565802425-2-19-2026-29-AS-KHEN-DRQ3AM-20260227170459

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565802425
Report Date: 02/19/2026
Date Signed: 02/19/2026 05:08:55 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
12/19/2025 and conducted by Evaluator Emily Peraldi

COMPLAINT CONTROL NUMBER: 29-AS-20251219143302

FACILITY NAME:	VISTAS AT OXNARD SENIOR LIVING,THE		FACILITY NUMBER:	565802425
ADMINISTRATOR:	JOVANY GUERRA		FACILITY TYPE:	740
ADDRESS:	2211 E GONZALES RD		TELEPHONE:	(805) 819-2518
CITY:	OXNARD	STATE: CA	ZIP CODE:	93036
CAPACITY:	100	CENSUS: 42	DATE:	02/19/2026
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Francesca West, ED		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Staff are mismanaging residents medication.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs), Emily Peraldi and Quoc Huynh conducted an unannounced subsequent complaint visit to this facility to deliver findings at 9:57 a.m. The LPAs met with Executive Director (ED) Francesca West and explained the reason for the visit. Entrance interview conducted.

During the initial visit conducted on 12/29/2025 between 10:28 a.m. and 2:15 p.m., LPA Peraldi conducted a brief physical plant tour and interviewed the ED and two (2) staff. During today’s visit between 10:30 a.m. and 3:08 p.m., LPAs reviewed and obtained pertinent documents, interviewed the ED, and conducted a physical plant tour. Between 1:44 p.m. and 3:05 p.m., the LPAs conducted a review of medication and medication documentation with the ED for three (3) residents.

Continued on LIC 9099-C.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

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-20251219143302

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: 02/19/2026

NARRATIVE

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Regarding the allegation: 1.) Staff are mismanaging residents’ medication. It was alleged that medication technician (med tech) staff did not assist residents with their medication on time and missed medications. During today’s visit, the LPAs conducted a review of resident medication and documentation with staff for three (3) residents. Resident #1 (R1’s) Noon Acetaminophen Extra 600MG tablet instructed for 1 tablet for every 6 hours had 20 tablets remaining. The medication started on 02/07/2026 with 30 tablets for the month and 17 tablets should have remained. R1’s Bedtime Acetaminophen Extra 600MG tablet also instructed for 1 tablet for every 6 hours had 17 tablets remaining. The medication started on 02/05/2026 with 30 tablets for the month and 16 tablets should have remained. The ED stated that she will review the facilities medication procedures and audit all resident medications. Based on observation and record review, the preponderance of evidence standard has been met, therefore the above allegation, “Staff did not assist resident with self-administration of medications as prescribed” is 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). Civil Penalty issued for the amount of $250. The ED was informed that failure to correct deficiency may result in additional civil penalties.

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: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20251219143302

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: 02/19/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/20/2026 Section Cited CCR 87465(a)(4)	1 2 3 4 5 6 7	87465(a)(4) Incidental Medical&Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility…(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Within 24 hours, the ED will notify the LPA when medication training will be completed.
	8 9 10 11 12 13 14	Based on record review and observations, the licensee did not comply with the section cited above, as the facility staff did not properly assist with R1’s self-administered medications per physician’s order which poses an immediate health and safety risk to residents in care.	8 9 10 11 12 13 14	Civil Penalty issued for the amount of $250 for repeat violation.
	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.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC9099 (FAS) - (06/04)

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