565802467-9-30-2025-29-AS-DPEA-DLZRXZ-20250930132536

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565802467
Report Date: 09/26/2025
Date Signed: 09/30/2025 01:19:08 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
05/08/2025 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20250508164959

FACILITY NAME:	PALMS AT BONAVENTURE ASSISTED LIVING, THE		FACILITY NUMBER:	565802467
ADMINISTRATOR:	MCCAULEY, BRANDY		FACILITY TYPE:	740
ADDRESS:	111 N WELLS ROAD		TELEPHONE:	(805) 647-0616
CITY:	VENTURA	STATE: CA	ZIP CODE:	93004
CAPACITY:	0	CENSUS: 99	DATE:	09/26/2025
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Brandy McCauley		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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Facility is not providing resident with low carb food options for their dietary needs.
Facility restrooms are unkempt
Facility staff lost residents personal items
Facility staff do not afford resident dignity and respect.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding for the above noted allegations. Upon arrival LPA met with Executive Director (ED) Brandy McCauley and reason for the visit was explained.

On 05/08/2025, Community Care Licensing Division (CCLD) received a complaint with the above allegations. Investigation was initiated by LPA Teresa Camara on 05/16/2025. LPA met with Administrator/Executive Director (ED) Brandy McCauley and the reason for the visit was explained. At 11:10 a.m. LPA Camara interviewed ED and obtained a copy of the resident roster. At 11:49 a.m. LPA Camara inspected restrooms near the dining room. On 08/16/2025, LPA Zabel Chochian conducted a subsequent complaint visit to further investigate allegations noted above. LPA Chochian met with the Activity Director John White and explained the reason for the visit. Executive Director (ED) Brandy McCauley was contacted and informed of LPA's visit. Copy of the resident and staff roster was obtained. LPA reviewed allegations with the ED. A physical plant tour was conducted at approximately 2:30pm with the ED. (Continue to LIC9099c)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025

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-20250508164959

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: PALMS AT BONAVENTURE ASSISTED LIVING, THE	FACILITY NUMBER: 565802467
	VISIT DATE: 09/26/2025

NARRATIVE

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The common/public restrooms on the first and second floors observed stocked with soap, paper towels and toilet paper on the stand-up toilet paper rack. Kitchen/dining area was also toured and procedures for resident dietary needs was reviewed. Between approximately 3:30pm-4:30pm, LPA conducted interviews with nine (9) random residents. On 08/17/2025, telephone interviews were conducted with facility staff.

Following is a summary of the allegations and investigation findings:

Regarding allegation, “Facility is not providing resident with low carb food options for their dietary needs” -
It was alleged that the facility does not offer diabetic resident sugar free deserts and low carb meals.
Interviews with dining staff confirmed that most of the food is considered low-salt, and seasoning is provided as requested. In addition, the facility staff confirmed that there were low-sugar dessert options for residents that could not consume sweets. A tour was conducted of the facility kitchen and LPA observed low-sugar dessert items available. Resident interviews indicated that they were satisfied with the options provided, they confirmed that meal options provide meet their dietary needs as necessary. Residents stated that they were able to select what was on the menu at will, and that they were not forced to eat anything that they did not want to eat. According to staff, residents have a choice to pick foods that fit their dietary standards, yet residents are free to select meals that they wanted. Staff said that they would not force residents to eat certain foods, however they would regularly remind residents of their dietary limitations. Staff claimed that residents often adhere to their prescribed diet but often will select other options to their liking.
Based on the information obtained, there is insufficient evidence to support the claim that the “Facility is not providing resident with low carb food options for their dietary needs”. This allegation is deemed Unsubstantiated at this time.

Regarding allegation, “Facility restrooms are unkempt” - Information was provided that restrooms did not have soap or paper towels. During the initial visit on 05/16/2025 and subsequent visit on 08/16/2025, LPAs observed the common/public restroom with adequate supply of soap, paper towels and toilet paper (on stand). Staff interviews revealed that an adequate supply of toiletries including but not limited to soap, and paper towels are maintained in all restrooms. Resident interviews confirmed that the facility restrooms are maintained clean and sanitary throughout the day. No issues reported by residents regarding the facility restrooms or lack of sanitary supplies. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Facility restrooms are unkempt” is deemed UNSUBSTANTIATED at this time. (Cont. LIC9099c)

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20250508164959

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: PALMS AT BONAVENTURE ASSISTED LIVING, THE	FACILITY NUMBER: 565802467
	VISIT DATE: 09/26/2025

NARRATIVE

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Regarding allegation – “Facility staff lost residents personal items” – Information was provided that residents clothing and personal hygiene supplies are lost frequently. Staff interviewed reported that they are not aware of any resident missing any clothing or personal hygiene supplies at this time. Staff expressed that sometimes residents’ clothing or other personal items go missing here and there; they locate the missing clothing eventually. Staff stated that residents and families are encouraged to label clothing items. Staff also stated that if they can't find lost clothing items of residents then they'll apply credit or repurchase a similar item. Residents interviewed confirmed that sometimes clothing items go missing but are later found and returned to resident; no personal hygiene items reported mixing by residents interviewed. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the above allegation “Facility staff lost residents personal items” is deemed UNSUBSTANTIATED at this time.

Regarding allegation - "Facility staff do not afford resident dignity and respect". Staff interviewed denied allegation and stated that they always treat residents with respect. Random interviews were conducted with facility residents. Ten out of ten residents interviewed reported being treated well by staff. Residents expressed staff are respectful and very kind. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the above allegation “Facility staff do not afford resident dignity and respect” is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025

LIC9099 (FAS) - (06/04)

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