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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850093
Report Date: 06/16/2026
Date Signed: 06/16/2026 01:28:01 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
02/03/2026 and conducted by Evaluator Valeria Conway
COMPLAINT CONTROL NUMBER: 29-AS-20260203102145
FACILITY NAME:VENTURA VILLA ASSISTED LIVINGFACILITY NUMBER:
565850093
ADMINISTRATOR:WARD-MICHAYLUK, EVANGELINEFACILITY TYPE:
740
ADDRESS:3482 LOMA VISTA ROADTELEPHONE:
(805) 644-1292
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:49CENSUS: 13DATE:
06/16/2026
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Dora IslasTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Insufficient staffing
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct subsequent complaint visit with the purpose of delivering findings for the allegation listed above. At 10:15 A.M., LPA met with facility Lead Med Tech, Dora Islas, and explained the reason for today’s visit. Administrator, Joy Michayluk, and Office Manager, Angelica Arambulo, were contacted via telephone at 10:21 A.M and 10:51 A.M. Administrator and Office Manager were available during today's visit. Office Manager authorized Lead Med Tech to sign today's reports. Entrance interview conducted.

During an initial complaint visit conducted on 02/11/2026, LPA Conway interviewed Lead Med Tech, Office Manager, Hospice Nurse, facility staff and residents. LPA also reviewed and obtained copies of documents pertinent to the investigation. Throughout the course of the investigation, LPA reviewed all documents and conducted additional interviews with relevant parties.

Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
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-20260203102145
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: VENTURA VILLA ASSISTED LIVING
FACILITY NUMBER: 565850093
VISIT DATE: 06/16/2026
NARRATIVE
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Continued from LIC 9099

During today's visit, a brief physical plant tour was conducted. The following was then determined:

Regarding allegation of “Insufficient staffing” the Reporting Party (RP) alleged that facility did not have a nurse on site, residents were left unattended during a medical emergency. And staff were unable to provide emergency responders with essential resident information. The investigation revealed that the facility is licensed as a non-medical Residential Care Facility for the Elderly (RCFE) and is not required to maintain a nurse on site. During an interview, the Office Manager stated that at the time of the incident there were two (2) caregivers on duty, in addition to a hospice nurse who was present to provide services to a resident. Interview with staff indicated that when the medical emergency occurred, Staff #1 remained with emergency responders and assisted paramedics by providing documentation and information about the residents, while Staff #2 (S2) continued providing care and supervision to other residents within the facility. Staff denied living residents unattended. A review of staff timecards confirmed that two (2) caregivers were on duty at the time of the incident. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation. therefore, the allegation of “Insufficient staffing” is deemed Unsubstantiated at this time.

No citations issued. Copy of the report provided.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
LIC9099 (FAS) - (06/04)
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