locked laundry rooms. The LPA observed sufficient supply of Personal Protection Equipment (PPE).

KITCHEN: At 2:45 p.m., the LPA observed the kitchen and dining area. Knives are stored in the kitchen which remains inaccessible to residents. Kitchen appliances are in operable condition. The facility has a sufficient supply of two-day perishable and seven-day nonperishable food. The menu was posted throughout the dining area. Snacks and beverages are available for residents.

No deficiencies cited at this time. Exit interview conducted. A copy of the report of provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
LIC809 (FAS) - (06/04)
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