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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850112
Report Date: 04/09/2026
Date Signed: 04/09/2026 02:38:57 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
10/21/2025 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20251021124839
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: 93DATE:
04/09/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Stephani SmithTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff do not have proper training.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced subsequent complaint visit to this facility. At 9:30 a.m., the LPA met with Sales Director (SD) Ty Hanson and explained the reason for the visit.

During the initial visit on 10/28/2025 between 10:30 a.m. and 4:05 p.m., LPAs Peraldi and Barutyan conducted a physical plant tour and interviews with the Executive Director (ED) at the time, Kenneth "Ken" Mahler, eight (8) staff and two (2) residents. During a subsequent visit on 02/12/2026, LPA Peraldi conducted interviews with ED Ken Mahler, six (6) staff and two (2) residents. During both visits, the LPA reviewed and obtained copies of pertinent documents. During today’s visit, the LPA reviewed personnel records.

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

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
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 5
Control Number 29-AS-20251021124839
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: 04/09/2026
NARRATIVE
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Regarding the allegation: Staff do not have proper training. It was alleged that caregivers are not properly trained on how to use a Hoyer lift. Interviews with staff conducted on 10/28/2025 revealed that four (4) out of eight (8) staff stated that they did not receive formal or proper training on how to use a Hoyer lift. Two (2) out of eight (8) staff interviewed revealed that they did receive proper training from a hospice agency but that it was a long time ago and that newer employees have not received training from an outside vendor on how to properly use a Hoyer lift. The LPA spoke with the Interim ED regarding Hoyer lift training and inquired if there are residents that require the usage of a Hoyer lift. The Interim ED stated that Regency does not accept residents who require a Hoyer lift and currently there are no residents who require the Hoyer lift. Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation, “Staff do not have proper training” 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 with Interim Executive Director (ED) Stephani Smith. A copy of the report and appeal rights were provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 29-AS-20251021124839
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: 04/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/10/2026
Section Cited
CCR
87613(a)(2)
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87613(a)(2)General Requirements for Restricted Health Conditions (2)Ensure that facility staff complete training provided by a licensed professional…training shall be completed prior to the staff providing services to the resident. This requirement was not met as evidenced by:
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The Interim ED stated that the facility is no longer accepting residents who require a hoyer lift. Currently no residents require a hoyer lift.
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Based on record review and interviews, the licensee did not comply with the section cited above as staff assist residents with a hoyer lift prior to getting training by a skilled professional, which poses a potential health and safety risk to persons 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: 04/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
10/21/2025 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20251021124839

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: 93DATE:
04/09/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Stephani SmithTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff placed resident in the secured memory care unit without proper authorization.
Staff pinched resident in care.
Staff covered resident's mouth with a piece of clothing.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced subsequent complaint visit to this facility. At 9:30 a.m., the LPA met with Sales Director (ED) Ty Hanson and explained the reason for the visit.

During the initial visit on 10/28/2025 between 10:30 a.m. and 4:05 p.m., LPAs Peraldi and Barutyan conducted a physical plant tour and interviews with the Executive Director (ED) at the time, Kenneth "Ken" Mahler, eight (8) staff and two (2) residents. During a subsequent visit on 02/12/2026, LPA Peraldi conducted interviews with ED Ken Mahler, six (6) staff and two (2) residents. During both visits, the LPA reviewed and 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: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20251021124839
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: 04/09/2026
NARRATIVE
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Regarding the allegations: 1.) Staff placed resident in the secured memory care unit without proper authorization. It was alleged that a resident was placed in the Memory Care (MC) unit due to the Assisted Living (AL) unit being full. Record review of the resident census and roster did not confirm or match the name given by the complainant. Interview with the ED at the time, Ken Mahler revealed that once a resident is showing signs of dementia or similar behaviors, discussions are held with the residents and responsible party to go over options such as Memory Care (MC). The ED stated that there are a few residents that go to the MC side during the day but return to their rooms in the AL to sleep. Per record reviews and staff interviews, the LPA could not determine which resident is in the MC due to AL being full. Additionally, the complainant did not provide additional information regarding the allegation. The information obtained during the investigation did not include sufficient evidence 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 pinched resident in care. 3.) Staff covered resident's mouth with a piece of clothing. It was alleged that Staff #1 (S1) pinch residents and cover residents mouths with a piece of clothing. Four (4) out of thirteen (13) staff interviewed stated that they heard about S1 pinching and covering residents’ mouths with clothing but they did not directly witness it. However, staff interviewed revealed that they have witnessed S1 be aggressive and rude towards residents. The LPA cited for S1 not according residents with dignity under a Case Management Deficiencies visit on 04/09/2026. The information obtained during the investigation did not include sufficient evidence 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 Interim Executive Director (ED) Stephani Smith. A copy of the report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5