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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565802425
Report Date: 07/17/2025
Date Signed: 07/17/2025 04:25:20 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. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/08/2025 and conducted by Evaluator Kelly Dulek
COMPLAINT CONTROL NUMBER: 29-AS-20250708165142
FACILITY NAME:VISTAS AT OXNARD SENIOR LIVING,THEFACILITY NUMBER:
565802425
ADMINISTRATOR:JOVANY GUERRAFACILITY TYPE:
740
ADDRESS:2211 E GONZALES RDTELEPHONE:
(805) 983-6808
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:100CENSUS: 37DATE:
07/17/2025
UNANNOUNCEDTIME BEGAN:
12:33 PM
MET WITH:Jovany GuerraTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff are not providing activities for residents in care.
Staff did not prevent a resident from eloping from the facility.
Staff are not maintaining a comfortable temperature for residents in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kelly Dulek conducted an initial complaint investigation visit regarding the above noted allegations. LPA met with Executive Director (ED) Jovany Guerra and explained the reason for the visit.

At 12:38PM, LPA interviewed ED. Beginning at 01:13PM, LPA and ED toured the facility and observed temperatures in all common areas in the facility, LPA conducted 4 (four) staff and 4 (four) resident interviews from 02:21PM to 03:40PM, and LPA obtained copies of pertient documents. The following was then determined:

The complaint alleges that the facility does not offer sufficient activities for the residents in care. LPA observed the activity calendar posted throughout the facility, with various activities offered throughout the day. LPA observed 4 (four) residents engaging with volunteer activity staff, in actitivies per the posted
Report Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
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 29-AS-20250708165142
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. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VISTAS AT OXNARD SENIOR LIVING,THE
FACILITY NUMBER: 565802425
VISIT DATE: 07/17/2025
NARRATIVE
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schedule. Residents interviewed stated there are activities offered and some residents choose to participate in the activities. Staff interviewed stated that activities are offered daily, including outings, games and various clubs such as book club and crochet club. Activity ideas do come from the residents and the staff plan activities according to the residents' suggestions. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time.

The complaint also alleges that a resident (Resident #1 - R1) eloped from the facility about a month ago due to lack of supervision. LPA reviewed an incident report dated 05/24/2025, which was sent to Community Care Licensing on 05/27/2025. The report does indicate that R1 was found outside of the facility. Interview revealed that R1 was last seen on the patio of the memory care unit during a staffing change. The staff heard an auditory alarm, then oncoming staff discovered R1 was no longer on the patio. Staff found R1 outside the secure memory care unit shortly after. Review of R1's documents indicates that R1 is ambulatory and while staff interviewed did state R1 tends to wander within the secure memory care unit, this was the first time R1 had attempted to exit. Following the incident, management added additional alarms on the memory care exit gates that alert in the medication room, as well as on the staff phones. During today's visit, all delayed egress and auditory alarms were tested and were functional. Staff stated that R1 is now taken on walks to help engage in more suitable activities and since then, R1 has not again attempted to leave the secure memory care unit. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time.

The complaint alleges that the facility does not maintain a comfortable temperature for residents in care. LPA observed individual resident rooms have their own temperature controls. In the common areas, there are thermostats, which both management and medication technicians have keys to access. Interviews revealed that residents can request for the staff to adjust the temperature at any time. Residents interviewed had no complaints related to the temperature of the facility. LPA observed moderate temperature readings throughout the facility during today's visit. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. A copy of today's report was provided via email.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC9099 (FAS) - (06/04)
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