565801810-3-27-2023-31-AS-RRAZ-CQFLS7-20230331090012

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565801810
Report Date: 03/27/2023
Date Signed: 03/27/2023 01:23:16 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/20/2023 and conducted by Evaluator Tuesday Cabiness

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20230320101528

FACILITY NAME:	VENTURA TOWNEHOUSE		FACILITY NUMBER:	565801810
ADMINISTRATOR:	EVAN GRANUCCI		FACILITY TYPE:	740
ADDRESS:	4900 TELEGRAPH ROAD		TELEPHONE:	(805) 642-3263
CITY:	VENTURA	STATE: CA	ZIP CODE:	93003
CAPACITY:	566	CENSUS: 249	DATE:	03/27/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Chantel Hernandez		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility has leaky roof

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tuesday Cabiness met with Executive Assistant Chantel Hernandez and informed her the reason of the visit.

The Woodland Hills RO received an email on March 20, 2023, from a resident's family member informing Licensing the facility's roof is leaking. LPA attempted to contact the complainant, but was not successful. During today's visit, it was confirmed to LPA that the facility is currently having roof leaks, due to the recent rain storms, that California has been experiencing this past year. The Chief Engineer and his assistant are aware and have had a roofing company assess the issues, and is working with the facility to repair the roof. LPA was made aware, that the roofing company has assessed, that the issue will not be 100% corrected until it stops raining and the roof and areas of the facility are dry. But they are working on a temporary repair, until the rains discontinues. At this time, the allegation is Substantiated. This is a potential health and safety risk to residents in care.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Tuesday Cabiness	TELEPHONE: (818) 299-4975
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20230320101528

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: VENTURA TOWNEHOUSE	FACILITY NUMBER: 565801810
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/27/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/03/2023 Section Cited CCR 87303(a)	1 2 3 4 5 6 7	Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of...procedures for the safety and well-being of residents	1 2 3 4 5 6 7	Executive Assistant will submit documentation from the roofing company, that the facility is correcting the issue and fixing the roof leaks.
	8 9 10 11 12 13 14	employees and visitors. This requirement has not been met, evidenced by, based on the confirmed there are current roof leaking issues. This is a potential health and safety risk to residents in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Tuesday Cabiness	TELEPHONE: (818) 299-4975
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2023

LIC9099 (FAS) - (06/04)

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