565801810-5-26-2022-31-AS-NMAN-CEYW2B-20220601165403

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565801810
Report Date: 05/26/2022
Date Signed: 05/26/2022 02:46:51 PM

Unsubstantiated

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
06/18/2021 and conducted by Evaluator Joann Rosales

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20210618131726

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: 230	DATE:	05/26/2022
		UNANNOUNCED	TIME BEGAN:	01:55 PM
MET WITH:	Evan Granucci		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Resident sustained injuries while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) JoAnn Rosales conducted a subsequent unannounced complaint investigation visit to deliver amended investigation findings. LPA met with Administrator Evan Granucci.

Concerns were that resident #1 (R1) sustained injuries while in care as R1 was getting multiple skin tears. Interview with staff on 6/25/21 starting at 1:27 pm revealed that R1 has been observed to have skin tears lately due to fragile skin. Staff stated that while they were transferring R1 from bed to their wheelchair R1 sustained a skin tear on the leg. Staff stated that this is the first time that they caused R1 to sustain a skin tear. Staff stated that they have had training regarding transferring residents from Hospice agencies and they do follow the training. Resident records reviewed on 4/13/22 starting at 12:26 pm support the information provided by staff. Although the R1 sustained a skin tear there is no evidence to support that it was due to staff neglect. Based on interviews and record review the allegation is deemed unsubstantiated at this time.

Exit interview was conducted, today's report was reviewed and emailed to the Administrator

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Joann Rosales	TELEPHONE: (626) 419-4072
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022

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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