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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850578
Report Date: 01/15/2026
Date Signed: 01/15/2026 04:03:25 PM

Document Has Been Signed on 01/15/2026 04:03 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:RIDGE AT WESTLAKE VILLAGE, THEFACILITY NUMBER:
195850578
ADMINISTRATOR/
DIRECTOR:		LARIOS, BRIANFACILITY TYPE:
740
ADDRESS:31200 CEDAR VALLEY DRIVETELEPHONE:
(805) 572-7705
CITY:WESTLAKE VILLAGESTATE: CAZIP CODE:
91362
CAPACITY: 162CENSUS: 91DATE:
01/15/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Brian LariosTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
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Licensing Program Analysts (LPAs) Angela Barutyan and Emily Peraldi arrived at the facility unannounced to conduct a required annual visit at 09:35AM. LPAs were greeted by staff and Executive Director (ED) Brian Larios.

At 10:11AM, the LPAs, along with the ED and Maintenance Technician John Dasilva toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

FACILITY LAYOUT: The facility is one building with four (4) floors of which three (3) floors contain resident rooms. The fourth level is a rooftop area and there is a basement floor containing a theater. The facility has one hundred thirty-one (131) units. The first floor contains the Memory Care Unit and has four (4) delayed egress doors. There are twenty-six (26) resident rooms in the Memory Care Unit and five (5) rooms are shared.

BEDROOMS: The LPAs toured a total of ten (10) resident rooms. LPAs observed four (4) resident rooms in the Memory Care (MC) Unit. Rooms in the memory care unit have no appliances. LPAs observed resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. The assisted living rooms on the first, second, and third floors are equipped with a refrigerator, microwave, and sink. The assisted living rooms range from studio apartments to two (2) bedroom units. Washer and dryer units are available throughout the floors for resident use, and the commercial laundry area for staff use is in the basement. All rooms were observed to be in compliance. Report Continued on LIC 809-C.

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Angela Barutyan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: RIDGE AT WESTLAKE VILLAGE, THE
FACILITY NUMBER: 195850578
VISIT DATE: 01/15/2026
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RESTROOMS: Restrooms were clean, sanitary, and in operating condition with grab bars and slip-resistant surfaces. Between 10:15AM-11:25AM, hot water temperatures were tested on all floors in assisted living and memory care resident restrooms and were between 95.7-122.4 degrees F, which is not within the required range of 105-120 degrees F. Seven (7) out of ten (10) resident restrooms checked had hot water temperature that was out of compliance. Maintenance technician stated that the water temperatures will be adjusted to be in compliance.

KITCHEN: At 10:53AM, the LPAs observed the kitchen to have a sufficient supply of perishable and non-perishable food at the time of the visit. Appliances in the kitchen were clean and appeared functional. Snacks and beverages are available for residents in the Bistro. Food is prepared in the main kitchen, which is located on the second floor.

COMMON AREAS: The facility has the following amenities and common areas: office spaces, conference rooms, beauty salon, the bistro, lobby, rooftop access, memory care activity room, dining room, courtyard, and servery kitchen located on the first floor; one (1) theater located on the basement floor; the main kitchen and dining area, activity room, and fitness center located on the second floor; and lounge located on the third floor. Regarding the signal system, the system is activated in the resident bedrooms and restrooms. All systems go directly to a computer at the front desk and to hand-held devices and pagers. Designated staff carry a handheld device, which displays the location of the alarm that has been pulled. Staff also utilize walkie-talkies to communicate with staff accordingly. LPAs observed residents wearing pendants. There are cameras observed in exterior perimeter and entrance. The fire extinguishers are located on every floor in each building and were observed to be fully charged and last serviced on 07/24/2025. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted in the hallways. The emergency telephone numbers are posted in the entryway. Other required postings are posted on the first floor. LPAs observed the Ombudsman Poster and DSS Complaint Poster throughout the community.

Report Continued on LIC-809C.

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Angela Barutyan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: RIDGE AT WESTLAKE VILLAGE, THE
FACILITY NUMBER: 195850578
VISIT DATE: 01/15/2026
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MEDICATION REVIEW: At 12:52PM, LPA Peraldi, along with Health and Services Director (HSD) Ian Gadea reviewed medications for six (6) residents. Medications are centrally stored and locked in the medication offices. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. Medications were not properly documented on the centrally stored medications and destruction record (CSMDR) as they were missing start dates. At 01:36PM, LPA observed Resident #1 (R1)’s Diltiazem HCL 120mg tablets had a recorded start date of 11/28/2025 on the medication bubble pack. The medication is thirty (30) tablets with an administration of once a day at bedtime. HSD stated that there was an error in recording the start date as it should have been 12/28/2025, however the CSMDR had no recorded start date. At 02:08PM, LPA observed Resident #2 (R2)’s Vitamin B-12 1000mcg tablets with a recorded start date of 12/22/2025 on the medication bubble pack. The medication is thirty (30) tablets with an administration of once a day in the morning. There were four (4) tablets left, but according to the start date of 12/22/2025, there should be five (5) tablets left. HSD was unable to account for the missing tablet. The CSMDR had no recorded start date for R2’s Vitamin B-12 medication.

RECORD REVIEW: Beginning at 01:00PM, LPA Barutyan reviewed five (5) resident and five (5) staff records for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, personal rights, and first aid/CPR training. All resident files reviewed were complete and were observed to be in compliance. Two (2) out of two (2) care staff files were missing valid first aid certification by qualified agencies. During today’s visit, LPAs obtained a copy of the facility’s liability insurance.

INFECTION CONTROL/EMERGENCY DISASTER PLANNING: Beginning at 02:40PM, LPA Barutyan reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are conducted quarterly as is required, with the last drill conducted on 12/10/2025. The community’s smoke detectors and carbon monoxide detectors are hard-wired and were last tested on 12/09/2025 by Cal Building Systems.

The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22. Administrator was informed that failure to correct deficiencies may result in civil penalties.

Exit interview conducted. Appeal rights and a copy of the report was provided.

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Angela Barutyan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/15/2026 04:03 PM - It Cannot Be Edited


Created By: Angela Barutyan On 01/15/2026 at 03:26 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: RIDGE AT WESTLAKE VILLAGE, THE
FACILITY NUMBER: 195850578

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87303(e)(2)
Maintenance and Operation
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above as seven (7) out of ten (10) hot water temperatures in resident restrooms were not within the required range which poses a potential health and safety risk to persons in care.
POC Due Date: 01/22/2026
Plan of Correction
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ED stated they will update the water heater temperature to be within compliance. ED will submit a 5-day water temperature log to CCLD by the due date.
Type B
Section Cited
CCR
87411(c)(1)
Personnel Requirements - General
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as two (2) out of two (2) care staff did not have valid first aid training which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/29/2026
Plan of Correction
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ED stated that staff will acquire appropriate first aid training. ED will submit proof to CCLD by the due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Kristin Heffernan
NAME OF LICENSING PROGRAM MANAGER:
Angela Barutyan
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/15/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/15/2026 04:03 PM - It Cannot Be Edited


Created By: Angela Barutyan On 01/15/2026 at 03:26 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: RIDGE AT WESTLAKE VILLAGE, THE
FACILITY NUMBER: 195850578

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87465(h)(4)
Incidental Medical and Dental Care Services
(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on medication review and interview, the licensee did not comply with the section cited above as medication start dates were not recorded on the centrally stored medication and destruction record, R1's medication had an incorrect start date, and R2's medication was one count off which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/22/2026
Plan of Correction
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ED stated an in-service medication training will be conducted with all medication technicians. ED will submit proof to CCLD by the due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Kristin Heffernan
NAME OF LICENSING PROGRAM MANAGER:
Angela Barutyan
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/15/2026


LIC809 (FAS) - (06/04)
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