565801625-3-5-2026-29-AS-KHEN-DSGVN4-20260324163430

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565801625
Report Date: 03/05/2026
Date Signed: 03/05/2026 05:12:42 PM

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
02/26/2026 and conducted by Evaluator Emily Peraldi

COMPLAINT CONTROL NUMBER: 29-AS-20260226104653

FACILITY NAME:	SUNRISE MANOR, LLC		FACILITY NUMBER:	565801625
ADMINISTRATOR:	JULIANA ANOS		FACILITY TYPE:	735
ADDRESS:	441 WEST CHANNEL ISLAND BLVD		TELEPHONE:	(805) 240-7600
CITY:	OXNARD	STATE: CA	ZIP CODE:	93033
CAPACITY:	60	CENSUS: 45	DATE:	03/05/2026
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Stacey Medina, Administrator Cathalina Anos-Hipolito, Administrator Assistant		TIME COMPLETED:	05:20 PM

ALLEGATION(S):

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Staff did not keep the facility free from bedbugs.
Staff did not ensure elevator was properly operating.
Staff did not ensure resident was provided with clean linen and or bedding.
Staff did not keep facility clean.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced initial complaint visit to this facility. At 11:00 a.m., the LPA met with Administrator, Stacey Medina and explained the reason for the visit.

Between 11:06 a.m. and 1:52 p.m., the LPA conducted interviews with Administrator, three (3) staff and ten (10) clients. Starting at 11:18 a.m., the LPA, along with the Administrator, conducted a physical plant tour. At 1:35 p.m., the LPA requested and obtained copies of pertinent documents.

Continued on LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

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 3

Control Number 29-AS-20260226104653

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: SUNRISE MANOR, LLC	FACILITY NUMBER: 565801625
	VISIT DATE: 03/05/2026

NARRATIVE

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Regarding the allegations: 1.) Staff did not keep the facility free from bedbugs. It was alleged that the facility has had bed bugs for many years and staff do not address it. Interviews conducted with the Administrator and staff revealed that they are constantly addressing and treating client apartments for bed bugs. The Administrator and staff explained that last week, Apartment #3 was treated for bed bugs. The Administrator and staff stated that currently there are no rooms that have bed bugs. The Administrator and staff stated that Ridgecrest Pest Control company conducts monthly pest control, which includes spraying of bed bugs. Staff provided copies of invoices/ receipts for the monthly pest control for November 2025, December 2025, January 2026, and February 2026. The invoices describe Transport Mikron as the pesticide used which is a professional-grade, non-repellent insecticide used to control over 30 pests—including bed bugs. Interviews with clients did not reveal any concerns about bed bugs. Clients interviewed explained that if they were to have bed bugs, staff take immediate action to eliminate them. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation, as the Administrator and facility staff have consistently taken corrective measures to ensure that the bed bug issue is addressed and eliminated. 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.

2.) Staff did not ensure elevator was properly operating. It was alleged that the elevator has not been working for over 25 years. The LPA conducted a file review and noted that the elevator is marked as storage in the facility sketch. The facility sketch was submitted to the Department upon licensure. The Administrator and staff confirmed that the elevator has always been used as storage. Additionally, the facility is cleared for 60 Ambulatory clients only which all can ambulate using the stairs. The information obtained during the investigation did not include evidence sufficient to corroborate the 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.

3.) Staff did not ensure resident was provided with clean linen and or bedding. It was alleged that staff would never put bed sheets on clients beds. During the physical plant tour, LPA observed all of client apartments and rooms. The LPA observed all rooms to have bedsheets except for four (4) beds. The LPA conducted interviews with the clients who had missing bed sheets; the interviews revealed that all four (4) clients preferred not to have their bed sheets on. Continued on LIC 9099-C.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20260226104653

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: SUNRISE MANOR, LLC	FACILITY NUMBER: 565801625
	VISIT DATE: 03/05/2026

NARRATIVE

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The LPA advised the Administrator to document clients’ preferences and refusals in regards to bed sheets. The Administrator explained that they have extra bed sheets and bed covers available for clients. The LPA observed additional bed sheets and bed covers for clients in one of the storage rooms. Overall, clients interviewed did not reveal any concerns regarding the above allegation. The information obtained during the investigation did not include evidence sufficient to corroborate the 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.

4.) Staff did not keep facility clean. It was alleged that staff do not clean anything and that nothing has been done to address it. During the physical plant tour, the LPA observed two (2) staff cleaning client apartments, one staff is assigned to the bottom apartments and the other is assigned to the top apartments. The housekeepers both work Monday-Sunday, 8 a.m. to 2 p.m. The LPA observed the common areas to be relatively clean. Interviews with clients did not reveal any concerns regarding the cleanliness of the facility. The information obtained during the investigation did not include evidence sufficient to corroborate the 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.

Exit interview conducted with Administrator Assistant Cathalina Anos-Hipolito. A copy of the report was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

LIC9099 (FAS) - (06/04)

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