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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565800476
Report Date: 09/18/2025
Date Signed: 09/18/2025 06:17:15 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
06/25/2025 and conducted by Evaluator Valeria Conway
COMPLAINT CONTROL NUMBER: 29-AS-20250625091704
FACILITY NAME:ATRIA LAS POSASFACILITY NUMBER:
565800476
ADMINISTRATOR:AMBER WINTERSTEINFACILITY TYPE:
740
ADDRESS:24 LAS POSAS RDTELEPHONE:
(805) 987-9872
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:140CENSUS: 111DATE:
09/18/2025
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Amber WintersteinTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Insufficient staffing
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Valeria Conway conducted a subsequent complaint visit with the purpose of delivering findings for the above listed allegation. LPA met with Executive Director (ED), Amber Winterstein. The reason for the visit was stated. Entrance interview conducted.

During today’s visit a brief physical plant tour of the facility was conducted to ensure health and safety precautions were met. No immediate health and safety concerns were identified during today's visit.

On 07/03/2025, LPA interviewed the ED and conducted a physical plant tour, including the Life Guidance/Memory Care (LG) unit. LPA obtained copies of documents pertinent to the investigation, reviewed resident files and requested timecards and schedules for all current staff.

Continued on LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
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 4
Control Number 29-AS-20250625091704
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: 09/18/2025
NARRATIVE
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Continued from LIC 9099

It was alleged that the facility is understaffed and that residents’ needs are not being met in the LG unit. The complainant expressed concern that they believe the staff to resident ratio is poor or inadequate and stated that between the hours of 2:00 PM and 10:00 PM there is no staff available to assist confused residents in the LG unit who required redirection. An interview conducted on 07/3/2025, with the ED revealed that management is making efforts to keep the facility fully staffed. The ED stated that the facility schedules three (3) caregivers, two (2) med-techs and a Director in the Assisted Living (AL) unit during the AM and two (2) caregivers and two (2) med-techs in the PM. In the LG unit staff are scheduled as follows three (3) caregivers, one (1) med-tech during the morning (AM), an activity coordinator and a Director and two (2) caregivers and one (1) med-tech during afternoon (PM) shifts in the LG unit. Residents interviewed indicated that staffing levels vary from day to day; however, residents generally reported that the facility often lacks sufficient caregivers, resulting in long wait when assistance is needed. Staff interviews revealed that staff feel overworked and reported that are often not enough personnel to meet residents’ needs due to insufficient scheduling, approved time off and call-outs. Staff further disclosed that caregivers are frequently “pulled” from one unit to cover the other, leaving both units short-staffed. Additionally, staff reported that residents are occasionally left unattended for short periods when caregivers are assisting residents who wander, attempt to exit the building, or require temporary two (2) person assistance. Other credible witnesses also reported observing only one caregiver on the floor while the med-tech was on lunch break (and vice versa) and further disclosed that family members have occasionally offered to assist in serving meals in the LG unit due to staff shortages. LPA reviewed timecards and schedules for the LG unit dated June 21-23, 2025, and June 27-28, 2025. The review revealed the following: On Sunday June 22, the LG unit schedule reflected one (1) caregiver and one (1) med-tech for the entire day. On Monday June 23 (AM shift), the schedule reflected one (1) caregiver, and one (1) med-tech. Timecards also showed that staff did not take a lunch break during this shift and that the activity coordinator is scheduled off on Sundays and Mondays. On Friday June 27th and Saturday June 28th, some caregivers were scheduled for double shifts (6:00 AM-6:00 PM and 5:00 PM to 5:00 AM). In addition, one caregiver was left alone on the floor for approximately two and a half (2 ½) hours during a shift change. Based on information gathered during the course of the investigation, there is sufficient evidence to determine that facility is understaffed in the LG unit. Therefore, the above allegation “Insufficient staffing” is deemed SUBSTANTIATED at this time.

Continued on LIC 9099-C
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 29-AS-20250625091704
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: 09/18/2025
NARRATIVE
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Continued from LIC 9099-C

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.

An immediate civil penalty of $250 repeat violation is assessed today due to being cited for the same violation within 12 months. Administrator was informed that additional civil penalties might be assessed based on Health and Safety Code 1569.49(e) and 1569.49(f).

Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.

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

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 29-AS-20250625091704
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: 09/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
09/18/2025
Section Cited
CCR
87411(a)
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87411(a) Personnel Requirements General (a) Facility personnel shall at all times be sufficient in numbers... In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure...This requirement is not met as evidenced by…
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The Executive Director agreed to write a statement of understanding reg 87411(a). Schedule at least 2 caregivers and at least 1 med tech and submit these to LPA before POC due date.
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Based on interviews and record reviews the Executive Director did not comply with the regulation above by not having sufficient support for staff to perform essential duties for residents in care which poses a potential health, safety and personal rights risk to residents 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: 09/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4