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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197607372
Report Date: 03/26/2025
Date Signed: 04/01/2025 11:52:45 AM

Document Has Been Signed on 04/01/2025 11:52 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:OAKVIEWFACILITY NUMBER:
197607372
ADMINISTRATOR/
DIRECTOR:		JEANNETTE RUGGIEROFACILITY TYPE:
740
ADDRESS:3557 CAMPUS DR.TELEPHONE:
(805) 241-2000
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY: 63TOTAL ENROLLED CHILDREN: 0CENSUS: 53DATE:
03/26/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Jeannette Ruggiero, James Mackay and
Shaulett Dela Cruz , 		TIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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Licensing Program Analysts (LPA) Zabel Chochian arrived unannounced to conduct a required annual visit. Upon arrival, LPA met with Executive Director, Jeannette Ruggiero, Assistant James Mackay, and Assisted Living Director, Shaulett Dela Cruz. The reason for the visit was stated. Entrance interview conducted and check list provided.

At approximately 12 p.m., LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and community is in compliance with Title 22 Regulations.

COMMON AREAS: The facility is a two story building; units are designated for assisted living residents on the first and second floor, and a separate unit on the first floor is designated for dementia care. There were no obstructions and/or tripping hazards observed. The facility maintains a comfortable temperature. The fire extinguishers were charged and last serviced 04/19/2024. Smoke Detectors and Carbon Monoxide detectors were tested by Fire Protection Inc. on 12/20/2024; all were found functioning properly. Facility elevator was operating properly. There are four (4) stairwells that all have emergency evacuation chairs.

ACTIVITIES: Planned activities are offered, and the activity schedule was posted. Activity rooms and common spaces appeared clean and in good repair. Currently group activities are on hold due to the outbreak.

KITCHEN: At the time of the visit, there was a sufficient supply of perishable and nonperishable food. Refrigerator, freezer, and pantry area were observed; food labels were inspected and checked for dates and expiration dates, and food labels had dates clearly marked. The facility also has an emergency supply of food and water. The weekly menu was posted by the dining room entrance. Appliances appeared to be clean and in operable condition. At this time due to the outbreak dining room is closed and meals are being served to residents in their room. Continued on LIC 809C...

Desaree PereraTELEPHONE: (818) 596-4347
Zabel ChochianTELEPHONE: (818) 419-5440
DATE: 03/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/26/2025
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.

LIC809 (FAS) - (09/23)
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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
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: OAKVIEW
FACILITY NUMBER: 197607372
VISIT DATE: 03/26/2025
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BEDROOMS: LPA toured seven randomly chosen rooms; two (2) in memory care, and five (5) in assisted living. Rooms appeared clean, well kept, with sufficient lighting and appropriately furnished. Five (5) out of seven (7) residents were interviewed during the tour.

RESTROOMS: Restrooms on all floors were clean and sanitary. Restrooms were fully stocked with supplies. The hot water temperature was tested on all floors and ranged from 107.5- and 120-degrees Fahrenheit.

OUTSIDE AREAS: LPA observed appropriate outdoor furniture with a covered shaded area for residents. There was an enclosed patio for residents who reside in the memory care unit.

MEDICATIONS: Medications are centrally stored in the medication room; there is a medication room on each of the two (2) floors. Random resident medication review conducted; PRNs observed with physicians order on file; residents medications observed recorded on the centrally stored log; Medications appeared to be given as prescribed. Some records were missing start dates; staff recorded the start dates from the bubble pack. In-service training provided.

RECORDS REVIEW: LPA reviewed seven resident records at approximately 3p.m. All seven (7) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, personal rights form, and current needs and services plan. All records were in order.

Five (5) personnel files were reviewed at approximately 4:30 p.m. for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records observed in order.

The facility has a comprehensive disaster plan. Emergency disaster drills are conducted quarterly as per regulation; the last one being a fire drill and was conducted in 01/2025 (1st shift); 2/2025 (2nd shift); third shift is scheduled in 3/2025.

No citations issued during today's visit. Exit interview conducted. Copy of report was provided.

SUPERVISOR'S NAME: Desaree PereraTELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel ChochianTELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2025
LIC809 (FAS) - (06/04)
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