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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565800476
Report Date: 02/26/2026
Date Signed: 03/11/2026 04:33:00 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
02/18/2026 and conducted by Evaluator Valeria Conway
COMPLAINT CONTROL NUMBER: 29-AS-20260218095129
FACILITY NAME:ATRIA LAS POSASFACILITY NUMBER:
565800476
ADMINISTRATOR:RFACILITY TYPE:
740
ADDRESS:24 LAS POSAS RDTELEPHONE:
(805) 987-9872
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:140CENSUS: 114DATE:
02/26/2026
UNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Natalie OntiverosTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Facility failed to report an outbreak to appropriate agencies
INVESTIGATION FINDINGS:
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This report has been amended to remove confidential information.

Licensing Program Analyst (LPA) Valeria Conway conducted a 10-day initial complaint visit to address the allegation listed above. LPA arrived at the facility at 9:50 A.M. and met with front desk staff, who contacted the Resident Service Director (RSD), Natalie Ontiveros. RSD contacted Interim Executive Director (ED), Remon Pagels via telephone. At 10:08 A.M. Interim ED was unavailable during today's visit, but authorized RSD to sign today's reports. Entrance interview conducted.

During today’s visit, LPA conducted additional interviews and reviewed facility records. LPA reviewed documentation including the Ventura County Public Health (VCPH) outbreak monitoring line lists, posted outbreak notifications, facility progress notes, incident reports submitted to Community Care Licensing (CCL), and email correspondence. The following was then determined:
Continude on LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
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 4
Control Number 29-AS-20260218095129
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: ATRIA LAS POSAS
FACILITY NUMBER: 565800476
VISIT DATE: 02/26/2026
NARRATIVE
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Continued from LIC 9099

Regarding the allegation “Facility failed to report an outbreak to appropriate agencies” it is the Reporting Parties (RPs) concern that the facility failed to notify CCL and VCPH of an ongoing Gastrointestinal diseases (GI)/Norovirus outbreak. It was further reported that several residents and staff were exhibiting symptoms such as vomiting and diarrhea, and the facility was experiencing an outbreak approximately a week before appropriate agencies were involved.

During the course of the investigation, LPA interviewed VCPH personnel who confirmed that the facility in fact did not report the outbreak to the agency. Interview conducted with ED revealed that physicians and resident’s responsible parties were informed of the symptoms, isolation measures, and outbreak status at the facility. The ED stated that beginning 02/18/2026, the dining and common areas were closed, in-room tray service was implemented, and all group activities were canceled until the outbreak was contained. The ED further stated that the facility has sufficient staff to care for residents during this outbreak, sufficient Personal Protective Equipment (PPE) and disinfectant supplies and that high-touch areas are being cleaned and disinfected frequently. Interviews with residents and staff revealed that GI symptoms had been circulating in the facility since the first week of February, when multiple residents and staff began experiencing symptoms. Residents reported that written notice of the outbreak was provided on 02/18/2026. Residents further stated that isolation protocols are in place, the dining room is closed, meals are being delivered to their rooms, and activities have been suspended until further notice.

A review of the Serious Incident Reports (SIRs) submitted by the facility to CCL reflected that an SIR was submitted on 02/18/2026. The SIR confirmed the presence of an outbreak. Review of the facility’s line list revealed the between 02/05/2026 and 02/21/2026, a total of twenty-six (26) cases involving residents and staff were documented with symptoms of vomiting and diarrhea. Additionally, on 02/08/206, Resident #1 (R1) was hospitalized and upon discharge on 02/11/2026, was diagnosed with Norovirus. Although the facility implemented isolation precautions for symptomatic residents prior to receiving the confirmed diagnosis on 2/12/2026, the facility did not to notify CCL and the local health department within 24 hours of the initial onset of symptoms among residents and staff. Furthermore, the facility did not report the hospitalization of R1 within seven (7) days from the date of occurrence, as required by regulation. Based on the information gathered during the investigation, the department has sufficient evidence to confirm this allegation occurred. Therefore, the allegation of “Facility failed to report an outbreak to appropriate agencies” has been SUBSTANTIATED at this time.
Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Administrator was informed that failure to correct the deficiencies may result in civil penalties.

Amended report was discussed with administrator telephonically. A copy of the amended report and appeal rights were provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 29-AS-20260218095129
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: ATRIA LAS POSAS
FACILITY NUMBER: 565800476
VISIT DATE: 02/26/2026
NARRATIVE
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Continued from LIC 9099-C

Third page was intentionally left blank.

A hard copy of this page was emailed for signature.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 29-AS-20260218095129
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: ATRIA LAS POSAS
FACILITY NUMBER: 565800476
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/27/2026
Section Cited
CCR
87211(a)
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87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:
This requirement is not met as evidenced by:
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ED or designee agreed to write a statement of understanding on regulation 87211, submit a new infection control plan and pending incidents to LPA before PCO due date.
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Based on interview conducted and records reviewed, facility did not comply with the section cited above as they did not submit an outbreak incident report within 24 hours and an incident report for R1’s hospitalization within 7 days which poses an immediate health and safety risk to resident (s) 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: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4