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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850112
Report Date: 05/21/2025
Date Signed: 05/21/2025 04:02:27 PM

Substantiated


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
05/09/2025 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20250509102647
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: 89DATE:
05/21/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Ty HansonTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Staff do not safeguard resident's personal belongings.
Staff do not report incidents to appropriate parties.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced subsequent complaint visit to this facility to deliver findings. At 10:30 a.m., the LPA met with staff and explained the reason for the visit. At 2:00 p.m., the LPA spoke with Executive Director (ED) Kenneth "Ken" Mahler telephonically, as the ED was unavailable to meet the LPA.

During the initial visit conducted on 5/15/2025 between 9:49 a.m. and 3:45 p.m., the LPA conducted a physical plant tour and interviews with the ED, two (2) residents, and two (2) staff. The LPA also obtained copies of pertinent documents. During today’s visit, the LPA conducted a file review for Resident #1 (R1). Continued on LIC 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
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 3
Control Number 29-AS-20250509102647
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: 05/21/2025
NARRATIVE
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Regarding the allegations: 1.) Staff do not safeguard resident's personal belongings. 2.) Staff do not report incidents to appropriate parties. It was alleged that in December 2024, the amount of $670.00 dollars was stolen from Resident #1 (R1) and that the ED and Staff #1 (S1) were made aware of it and did not report it to the appropriate parties such as the local police, State Long-Term Care Ombudsman and Licensing. It was alleged that instead of reporting to the police, the ED replaced the $670.00 for R1. The LPA interviewed the ED who stated he does not know if R1’s money was stolen. The ED stated that he is not sure what happened to R1’s money and believes it was misplaced but decided to work with R1 and credited over the amount of $670.00 towards R1’s rent amount. The ED explained that R1 would keep the money in R1’s room but that after the alleged missing money, the ED holds R1’s money in the ED’s locked office. The ED admitted that he did not report R1’s missing money since he discussed and credited the missing money with R1. The LPA explained that the ED should have reported the missing money regardless of crediting R1’s balance towards rent per Health and Safety Code 1569.153. The ED stated that he filed a police report for R1’s money on 05/16/2025. Per record review, in January 2025, R1 was credited $248 and in February 2025, R1 was credited another $452 totaling a credit of $700.00 towards rent. Based on record review and interview, the preponderance of evidence standard has been met, therefore the above allegations, “Staff do not safeguard resident's personal belongings” and “Staff do not report incidents to appropriate parties” are deemed Substantiated at this time.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8 and Health and Safety Code the following deficiency was observed and cited during the visit (See 9099-D).

Exit interview conducted. The ED authorized staff, Ty Hanson to sign the report. A copy of the report and appeal rights were provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20250509102647
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/30/2025
Section Cited
HSC
1569.153
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1569.153 Theft and loss program; standards, property inventories... A theft and loss program shall be implemented by the residential care facilities for the elderly within 90 days...The program shall include all of the following: This requirement is not met as evidenced by:
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The ED stated that he will do the following:
1. Have an in-service training with all staff, including the ED regarding the facility’s theft and loss policy. Submit training documentation to CCL by due date.
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Based on interview, and file review the licensee failed to make reasonable efforts to safeguard R1’s cash resources and did not follow Theft and Loss Policy, which posed a potential personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
LIC9099 (FAS) - (06/04)
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