565850112-5-13-2025-29-AS-KLOZ-DJ25MA-20250626200422

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850112
Report Date: 05/12/2025
Date Signed: 05/13/2025 09:36:07 AM

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
04/17/2024 and conducted by Evaluator Esther Cortez

COMPLAINT CONTROL NUMBER: 29-AS-20240417093431

FACILITY NAME:	REGENCY PALMS OXNARD		FACILITY NUMBER:	565850112
ADMINISTRATOR:	KENNETH MAHLER		FACILITY TYPE:	740
ADDRESS:	1020 BISMARK WAY		TELEPHONE:	(805) 247-0227
CITY:	OXNARD	STATE: CA	ZIP CODE:	93033
CAPACITY:	127	CENSUS: 89	DATE:	05/12/2025
		UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Kenneth Mahler		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility staff not providing activities for residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Esther Cortez conducted a subsequent visit to investigate the allegations listed above. The LPA met with Kenneth Mahler, Administrator, and and explained the reason for the visit.

On 04/18/2024, Licensing Program Analyst (LPA) Sandra Urena collected pertinent documents relevant to the investigation. On 03/17/25, LPA Cortez, interviewed seven (7) staff, three (3) residents and observed activities and lunch in Memory Care. On 04/24/25, LPA Cortez interviewed one (1) staff, three (3) residents, three (3) resident's family members and/or their authorized person, observed dinner in Memory Care, conducted a file review and collected pertinent documents relevant to the investigation. On 04/29/25, LPA Cortez conducted two (2) staff, one (1) resident, and two (2) resident family members interviews, observed resident activities, lunch and dinner being served. During today's visit the LPA interviwed six (6) staff, two (2) resident's family members, and observed lunch.
Report will continue on LIC9099-C, 2ND PAGE.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20240417093431

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: 05/12/2025

NARRATIVE

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On the allegation, “Facility staff not providing activities for residents,” it is the concern of the reporting party that "a select few" (6 out of 35 Memory Care residents) are allowed to engage in planned activities other than watching television. Memory Care Staff interviews revealed that the community provides activities for all the residents, the Activity Director oversees the activities based on the Activity calendar, and staff encouraged all residents to participate. However, due to certain limitations (such as being bedbound or cognitive limitations) some residents are not able to participate, and some choose not to participate, but all are allowed to participate. On 03/17/2025, LPA Cortez observed various residents water painting in the dining room and observed staff asking other residents in the common areas and in their rooms if they wanted to join, some did, and some denied. On 04/29/25, at 10:40 a.m. the LPA observed ten (10) residents exercising in the common area. The LPA observed staff asking other residents if they liked to join the exercise activity and was able to encourage two additional residents to participate. Right after the exercising activity ended, the residents proceeded to do a cognitive activity called “The Chronicles” and residents were observed to be reading “The Daily Chronicle” which is a newspaper style article of random facts and information, trivia and a word scramble. Shortly after, the TV in the common room was turned on, and residents seemed to be enjoying themselves, while other residents were in the patio, or in their rooms. Between 11:00 am and 12:00 pm, the LPA observed staff assisting residents washing their hands and getting ready for lunch. After lunch, the LPA observed 5 residents playing bingo. Around 3:30 pm before dinner, the LPA observed about 12-15 residents out in the courtyard with staff listening to music. The activities the LPA observed matched the planned activity calendar. The LPA took notice of which residents were not present and at 3:50 p.m. the LPA went to a resident’s room of a resident that was not present during activities and asked if they wanted to join. The resident revealed that they were aware of the activities and did not want to participate. Based on interviews and observations, there is insufficient evidence to support the allegation that “Facility staff not providing activities for residents,” Therefore, the allegation is deemed Unsubstantiated at this time.

Exit interview conducted, copy of this report issued.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2025

LIC9099 (FAS) - (06/04)

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