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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850112
Report Date: 11/13/2025
Date Signed: 11/13/2025 02:05:54 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
11/04/2025 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20251104153042
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: 97DATE:
11/13/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH: Kenneth “Ken” MahlerTIME COMPLETED:
02:10 PM
ALLEGATION(S):
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Staff did not ensure facility was free from pests.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced initial complaint visit to this facility. At 9:00 a.m., the LPA met with the Executive Director (ED), Kenneth “Ken” Mahler and explained the reason for the visit.

At 9:06 a.m., the LPA conducted an interview with the ED. At 9:13 a.m., the LPA requested and obtained copies of pertinent documents. Between 9:18 a.m. and 11:06 a.m., the LPA conducted interviews with five (5) staff and two (2) residents. At 10:10 a.m., the LPA, along with the ED conducted a physical plant tour.

Continued on LIC 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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-20251104153042
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: 11/13/2025
NARRATIVE
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Regarding the allegation: Staff did not ensure facility was free from pests. On 11/04/2025, the Department received a complaint alleging that two (2) rooms had bed bugs. Interviews conducted with the ED and staff revealed bedbugs were observed in Rooms #145 and #146. Interviews with the ED and staff reported inconsistent dates of when the bed bugs were first observed. The ED explained that he was made aware of the bed bugs on 11/07/2025 and reached out to a pest control company the same day. Per record review and interviews with staff and the ED, Western Exterminator Company began “Bed Bug Heat Treatment” on 11/10/2025. The ED explained that the residents affected received new mattresses and cleaned bed sheets. The ED explained that the surrounding rooms were also inspected and sprayed to ensure that the bed bugs did not spread any further. Interviews with staff reported that they do regular room checks and if any bed bug activity is noticed they report it to management. The ED provided the LPA a copy of the invoice/ receipt of Western Exterminator Company dated 11/10/2025. Based on the information provided by interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is deemed Substantiated at this time.

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

Exit interview conducted. A copy of the report and appeal rights were provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20251104153042
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: 11/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/14/2025
Section Cited
CCR
87303(a)
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87303(a) Maintenance and Operation - The facility shall be clean, safe, sanitary and in good repair at all times...safety and well-being of residents, employees and visitors.
This requirement is not met as evidenced by:
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On 11/10/25, the pest control company treated the rooms. The ED provided the invoice to the LPA. Plan of correction met. The ED stated that he will follow up and ensure that the bed bugs do not spread to other rooms.
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Based on interviews and records review, the licensee failed to comply with the section cited above as bed bugs were observed in two (2) resident rooms, which poses an immediate health and safety 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: 11/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3