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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565801544
Report Date: 02/24/2026
Date Signed: 02/24/2026 10:56:10 AM

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
07/21/2025 and conducted by Evaluator Esther Cortez
COMPLAINT CONTROL NUMBER: 29-AS-20250721115434
FACILITY NAME:ARC OF VENTURA COUNTY - OXNARD, THEFACILITY NUMBER:
565801544
ADMINISTRATOR:JUAN GARCIAFACILITY TYPE:
775
ADDRESS:416 NORTH "A" STTELEPHONE:
(805) 240-1620
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:90CENSUS: 66DATE:
02/24/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Juan GarciaTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff does not have adequate training
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Esther Cortez conducted a subsequent complaint visit to deliver findings for the above allegation. The LPA met with Administrator, Juan Garcia and explained the reason for the visit.

On 07/23/2025, the LPA alongside Tri-Counties Regional Center Quality Assurance Specialist (QAS) Katy Robison conducted interviews with three (3) staff members. On 09/05/2025, the LPA and QAS conducted file review for Staff 1 (S1), attempted to conduct a file review for Client 1 (C1) however C1's file was not available for review, conducted interviews with six (6) staff members and collected pertinent documents relevant to the investigation. On 10/22/2025, the LPA and QAS conducted a file review for Client 1 (C1), attempted to contact Staff 1 (S1) and C1's Conservator telephonically and collected pertinent client files pertinent to the investigation. On 10/23/2025, the LPA conducted a telephone interview with C1’s Conservator. On 02/17/2026, the LPA conducted a telephone interview with S1. Report will continue on LIC9099-C, 2nd page.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
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 5
Control Number 29-AS-20250721115434
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: ARC OF VENTURA COUNTY - OXNARD, THE
FACILITY NUMBER: 565801544
VISIT DATE: 02/24/2026
NARRATIVE
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On the allegation “Staff does not have adequate training”; it is the concern of the reporting party that staff was not trained on how to remove Client 1 (C1) from certain situations once it has been identified that C1 has aggressive behavior. It was reported that while on a community outing with Staff 1 (S1), C1 pushed a shopping cart into a community member while waiting in a checkout line. While S1 was checking on the community member’s well-being and providing management’s contact information, C1 reportedly struck a second community member who was also in line. To investigate the allegation the LPA conducted file review and staff interviews.

File review revealed that the facility’s program design mandates the new employee orientation includes training on Individual Program Plans (IPP) per Welfare and Institutions Code 4646. However, during interviews four (4) out of five (5) staff that provided direct support to clients, including Staff 1, stated that they do not receive training specific to the needs of the individual clients they support. Staff further revealed that they are provided with Crisis Prevention Institute (CPI) training, but it is not specific to any one client. Additionally, staff indicated that it is suggested staff go through the client’s binder to get their basic information, and they can review the client’s needs and service plan. Staff interviews also revealed that the only training specific to the clients they receive is if a client is using a medical device such as G-tube, not behavioral training. Furthermore, interview with S1 revealed that their experience as a 1:1 provider has taught them to remain hyper-vigilant by observing a client’s gaze, distractions, hand movements, and body shifts, however they were not given training specific to C1. Additionally, S1 did not have any training records on file specific to individual client needs and/or IPPs. Based on staff interview and file review, there is sufficient evidence to support the allegation and that a violation occurred; therefore, the above allegation is deemed Substantiated at this time.

The following deficiency was cited from the CA Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview held, appeal rights and report copy provided.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 29-AS-20250721115434
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: ARC OF VENTURA COUNTY - OXNARD, THE
FACILITY NUMBER: 565801544
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/27/2026
Section Cited
CCR
82022(b)(8)
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82022 Plan Of Operation (b) The plan and related materials shall contain the following:(8) Staffing plan, qualifications, and duties.
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Administrator agrees to submit a statement of understanding of regulation 82022 and ensure staff are trained on the individual needs of the clients before assigning them staff.
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Based on interviews and file review, the licensee did not comply in the section cited above when staff did not receive training on C1’s IPP, which posed a potential health and safety risk to persons 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: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
07/21/2025 and conducted by Evaluator Esther Cortez
COMPLAINT CONTROL NUMBER: 29-AS-20250721115434

FACILITY NAME:ARC OF VENTURA COUNTY - OXNARD, THEFACILITY NUMBER:
565801544
ADMINISTRATOR:JUAN GARCIAFACILITY TYPE:
775
ADDRESS:416 NORTH "A" STTELEPHONE:
(805) 240-1620
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:90CENSUS: 66DATE:
02/24/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Juan GarciaTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide adequate supervision to client
INVESTIGATION FINDINGS:
1
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5
6
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9
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12
13
Licensing Program Analyst (LPA) Esther Cortez conducted subsequent complaint visit to deliver findings for the above allegation. The LPA met with Administrator, Juan Garcia and explained the reason for the visit.

On 07/23/2025, the LPA alongside Tri-Counties Regional Center Quality Assurance Specialist (QAS) Katy Robiso conducted interviews with three (3) staff members. On 09/05/2025, the LPA and QAS conducted file review for Staff 1 (S1), attempted to conduct a file review for Client 1 (C1) however C1's file was not available for review, conducted interviews with six (6) staff members and collected pertinent documents relevant to the investigation. On 10/22/2025, the LPA and QAS conducted file review for Client 1 (C1), attempted to contact Staff 1 (S1) and C1's Conservator telephonically and collected pertinent client files pertinent to the investigation. On 10/23/2025, the LPA conducted a telephone interview with C1’s Conservator. On 02/17/2026, the LPA conducted a telephone interview with S1. Report will continue on LIC9099-C, 2nd page
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20250721115434
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: ARC OF VENTURA COUNTY - OXNARD, THE
FACILITY NUMBER: 565801544
VISIT DATE: 02/24/2026
NARRATIVE
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On the allegation " Staff did not provide adequate supervision to client "; it is the concern of the reporting party that on an incident that occurred on 11/03/2022 pertaining to Client 1 (C1) the facility did not provide reasonable, adequate, proper and sufficient personnel to supervise C1 when they showed aggression. It was reported that while on a community outing with Staff 1 (S1), C1 pushed a shopping cart into a community member while waiting in a checkout line. While S1 was checking on the community member’s well-being and providing management’s contact information, C1 reportedly struck a second community member who was also in line. To investigate the allegation the LPA conducted file review and staff interviews.

File review revealed that the Day Program self-reported the event via a Special Incident Report (SIR) on 11/03/22. The SIR noted that S1 immediately stepped away from the line and sat C1 down, while they gave their contact information to both parties. Additionally, the Day Program scheduled a team meeting with C1’s circle of support to discuss future planning and behavioral support; records confirmed C1 was receiving behavioral services at the time. C1’s Emergency Information Printout listed a developmental level of mild intellectual disability and a primary diagnosis of Autism.

Further review and staff interviews revealed that although C1 was originally part of a 1:4 staff-to-client group, the facility had already transitioned C1 to 1:1 support to help manage a history of behavioral aggression. An interview with S1, a supervisor with eight years of experience at the Day Program, revealed that the incident occurred without warning. S1 explained that C1 typically exhibits "tells," such as high-pitched humming, hand flicking, or self-hitting, but none of these behaviors were observed while in line. S1 further stated that their experience as a 1:1 provider has taught them to remain hyper-vigilant by observing a client’s gaze, distractions, hand movements, and body shifts. Staff interviews confirmed S1 was assigned as C1’s dedicated 1:1 support during the outing, maintaining the required staffing ratio at the time of the incident. Based on the information, there is insufficient evidence to support the allegation of ' Staff did not provide adequate supervision to client’ occurred as staff was present during the incident and the staff member responded immediately. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview and report reviewed with the Administrator. A copy of the report and appeal rights were provided.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5