565802472-11-22-2024-29-AS-KBUY-DBD4W3-20241125182716

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565802472
Report Date: 11/22/2024
Date Signed: 11/22/2024 02:58:33 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 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
01/12/2024 and conducted by Evaluator Brian Phillips

COMPLAINT CONTROL NUMBER: 29-AS-20240112112248

FACILITY NAME:	VENTURA GRAND CHATEAU		FACILITY NUMBER:	565802472
ADMINISTRATOR:	MICHAEL DIMAGUILA		FACILITY TYPE:	740
ADDRESS:	5430 TELEGRAPH ROAD		TELEPHONE:	(805) 642-2567
CITY:	VENTURA	STATE: CA	ZIP CODE:	93003
CAPACITY:	49	CENSUS: 36	DATE:	11/22/2024
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Sean Beharry, Administrator		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff yell at residents

INVESTIGATION FINDINGS:

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On 11/22/2024, Licensing Program Analyst (LPA) Brian Phillips conducted a subsequent complaint investigation visit to deliver final findings for the above allegations. During this visit, LPA met with Administrator Sean Beharry and explained the reason for the visit.

On the allegation: Staff yell at residents. It is alleged that staff #1 (S1) has been observed yelling at residents like they were being scolded. Allegedly S1 has been previously told to stop but continues to yell at the residents.

On 6/13/2023, the Licensing Agency received complaint # 29-AS-20230613124133 with allegations against the same staff member stating that they handle residents in care in a rough manner and they are unable to meet the needs of residents in care due to a language barrier. Interviews with residents and staff confirmed that S1 has been observed handling residents roughly and inappropriately. Continued on 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Brian Phillips	TELEPHONE: (805) 956-1636
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024

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 4

Control Number 29-AS-20240112112248

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: VENTURA GRAND CHATEAU	FACILITY NUMBER: 565802472
	VISIT DATE: 11/22/2024

NARRATIVE

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S1 has been observed including but not limited to twisting resident's wrists while changing/cleaning resident to force resident to comply with prompts, pulling a resident's hair and stepping on that resident's foot, forcing residents to sit down at a chair and shoving the table so close to them they cannot get up, leaving residents in postural support chairs to restrict their movement, yelling at residents who do not understand S1 due to a language barrier, and changing a resident's briefs while standing in the hallway not affording the resident privacy or dignity. On 07/11/2024, the allegations in complaint # 29-AS-20230613124133 against S1 were deemed Substantiated, and deficiencies were cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Licensee agreed to a conducted training by an outside vendor with S1 regarding personal rights of clients as well as communication training and submit evidence to the Licensing Agency by 7/19/2024. Based on the information gathered, there is sufficient evidence to prove the alleged violation occurred. Therefore, the allegation is substantiated.

Exit interview conducted. Copy of this report provided to the facility.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Brian Phillips	TELEPHONE: (805) 956-1636
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 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
01/12/2024 and conducted by Evaluator Brian Phillips

COMPLAINT CONTROL NUMBER: 29-AS-20240112112248

FACILITY NAME:	VENTURA GRAND CHATEAU		FACILITY NUMBER:	565802472
ADMINISTRATOR:	MICHAEL DIMAGUILA		FACILITY TYPE:	740
ADDRESS:	5430 TELEGRAPH ROAD		TELEPHONE:	(805) 642-2567
CITY:	VENTURA	STATE: CA	ZIP CODE:	93003
CAPACITY:	49	CENSUS: 36	DATE:	11/22/2024
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Sean Beharry, Administrator		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff put resident to bed early due to insufficient staff

INVESTIGATION FINDINGS:

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On 11/22/2024, Licensing Program Analyst (LPA) Brian Phillips conducted a subsequent complaint investigation visit to deliver final findings for the above allegations. During this visit, LPA met with Administrator Sean Beharry and explained the reason for the visit.

On the allegation: Staff put resident to bed early due to insufficient staff. It is alleged that Staff #2 (S2) was observed stating they did not have time to get to all of the residents, so they put a resident to bed immediately after dinner.

LPA interviewed staff and residents regarding the facility staffing. Staff indicated the facility is fully staffed and when someone calls out, they can find coverage. The residents did not notice any issues with the number of staff at the facility. LPA requested and received facility personnel documentation including staff schedule and roster that showed facility is fully staffed. Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Brian Phillips	TELEPHONE: (805) 956-1636
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 29-AS-20240112112248

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: VENTURA GRAND CHATEAU	FACILITY NUMBER: 565802472
	VISIT DATE: 11/22/2024

NARRATIVE

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Previously, complaint ## 29-AS-20230613124133 received by the Licensing Agency on 6/13/2023 had the allegation "Facility does not have enough staff to meet the needs of residents in care" deemed unsubstantiated on 7/11/2024. Based on the information gathered, there is insufficient evidence to prove the alleged violation occurred. Therefore, the allegation is Unsubstantiated.

Exit Interview Conducted. Copy of this report provided to the facility.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Brian Phillips	TELEPHONE: (805) 956-1636
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024

LIC9099 (FAS) - (06/04)

Page: 4 of 4