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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850141
Report Date: 03/28/2025
Date Signed: 03/28/2025 01:51:03 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
09/17/2024 and conducted by Evaluator Teresa Camara
COMPLAINT CONTROL NUMBER: 29-AS-20240917093718
FACILITY NAME:AEGIS LIVING VENTURAFACILITY NUMBER:
565850141
ADMINISTRATOR:LANCE SHENKFACILITY TYPE:
740
ADDRESS:4964 TELEGRAPH ROADTELEPHONE:
(805) 650-1114
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:100CENSUS: 72DATE:
03/28/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:John WashkoTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Staff do not ensure residents care needs are being met
Staff do not ensure transportation arrangements are being provided
Staff do not ensure resident is spoken to in an appropriate manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint investigation visit regarding the above noted allegations. LPA intially met with Health Services Director (HSD) Aleesha Zuniga, LVN as the Executive Director (ED) John Washko was in a meeting and unavailable. LPA later met with the ED.

Starting at 10:08 a.m. LPA interviewed five residents. On 3/27/2025, LPA interviewed resident 1 (R1) and a witness telephonically. On 3/13/2025, LPA interviewed two staff and a resident. On 9/25/2024, LPA interviewed three staff and reviewed records.


(continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025
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 2
Control Number 29-AS-20240917093718
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: AEGIS LIVING VENTURA
FACILITY NUMBER: 565850141
VISIT DATE: 03/28/2025
NARRATIVE
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(continued from LIC9099)

Regarding the allegation staff do not ensure residents care needs are being met: LPA reviewed records which indicated R1 was receiving medical care with area physicians and clinics. R1 received home health services at the facility. R1 received assistance from facility nurses as well. Interviews with staff confirmed R1 was receiving treatment, however sometimes R1 would refuse care or refuse to go to scheduled appointments. Interviews with other residents confirmed they receive the care they need from staff and appointments are scheduled with their medical care providers. Residents stated all of their care needs were met. There were two residents who considered R1 a friend and stated R1 did complain about their medical condition but staff did they best they could to assist R1. Based on interviews and records reviewed this allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation staff do not ensure transportation arrangements are being provided: LPA interviewed staff who stated they have a full time driver for their bus and they also have a town car available. If more than one resident has a medical appointment in the same area around the same time they will confirm with the residents that it is ok with them to go together and they will take the bus. If the bus is being used for activities then they take residents to their appointments in the town car. R1 would use both options. Staff stated sometimes R1 would refuse to go to scheduled appointments. All of the residents interviewed stated the staff keep a list of appointments at the front desk and the driver reminds residents of their appointments and the time they need to leave. Based on interviews this allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation staff do not ensure resident is spoken to in an appropriate manner: This allegation specifically referred to staff using foul language around residents. LPA interviewed staff and none of them ever witnessed any staff using foul language around residents. LPA interviewed residents and none of them have ever experienced or witnessed staff using foul language around residents. Based on interviews this allegation is deemed UNSUBSTANTIATED at this time.

No deficiencies observed. Exit interview conducted and report issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2