565850112-7-13-2023-29-AS-DPEA-CYMVZT-20231218155312

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850112
Report Date: 07/13/2023
Date Signed: 07/13/2023 02:42:13 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
03/10/2023 and conducted by Evaluator Kasandra Lopez

COMPLAINT CONTROL NUMBER: 29-AS-20230310122826

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: 64	DATE:	07/13/2023
		UNANNOUNCED	TIME BEGAN:	12:42 PM
MET WITH:	Ken Mahler		TIME COMPLETED:	02:50 PM

ALLEGATION(S):

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Incontinent residents are not being changed timely
Residents are not being bathed

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent complaint inspection at the facility today regarding the above allegations. The LPA met with Administrator Ken Mahler and explained the reason for the inspection.

On 03/14/2023, LPAs Martha Arroyo and Esther Cortez initiated the investigation. They toured the facility at 11:48 AM, and conducted interviews with the ED, one staff, and one resident between 11:30 AM and 1:12 PM. At 12:20 PM, the LPAs conducted a record review and obtained a copy of the resident roster, staff roster, staff schedule, Activity Calendar, and obtained copies of pertinent documents relevant to the investigation.

On 06/20/2023, LPA Lopez conducted a subsequent visit. The LPA conducted a physical plant tour beginning at 11:13 AM, conducted three resident interviews and five staff interviews between 11:16 AM and 3:31 PM and reviewed facility records. Report continued on LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Kasandra Lopez	TELEPHONE: (818) 421-5183
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

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-20230310122826

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: 07/13/2023

NARRATIVE

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During today's inspection, the LPA conducted interviews with four residents between 12:49 PM and 1:25 PM and conducted interviews with two staff members between 1:44 PM and 1:50 PM.

Allegation: Incontinent residents are not being changed timely

The allegation alleges residents are being left in soiled diapers. Staff interviews revealed incontinent residents are changed every two hours or as needed. The majority of the staff interviewed believed this was happening on all shifts. Interviews revealed staff do not document when they do resident changes. Interviews with the residents revealed no issues or concerns regarding being left in soiled diapers. Based on the information obtained, there is insufficient evidence to support the allegation of incontinent residents are not being changed timely. Therefore, the allegation is deemed unsubstantiated at this time.

Allegation: Residents are not being bathed

The allegation alleges residents are not being bathed. Staff interviews revealed residents are scheduled to be showered at least two times a week and when soiled. The majority of the staff interviewed believed this was happening on all shifts. Interviews revealed staff also do not document when residents get their scheduled showers and will only verbalize to the next shift if a resident refused to be showered so staff can try again during the next shift. Residents interviewed stated they received their scheduled showers. One resident stated there was an issue in the past with showers not being provided as scheduled but the issue has since been resolved. Based on the information obtained, there is insufficient evidence to support the allegation of residents are not being bathed occurred. Therefore, the allegation is deemed unsubstantiated at this time.

Exit interview conducted and report reviewed with the Administrator. A copy of the report and appeals rights were provided.

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Kasandra Lopez	TELEPHONE: (818) 421-5183
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

LIC9099 (FAS) - (06/04)

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