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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850112
Report Date: 03/27/2025
Date Signed: 03/27/2025 02:26:01 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
03/14/2025 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20250314160022
FACILITY NAME:REGENCY PALMS OXNARDFACILITY NUMBER:
565850112
ADMINISTRATOR:KENNETH MAHLERFACILITY TYPE:
740
ADDRESS:1020 BISMARK WAYTELEPHONE:
(805) 247-0227
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:127CENSUS: 92DATE:
03/27/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Kenneth "Ken" MahlerTIME COMPLETED:
02:35 PM
ALLEGATION(S):
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Staff did not adequately supervise resident while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Emily Peraldi and Angela Barutyan conducted an unannounced subsequent complaint visit to this facility to deliver findings. At 12:30 p.m., the LPAs met with Executive Director (ED) Ken Mahler and explained the reason for the visit.

During the initial visit conducted on 3/21/2025 between 9:55 a.m. and 3:35 p.m., LPA Peraldi conducted a physical plant tour and interviews with the ED, five (5) residents, and nine (9) staff. On 03/27/2025, LPA Peraldi conducted a telephonic interview with Resident’s (R1’s) family member. During today’s visit, between 12:40 p.m. and 1:55 p.m., the LPAs conducted a physical plant tour and interviews with the ED, and one (1) staff. During both visits, the LPAs obtained copies of pertinent documents. Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
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-20250314160022
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: REGENCY PALMS OXNARD
FACILITY NUMBER: 565850112
VISIT DATE: 03/27/2025
NARRATIVE
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Regarding the allegation: Staff did not adequately supervise resident while in care. It was alleged that Resident #1 (R1) was not adequately supervised as R1 was locked out of R1’s room and found on the floor sleeping with a possible fall or head injury. Interviews conducted with the Wellness Director, Gloria Morales revealed that R1 is in the memory care unit, which is a separate and locked unit within the building. Interviews with staff and Gloria revealed that R1 wanders the hallways throughout the memory care unit and occasionally dances. Gloria stated that on 03/12/2025 staff notified Gloria that R1 was verbalizing feeling dizzy. Gloria instructed staff to notify the family of R1 to take R1 to urgent care for examination. R1 was sent to urgent care and the hospital on 03/12/2025 and returned the same day with the diagnosis of a urinary tract infection (UTI) and dehydration. Interviews conducted with nine (9) staff denied R1 of falling. Interview with R1’s family member revealed that they do not believe that R1 had a fall or head injury on 03/12/2025. Additionally, R1’s family member stated that staff are constantly communicating in regard to R1’s condition. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. 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. A copy of the report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC9099 (FAS) - (06/04)
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