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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850158
Report Date: 05/15/2026
Date Signed: 05/15/2026 05:15:07 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
04/30/2026 and conducted by Evaluator Kelly Dulek
COMPLAINT CONTROL NUMBER: 29-AS-20260430160102
FACILITY NAME:AASTA ASSISTED LIVINGFACILITY NUMBER:
565850158
ADMINISTRATOR:DENISE GILROYFACILITY TYPE:
740
ADDRESS:903 CARMEN DRIVETELEPHONE:
(805) 586-4191
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:130CENSUS: 57DATE:
05/15/2026
UNANNOUNCEDTIME BEGAN:
01:47 PM
MET WITH:Narinder Kumar, licensee representativeTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Staff did not ensure the resident's room was free of pests
Staff did not ensure the facility was kept clean
Staff did not ensure the facility was free of odors
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Kelly Dulek and Valeria Conway conducted an unannounced subsequent complaint visit regarding the above noted allegations. LPAs initially met with staff. Licensee represenative was contacted via telephone and arrived at 02:45 p.m. Entrance interview conducted.

During today’s visit, LPAs reviewed relevant documents and toured the facility at 04:15 p.m. During an unrelated visit conducted on 05/09/2026, the LPA interviewed two (2) staff, toured the facility at 08:40 a.m., the LPA reviewed and obtained copies of relevant documents, and LPA interviewed facility designee at 10:00 a.m. During the initial visit conducted on 05/05/2026, the LPAs interviewed the designee at 10:30AM, conducted a telephonic interview with the licensee at 11:25AM, toured the facility with designee at 12:22PM, conducted interviews with three (3) staff and six (6) residents from 01:22PM to 03:45PM, and the LPAs reviewed and obtained copies of relevant documents. The following was then determined:

Report continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026
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-20260430160102
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: AASTA ASSISTED LIVING
FACILITY NUMBER: 565850158
VISIT DATE: 05/15/2026
NARRATIVE
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Allegation - Staff did not ensure the resident's room was free of pests:

The complaint alleges that there are rat/mice feces inside a resident’s room, as there is a sliding door to the outside. LPAs observed various resident rooms throughout all facility tours and did not observe any evidence of rodents inside resident rooms. LPAs interviewed cleaning staff, all who indicated they have not seen any rodents, droppings, or any evidence in the resident rooms. Staff indicated there is monthly pest control service and there are rodent traps near the kitchen and outside trash enclosure. However, all staff indicated they have never personally seen any rodents in or around the facility. Monthly pest control includes checking the traps and emptying them if needed, however, staff were unsure if any rodents had been found in the enclosed traps. Resident interviews revealed no pests, such as rodents or insects had been observed indoors, only the occasional spider, which the resident stated is expected. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation is deemed UNSUBSTANTIATED at this time.

Allegation - Staff did not ensure the facility was kept clean & staff did not ensure the facility was kept free of odors:

The complaint alleges “the smell and filth of the facility is terrible.” Interviews with staff revealed housekeeping is scheduled 7 days a week at the facility and that each occupied room and all common areas are cleaned daily. LPAs observed multiple housekeeping staff present in the facility during all visits conducted at the facility. Each housekeeper has a designated hallway they clean during their shift. Housekeepers clean resident bathrooms, bedrooms, make resident beds, take trash, and clean the common area, including the hallway, in their designated station. Residents interviewed stated their rooms are cleaned daily and residents are satisfied with facility cleanliness. During facility visits, LPAs did not notice any significant odors throughout the facility. Residents interviewed did not indicate smelling anything out of the ordinary at the facility. Staff indicated they did not smell any odors nor have they had complaints from families related to odor. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation is deemed UNSUBSTANTIATED at this time.

No citations issued. Exit interview conducted. A copy of today’s report was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026
LIC9099 (FAS) - (06/04)
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