565850112-4-5-2024-29-AS-DPEA-D4T34D-20240429175457

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850112
Report Date: 04/05/2024
Date Signed: 04/05/2024 03:54:05 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
09/08/2023 and conducted by Evaluator Martha Arroyo

COMPLAINT CONTROL NUMBER: 29-AS-20230908093134

FACILITY NAME:	REGENCY PALMS OXNARD		FACILITY NUMBER:	565850112
ADMINISTRATOR:	KENNETH MAHLER		FACILITY TYPE:	740
ADDRESS:	1020 BISMARK LANE		TELEPHONE:	(805) 247-0227
CITY:	OXNARD	STATE: CA	ZIP CODE:	93033
CAPACITY:	127	CENSUS: 77	DATE:	04/05/2024
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Kenneth Mahler		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Lack of care and supervision resulted in resident falling.
Resident’s personal rights are being violated.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Martha Arroyo conducted a subsequent complaint visit to the facility for the above allegations. Upon arrival, LPA met with Executive Director (ED), Kenneth Mahler, and explained the reason for the visit. Entrance interview.

This complaint was initiated on 09/14/2023. During the visit of 09/14/2023, LPA Camara conducted a joint interview with the ED and one staff at 9:10 a.m. and obtained copies of pertinent documents.

During today’s visit, LPA Arroyo conducted interviews with the ED, six staff members, and seven residents between 10:12 a.m. and 2:28 p.m. and obtained a copy of the resident roster and staff schedule.

Continued on LIC 9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Martha Arroyo	TELEPHONE: (818) 421-6459
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2024

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-20230908093134

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: REGENCY PALMS OXNARD	FACILITY NUMBER: 565850112
	VISIT DATE: 04/05/2024

NARRATIVE

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Continued from LIC 9099...
It was alleged that lack of care and supervision resulted in resident falling. It was reported that Resident #1 (R1) fell two (2) times while residing at the facility. Records reviewed and interviews conducted revealed that R1 was admitted to the facility on 08/29/2023 and was only a respite resident for about three (3) days. Incident Reports were reviewed for R1. Per incident reports submitted for dates, 08/29/2023 and 08/30/2023, it states R1 had two (2) separate unwitnessed falls at the facility. However, staff responded as soon as they observed R1 was on the floor and contacted 911 to have R1 evaluated and taken to the hospital to ensure R1 had no injuries caused by the falls. Interviews conducted with staff revealed that residents are typically checked on at least once every two (2) hours unless their care plan indicates differently, depending on the resident’s needs. Additionally, all residents in assisted living have a pendant which they carry at all times in case of an emergency. Staff stated the goal for response time after a pendant has been activated is between 3 to 5 minutes. Staff stated that sometimes it might take a bit longer due to them assisting other residents. However, staff stated they try and take care of the residents needs as best as they can. Interviews conducted with residents revealed that they have no concerns with the response time from the staff as they respond in a timely manner after they have pressed their pendant and added that they have not waited for long periods of time. Furthermore, during the resident interviews, residents denied having any concerns with the care provided by facility staff and added that staff are easily accessible whenever they require assistance. Based on the information obtained and reviewed, there is insufficient evidence to support the allegation on “ack of care and supervision resulted in resident falling”. Therefore, this allegation is being deemed Unsubstantiated at this time.

It was further alleged that resident’s personal rights are being violated. To investigate this allegation, interviews were conducted with current staff members and random residents. Interviews with staff revealed that residents have not reported having their personal rights violated. Additionally, staff denied any claims of violating resident’s personal rights. Interviews conducted with residents revealed that staff assist them, and while doing so, staff has not forced them to do anything that they did not want at any time while living at the facility. Furthermore, during the resident interviews, seven (7) out of seven (7) residents denied having their personal rights violated and did not report having any concerns while living at the facility. Based on interviews conducted with facility staff and residents, there is insufficient evidence to support the allegation of “resident’s personal rights are being violated”. Therefore, this allegation is being deemed Unsubstantiated at this time.

Exit interview conducted. Report was reviewed and copy was issued.

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Martha Arroyo	TELEPHONE: (818) 421-6459
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2024

LIC9099 (FAS) - (06/04)

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