565850083-2-12-2026-29-AS-ABAN-DR8SZH-20260212131911

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 565850083
Report Date: 02/12/2026
Date Signed: 02/12/2026 01:19:50 PM

Document Has Been Signed on 02/12/2026 01:19 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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

FACILITY NAME:	LA VENTANA TREATMENT PROGRAMS		FACILITY NUMBER:	565850083
ADMINISTRATOR/ DIRECTOR:	VOLNER, SHARON		FACILITY TYPE:	772
ADDRESS:	1508 BEREA CIRCLE		TELEPHONE:	(818) 584-5615
CITY:	THOUSAND OAKS	STATE: CA	ZIP CODE:	91362
CAPACITY: 6		CENSUS: 3	DATE:	02/12/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:32 AM
MET WITH:	Isabelle Pilato		TIME VISIT/ INSPECTION COMPLETED:	01:30 PM

NARRATIVE

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Licensing Program Analyst (LPA) Angela Barutyan conducted an unannounced required annual visit at the facility today. LPA arrived at 10:32AM and met with Clinical Director (CD) Isabelle Pilato. Administrator Sharon Volner arrived shortly thereafter. Entrance interview conducted.

At 10:54AM, LPA along with the CD and Operations Manager Maria “Cristina” Rivera toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

KITCHEN: Appliances and fixtures appeared clean and functional. LPA observed sufficient perishable and nonperishable food and snacks available to clients. Management indicated lunch and dinner are catered and clients order food and buy groceries. Clients prepare their own breakfast foods. There were no visible immediate hazards observed. Knives and sharps were stored locked in a closet by the office.

BEDROOMS: There are four (4) bedrooms, three (3) of which are designated for shared client use. The fourth bedroom is located on the first floor and is designated as an isolation room, as needed for infection control purposes. The three (3) shared client rooms are on the second floor. All client bedrooms were observed to contain appropriate furniture, bedding, and linens. Exit doors had functional auditory exit alarms.

BATHROOMS: There are four (4) full bathrooms and one (1) half bath. The full baths are designated for client use. The half bath is located downstairs and is designated for staff and visitors. All bathrooms had functional fixtures and were supplied with appropriate paper/hygiene products. Hot water temperature was measured in client restrooms and measured between 105-120 degrees F, which is within the required range. Report Continued on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Angela Barutyan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

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

LIC809 (FAS) - (06/04)

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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: LA VENTANA TREATMENT PROGRAMS	FACILITY NUMBER: 565850083
	VISIT DATE: 02/12/2026

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LAUNDRY: Laundry unit is located on the first floor by the group room. Laundry and cleaning supplies were observed to be inside a locked closet.

COMMON AREAS: Common areas include two (2) Living Rooms, the Dining area, and an activity room. All common areas appeared to be clean and were appropriately furnished. There were no visible hazards. Fire extinguishers were observed to be fully charged and last serviced on 12/16/2025. Hardwired combination smoke and carbon monoxide detectors were tested at 11:16AM and were functional at the time of the visit.

TREATMENT/THERAPY & OFFICE AREAS: There is a group therapy room, an individual therapy room, and an office designated for Staff use, which is used to store medications as well as the first aid kit on the first floor. The Offices are kept inaccessible to clients unless properly supervised. There is a small group room on the second floor. The above-mentioned rooms can be utilized for individual and group therapy.

GARAGE AND GROUNDS: The garage is designated as the Recreational Room. The garage is used as an activity and group room/gym as well as to store emergency food and water and additional supplies. The exterior passageways were clean and clear of any obstructions. There is a covered patio area in the backyard with tables and chairs where clients can sit. There is a storage shed in the backyard. There is an in-ground pool, which is kept locked and is appropriately fenced per regulation. There were no imminent or immediate visible hazards.

RECORD REVIEW: Staff and client files are stored electronically. Beginning at 11:58AM, LPA reviewed three (3) out of three (3) client files and four (4) staff files for documents including, but not limited to: admission agreements, health screening, TB test, staff training records, fingerprint clearance, needs and service appraisal, personal rights, and first aid/CPR training. All staff and client records reviewed were in compliance with Title 22 regulations at the time of the visit.

MEDICATION REVIEW: Beginning at 12:54PM, LPA reviewed medications for two (2) clients. All medications observed were documented and stored in compliance with regulation at this time.

INFECTION CONTROL/DISASTER PREPAREDNESS: During today’s visit, LPA reviewed the facility's infection control policy and disaster preparedness policies. All items reviewed were in compliance. The facility conducts emergency disaster drills quarterly, with the most recent drill documented on 12/11/2025.

No citations issued. Exit interview conducted. A copy of the report was provided.

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Angela Barutyan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC809 (FAS) - (06/04)

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