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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565801810
Report Date: 05/07/2024
Date Signed: 05/07/2024 03:18:33 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
11/09/2021 and conducted by Evaluator Gina Saucedo
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20211109121157
FACILITY NAME:VENTURA TOWNEHOUSEFACILITY NUMBER:
565801810
ADMINISTRATOR:EVAN GRANUCCIFACILITY TYPE:
740
ADDRESS:4900 TELEGRAPH ROADTELEPHONE:
(805) 642-3263
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:566CENSUS: 246DATE:
05/07/2024
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Evan GranucciTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Insufficient staffing during meal time
Facility is in disrepair
INVESTIGATION FINDINGS:
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On 05/07/24, at 9:50am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Administrator Evan Granucci. LPA disclosed the purpose of the visit. LPA explained the purpose of this visit was to gather additional information, conduct additional interviews and deliver findings for this complaint.

On 11/17/2021, LPA JoAnn Rosales initiated the complaint investigation. On 11/17/2021, during LPA JoAnn Rosales' visit, eleven (11) staff were interviewed. On 03/27/23 there was a subsequent visit by LPA Tuesday Cabiness. On 05/07/24, LPA Saucedo conducted a subsequent visit that consisted of obtaining the census, resident, and staff roster. The Administrator Evan Granucci met with LPA Saucedo to conduct the physical tour at 10:20am. During this tour, LPA Saucedo conducted additional interviews, obtained documentation and delivered findings.

LIC9099C-continued

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Troy AgardTELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina SaucedoTELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
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 31-AS-20211109121157
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: VENTURA TOWNEHOUSE
FACILITY NUMBER: 565801810
VISIT DATE: 05/07/2024
NARRATIVE
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Regarding the allegation: Insufficient staffing during mealtime. It is being alleged that there is understaffing during mealtimes; thus, creating unreasonable delays for residents during mealtimes. On 11/17/21, LPA Rosales interviewed eleven (11) out of eleven (11) staff whom confirmed that there were understaffed and sometimes the wait time for residents to receive their food ranged from twenty (20) to forty (40) minutes. During LPA Saucedo's interview with the administrator, they did state that this was during COVID-19. On 05/07/24, LPA Saucedo interviewed 22 (twenty-two) out of 25 (twenty-five) residents that confirmed there is currently no issue with the staffing during mealtimes and the mealtime wait is reasonable depending on what they are ordering at the time. Based on LPA’s observations, staff, and resident interviews the above allegation(s) is found to be SUBSTANTIATED.

Regarding the allegation: Facility is in disrepair. It is being alleged that the roof was leaking. On 11/17/21, LPA Rosales interviewed seven (7) out of eleven (11) staff whom confirmed that the roof was leaking. On 05/07/24, LPA Saucedo obtained documentation that there were repairs being conducted prior to the time of the allegation and the repairs started July of 2021. On 05/07/24, LPA Saucedo interviewed 22 (twenty-two) out of 25 (twenty-five) residents that confirmed there was no roof leakage to any of their rooms and the common areas of the facility. On 05/07/24, LPA Saucedo, also obtained a picture of the dining hall ceiling area that has now been repaired. Based on LPA’s observations, staff, and resident interviews the above allegation(s) is found to be SUBSTANTIATED.

SUPERVISOR'S NAME: Troy AgardTELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina SaucedoTELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
11/09/2021 and conducted by Evaluator Gina Saucedo
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20211109121157

FACILITY NAME:VENTURA TOWNEHOUSEFACILITY NUMBER:
565801810
ADMINISTRATOR:EVAN GRANUCCIFACILITY TYPE:
740
ADDRESS:4900 TELEGRAPH ROADTELEPHONE:
(805) 642-3263
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:566CENSUS: 246DATE:
05/07/2024
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Evan GranucciTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Facility menu is not meeting food service requirements
INVESTIGATION FINDINGS:
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On 05/07/24, at 9:50am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Administrator Evan Granucci. LPA disclosed the purpose of the visit. LPA explained the purpose of this visit was to gather additional information, conduct additional interviews and deliver findings for this complaint.

On 11/17/2021, LPA JoAnn Rosales initiated the complaint investigation. On 11/17/2021, during LPA JoAnn Rosales' visit, eleven (11) staff were interviewed. On 03/27/23 there was a subsequent visit by LPA Tuesday Cabiness. On 05/07/24, LPA Saucedo conducted a subsequent visit that consisted of obtaining the census, resident, and staff roster. The Administrator Evan Granucci met with LPA Saucedo to conduct the physical tour at 10:20am. During this tour, LPA Saucedo conducted additional interviews, obtained documentation and delivered findings.

LIC9099C-continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Troy AgardTELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina SaucedoTELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 31-AS-20211109121157
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: VENTURA TOWNEHOUSE
FACILITY NUMBER: 565801810
VISIT DATE: 05/07/2024
NARRATIVE
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This is an amended copy of the report previously issued on 05/07/2024. After review of this complaint, it was determined corrections to the verbiage was warranted. The complaint findings remain the same.

Regarding the allegation: Facility menu is not meeting food service requirements. It is being alleged that the food quality is poor not providing soup, salad or any type of desert. On, 11/17/21, LPA Rosales interviewed eleven (11) out of eleven (11) staff confirmed that the menu does show all the different foods that will be provided at breakfast, lunch, and dinner. On 11/17/21, LPA Rosales was able to observe and obtain different menus which list the type of soup, salad and desert that will be provided. On 05/07/24, LPA Saucedo interviewed 22 (twenty-two) out of 25 (twenty-five) residents that confirmed there is no issue with the facility menu. Based on LPA’s observations, record reviews, staff, and resident interviews the above allegation(s) is found to be UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was given to the administrator.
SUPERVISOR'S NAME: Troy AgardTELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina SaucedoTELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 31-AS-20211109121157
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: VENTURA TOWNEHOUSE
FACILITY NUMBER: 565801810
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/07/2024
Section Cited
CCR
87411(a)
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87411(a)Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment, and grounds.This requirement is not met as
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The administrator/Licensee shall ensure there is enough staffing at all times to reduce wait times for mealtimes. On 05/07/24, LPA Saucedo did make lunch observations which showed there was no wait time for the residents and resident interviews confimred there is now no wait times for mealtimes. POC 05/07/24 and Cleared 05/07/24
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Based on the LPAs interviews the staff did not ensure proper staffing inregards to the meeting the needs of the residents in a tinely manner which poses an immediate Health, Safety or Personal Rights risks to persons in care.
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Type A
05/07/2024
Section Cited
CCR
87303(a)
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87303 (a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This
requirement is not met as evidenced by:
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The licensee/admnistrator shall ensure that the roof area/ceiling of the dining hall is repaired at all times. POC 05/07/24 Cleared POC 05/07/24,The licensee/administrator provided documentation of roof repair and LPA took a picture of the roof repair.
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Based on the LPA observation and interviews the licensee/administrator did not ensure the roof area/ceiling of the dining room area of the facility to be in repair at all times which poses an Immeidate Health, Safety or Personal Rights risks 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.
SUPERVISOR'S NAME: Troy AgardTELEPHONE: (818) 596-4334
LICENSING EVALUATOR NAME: Gina SaucedoTELEPHONE: (818) 304-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5