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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850615
Report Date: 07/09/2025
Date Signed: 07/10/2025 09:58:26 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
06/02/2025 and conducted by Evaluator Teresa Camara
COMPLAINT CONTROL NUMBER: 29-AS-20250602093028
FACILITY NAME:PALMS AT BONAVENTURE, THEFACILITY NUMBER:
565850615
ADMINISTRATOR:MCCAULEY,BRANDYFACILITY TYPE:
740
ADDRESS:111 NORTH WELLS ROADTELEPHONE:
(805) 647-0616
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY:121CENSUS: 102DATE:
07/09/2025
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Brandy McCauleyTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility does not have sufficient staff to meet the needs of residents in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint investigation visit. LPA met with Executive Director (ED) Brandy McCauley and explained the reason for the visit.

On 6/6/2025, LPA Mosley conducted the initial complaint investigation visit. During that visit LPA Mosley interviewed ten (10) residents who all stated their care needs were met by staff and they had no complaints about the care they were receiving. LPA Mosely interviewed three (3) staff and the ED during that visit. Staff stated when other staff call out staffing can be short, but they still meet the needs of the residents. The ED stated when they have staff unexpectedly call out, they ask on-call staff to take the shift. If on-call staff are not available, they will ask other staff to stay late or come in early or one of the management team step in to assist.

(continued on LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
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 2
Control Number 29-AS-20250602093028
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: PALMS AT BONAVENTURE, THE
FACILITY NUMBER: 565850615
VISIT DATE: 07/09/2025
NARRATIVE
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(continued from LIC9099)

During today’s visit, LPA Camara obtained pertinent documents and interviewed the Resident Care Coordinator (RCC) at 10:50 a.m. and the ED at 10:30 a.m. Both stated they have procedures for meeting staffing needs. If they still are unable to find staff to fill spots, the ED will get agency staff to cover, but they have not needed agency staff in about a year because they are able to cover call outs.

LPA reviewed the schedules for both assisted living and memory care. In assisted living the facility typically schedules four caregivers and two medication technicians on the morning shift (6:00 a.m. - 2:00 p.m.) and the afternoon shift (2:00 p.m. - 10:00 p.m. The overnight shift (10:00 p.m. - 6:00 a.m.) (NOC shift) typically has two caregivers and one medication technician. The memory care typically has three or four caregivers and a medication technician during the morning and afternoon shifts and one caregiver and one medication technician during the NOC shift.

Based on interviews and records reviewed, the allegation “Facility does not have sufficient staff to meet the needs of residents in care” is deemed UNSUBSTANTIATED at this time.

The ED was unavailable to sign this report. The Business Office Director Harmony Langarica signed on the ED's behalf.

No citations issued. Exit interview conducted and report issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
LIC9099 (FAS) - (06/04)
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