197607372-4-30-2025-29-AS-KLOZ-DG942Z-20250430184357

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197607372
Report Date: 04/30/2025
Date Signed: 04/30/2025 02:27:57 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/23/2024 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20240923155324

FACILITY NAME:	OAKVIEW		FACILITY NUMBER:	197607372
ADMINISTRATOR:	JEANNETTE RUGGIERO		FACILITY TYPE:	740
ADDRESS:	3557 CAMPUS DR.		TELEPHONE:	(805) 241-2000
CITY:	THOUSAND OAKS	STATE: CA	ZIP CODE:	91360
CAPACITY:	63	CENSUS: 52	DATE:	04/30/2025
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	James MacKay, Administrator Assistant		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility staff mismanaged residents medication
Licensee does not have enough staff to meet the needs of residents in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to the facility. The purpose of the visit is to deliver investigation finding. Upon arrival LPA met with James Mackay and explained the reason for the visit. Entrance interview conducted.

On 09/23/2024, Community Care Licensing Division received the above complaint allegations. It was reported that resident #1 (R1) was in sever pain on the weekend of 09/21/2024 and was not administer Morphine. It was also reported that the facility staff admit to missing the medication delivery and noted that they didn't have the staffing. No additional information was provided by the reporting party to support allegations made. Email notification was sent to the reporting party however no return response was received.

Following is a summary of the investigation finding: On 10/01/2024, from approximately 3:15pm-4pm, LPA reviewed resident #1’s (R1) records which included R1’s Centrally Stored Medication and Destruction records; MARs, Controlled Drug Record and Controlled Substance Inventory form. (Continue to LIC9099c.)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel Chochian	TELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20240923155324

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 04/30/2025

NARRATIVE

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LPA also interviewed staff and reviewed staffing schedules. Furthermore, during an annual inspection on 03/26/2025 randomly selected residents were interviewed regarding staffing and medication services.

Regarding allegation “Facility staff mismanaged resident’s medication”: Interview with staff and records review revealed that Resident 1 (R1) lived at the facility until they passed away on 09/23/2024; R1 had a prescription for Morphine Sulfate 15mg and 20mg (tablets); records noted last fill date of morphine medication was on 09/21/2024 (20mg-tablets-as needed 3x a day). Medication Administration Records (MAR) indicated that on 09/21/2024, R1 received Morphine, which was prescribed by a physician solely for pain and comfort. Interviews with staff indicated that they did not have a problem filling R1’s medications on time. Staff denied the allegations. Records reviewed indicated morphine medication was provided according to physician and hospice instructions. Further interviews with the medication technicians and facility LVN confirmed that all controlled drugs are stored separately, recorded and inventoried at every shift. According to staff they never ran out of R1’s morphine. Interview with staff and records reviewed indicated that morphine was administered to R1 by a hospice and facility nurse following physician and hospice instructions. Controlled Substance Inventory form indicated facility had a supply of morphine for R1 until they passed on 09/23/2024. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may be valid, there is insufficient evidence to support the allegation. Therefore, the allegation “Facility staff mismanaged residents medication” is deemed unsubstantiated at this time.

Regarding allegation “Licensee does not have enough staff to meet the needs of residents in care”: Interview with staff and facility records reviewed revealed facility staffing for the Assisted Living (AL) side with census of 35 residents, consist of three (3) caregivers; two (2) medtechs and Wellness nurse for both AM and PM shifts; NOC shift: one (1) caregiver and one (1) medtech; for the Memory Care unit with census of 15.

Additionally, Five randomly selected residents of the assisted living side were interviewed and all five expressed no issues or concern with facility managing medications and care service. LPA attempted to interview residents in the memory care unit however residents were unable to comprehend questions asked due to lack of capacity. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the above allegation “Licensee does not have enough staff to meet the needs of residents in care” is deemed unsubstantiated at this time. Exit interview conducted. A copy of the report provided.

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel Chochian	TELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

LIC9099 (FAS) - (06/04)

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