565800476-5-21-2025-29-AS-KHEN-DJ5THV-20250630144518

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565800476
Report Date: 05/21/2025
Date Signed: 05/21/2025 11:06:48 AM

Unsubstantiated

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
12/27/2024 and conducted by Evaluator Valeria Conway

COMPLAINT CONTROL NUMBER: 29-AS-20241227114635

FACILITY NAME:	ATRIA LAS POSAS		FACILITY NUMBER:	565800476
ADMINISTRATOR:	ROMAN SIERRA TOVAR		FACILITY TYPE:	740
ADDRESS:	24 LAS POSAS RD		TELEPHONE:	(805) 987-9872
CITY:	CAMARILLO	STATE: CA	ZIP CODE:	93010
CAPACITY:	140	CENSUS: 112	DATE:	05/21/2025
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Aamber Winterstein		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff did not keep residents’ personal information confidential
Staff yelled at resident.

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), Aamber Winterstein. 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 precaution were met.

On 12/31/2024 LPA Conway, conducted an initial complaint visit. During that visit, LPA conducted a tour of the physical plant, obtained copy of the resident and staff roster and obtained pertinent information relevant to the investigation. Between 9:51 A.M. and 12:40 P.M. LPA conducted a brief plant tour, interviewed the ED and two (2) staff members.

Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025

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 3

Control Number 29-AS-20241227114635

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: 05/21/2025

NARRATIVE

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Continued from LIC 9099

Additionally, LPA conducted a review of resident's file and obtained copies of pertinent documents relevant to the investigation. Throughout the course of the investigation, LPA reviewed all documents obtained and conducted telephonic interviews with additional credible witnesses and other relevant parties. The Reporting Party (RP) was anonymous therefore, the LPA was unable to obtain additional information regarding the allegations. The following was then determined:

On the allegation, “Staff did not keep residents’ personal information confidential” the anonymous complainant’s concern was that staff were discussing confidential information with individuals who neither work at the facility does not have connections to residents in care. Residents interviewed confirmed that they have not overheard any staff members, including those in management, discussing confidential information about other residents in their presence. Additionally, Med Techs interviewed by LPA stated that hey are well-trained and fully understand the importance of maintaining resident’s confidentiality. They consistently refrain from sharing personal information and, when approached by individuals seeking such details, they clearly communicate that they are not authorized to disclose any information and refer inquiries to the resident’s family member directly. The LPA also reviewed staff training records, which were found to be current and comprehensive, including confidential records, ethics, and knowing the rights of residents. Based on the information obtained, the allegation is deemed UNSUBSTANTIATED at this time. LPA recommends that ED continue to discuss policies that ensure residents privacy.

On the allegation, “Staff yelled at resident” it was alleged by the anonymous complainant that a facility staff member, described as the Executive Director (ED), was overheard yelling at Resident #1 (R1) and that R1 later complained about the incident to others. In response, an interview with the ED was conducted, during which the ED denied the allegation and affirmed that all residents are treated with dignity and respect. Interviews with multiple residents revealed no concerns regarding staff behavior; residents consistently described staff as kind and denied ever being yelled at by facility staff.

Continued on LIC 9099-C

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20241227114635

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: 05/21/2025

NARRATIVE

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Continued from LIC 9099-C

R1 was also interviewed and described the facility staff at the facility as “nice” and “helpful” with no indication of experiencing inappropriate behavior. Additionally, staff members interviewed denied ever yelling at residents in care and stated that they have never witnessed other staff members engaging in such conduct. The information obtained during the investigation did not include evidence sufficient to corroborate the above allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025

LIC9099 (FAS) - (06/04)

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