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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565802425
Report Date: 08/26/2025
Date Signed: 08/26/2025 04:13:40 PM

Substantiated


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
08/19/2025 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20250819100046
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: 41DATE:
08/26/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Jovany Guerra - Executive DirectorTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff do not ensure the facility is kept clean.
Staff do not have access to cleaning supplies.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced initial complaint visit to this facility. At 10:15 a.m., the LPA met with staff and explained the reason for the visit. At 10:17 a.m., the Executive Director (ED), Jovany Guerra met with the LPA.

Starting at 10:27 a.m., the LPA, along with the ED conducted a physical plant tour and inspected eleven (11) resident rooms. Between 10:47 a.m. and 3:03 p.m., the LPA conducted interviews with seven (7) residents and five (5) staff. At 12:10 p.m., the LPA conducted an interview with the ED. During the time of the visit, the LPA requested and obtained copies of pertinent documents.

Continued on LIC 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
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 29-AS-20250819100046
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: VISTAS AT OXNARD SENIOR LIVING,THE
FACILITY NUMBER: 565802425
VISIT DATE: 08/26/2025
NARRATIVE
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Regarding the allegations: 1.) Staff do not ensure the facility is kept clean. 2.) Staff do not have access to cleaning supplies. It was alleged that not all staff members have access to cleaning supplies which has led to the facility not being maintained clean and sanitary and in good repair at all times. Interview with the ED revealed that medication technicians staff (med techs) have keys to the two (2) main cleaning supply rooms. There are a total of three (3) cleaning storage rooms which have chemicals and other cleaning supplies such as cloths, and mops. One (1) out of the three (3) cleaning rooms has a keypad and the ED explained that all care staff know the code. The LPA had a conversation with the ED regarding cleaning supplies and the importance of having sufficient cleaning supplies to all staff. The ED explained that cleaning and housekeeping supplies are ordered semi-monthly. During the physical plant tour the LPA observed the following: At 10:37 a.m., stained/ uncleaned floors in the memory care (MC) dining area. At 10:38 a.m., two (2) open wires were observed on the MC courtyard door. At 10:39 a.m., trash such as empty cups were observed throughout the MC courtyard. Two (2) out of the eleven (11) resident restrooms inspected were observed in an unsanitary condition as there were stains/ discoloration around the toilet bowls waterline. Interviews with staff and the ED revealed that there currently is only one (1) housekeeper, as the other housekeeper is currently not working. The ED explained that there is another staff member who covers housekeeping duties when the full-time housekeeper is off on Fridays and Saturdays. The ED explained that the second housekeeper should be returning to work within the next month. Based on interviews and observations, the preponderance of evidence standard has been met, therefore the above allegations are deemed Substantiated at this time.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited during the visit (See 9099-D).

Exit interview conducted. A copy of the report and appeal rights were provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 29-AS-20250819100046
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: VISTAS AT OXNARD SENIOR LIVING,THE
FACILITY NUMBER: 565802425
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/05/2025
Section Cited
CCR
87303(a)
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87303 Maintenance and Operation
(a) The facility shall be clean, safe, sanitary and in good repair at all times... services and procedures for the safety and well-being of residents... This requirement is not met as evidenced by:
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The ED state that he will create a checklist to ensure that the resident rooms and common areas are maintained cleaned, safe, sanitary and in good repair at all times.
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Based on observations and interviews, the licensee did not comply with the section cited above as the LPA observed several areas throughout the facility not maintained clean and sanitary such as residents’ toilets which poses a potential health and safety or personal rights risk 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.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
08/19/2025 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20250819100046

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: 41DATE:
08/26/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Jovany Guerra - Executive DirectorTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
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9
Staff did not ensure the toilets were not in disrepair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced initial complaint visit to this facility. At 10:15 a.m., the LPA met with staff and explained the reason for the visit. At 10:17 a.m., the Executive Director (ED), Jovany Guerra met with the LPA.

Starting at 10:27 a.m., the LPA, along with the ED conducted a physical plant tour and inspected eleven (11) resident rooms. Between 10:47 a.m. and 3:03 p.m., the LPA conducted interviews with seven (7) residents and five (5) staff. At 12:10 p.m., the LPA conducted an interview with the ED. During the time of the visit, 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: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20250819100046
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: VISTAS AT OXNARD SENIOR LIVING,THE
FACILITY NUMBER: 565802425
VISIT DATE: 08/26/2025
NARRATIVE
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Regarding the allegation: 3.) Staff did not ensure the toilets were not in disrepair. It was alleged that when residents have maintenance issues such as “broken toilets”, that it is not fixed in a timely manner. Interviews with residents revealed that if they have any issues, they go to the front desk and ask for help. Seven (7) out of seven (7) residents interviewed did not reveal any concerns regarding staff response time to maintenance request or issues. The interview with the ED revealed that the facility currently does not have a maintenance director or a regular maintenance staff and that the facility is outsourcing their maintenance work and requests with outside vendors. The ED explained that he is in the process of hiring a maintenance director. The ED provided the LPA a copy of completed maintenance work orders. During the time of the visit, the LPA along with the ED followed up on completed maintenance request and ensured items were fixed, including clogged toilets and sinks. Although the facility does not have permanent maintenance staff, the ED ensures that maintenance requests are completed by outsourcing maintenance work. 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. A copy of the report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5