565850112-8-28-2025-29-AS-KHEN-DL277N-20250829212459

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850112
Report Date: 08/28/2025
Date Signed: 08/28/2025 02:05:14 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
08/14/2024 and conducted by Evaluator Emily Peraldi

COMPLAINT CONTROL NUMBER: 29-AS-20240814093937

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: 94	DATE:	08/28/2025
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Gloria Morales, Wellness Director		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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Staff do not ensure infection control guidelines are being followed.
Staff do not ensure care needs of resident are being met.

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 10:35 a.m., the Executive Director (ED) Kenneth "Ken" Mahler and Wellness Director Gloria Morales met with the LPA.

During the initial visit conducted on 08/22/2024 between 9:58 a.m. and 1:30 p.m., the LPA conducted a physical plant tour and interviews with the ED, two (2) staff, and six (6) residents. During today’s visit, the LPA conducted a physical plant tour and interviews with the Wellness Director, two (2) staff and one (1) resident. The LPA also obtained copies of pertinent documents during both visits.

Continued on LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025

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-20240814093937

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: 08/28/2025

NARRATIVE

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Regarding the allegation: 1.) Staff do not ensure infection control guidelines are being followed. It was alleged that during a potential Coronavirus disease (COVID-19) outbreak at the facility that the facility did not have any PPE for staff to wear when entering the residents rooms. Interview with the ED revealed that in August 2024, there were two (2) COVID-19 positive cases, one (1) staff and one (1) resident. The ED explained that the facility has sufficient amount of Personal Protection Equipment (PPE) such as gloves, mask and gowns. The ED explained that when a resident test positive for COVID-19, staff place a three (3) tier storage drawer filled with PPE outside the residents room along with a trash can to dispose of the used PPE. During the physical plant tours, the LPA observed sufficient amount of PPE at the facility. The Wellness Director, Gloria Morales explained that supplies, including PPE are ordered on a monthly basis. Additionally, the Wellness Director explained that staff get trained on infection control policies and procedures annually. 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.

2.) Staff do not ensure care needs of resident are being met. It was alleged that Resident #1 (R1’s) needs were not being met as staff would bring R1’s food tray when R1 was isolating and would leave it outside of R1’s door in which R1 was not able to reach down to the floor for the food. It was also alleged that the facility was not restocking adult diapers in a timely manner for R1. Interview conducted with R1 did not reveal any concerns regarding staff and R1’s care. Staff interviewed denied the allegations. Staff interviewed revealed that if residents require food trays to be brought to them, staff bring the food inside the rooms and next to the residents. The Wellness Director explained that R1’s family supplies adult briefs for R1 and that the facility provides extra adult briefs for R1 as needed. The LPA observed the facility to have additional incontinent supplies such as briefs for resident use. 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 with Wellness Director. A copy of the report was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025

LIC9099 (FAS) - (06/04)

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