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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850112
Report Date: 03/11/2026
Date Signed: 03/11/2026 07:50:54 PM

Substantiated


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
03/03/2026 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20260303093047
FACILITY NAME:REGENCY PALMS OXNARDFACILITY NUMBER:
565850112
ADMINISTRATOR:KENNETH MAHLERFACILITY TYPE:
740
ADDRESS:1020 BISMARK WAYTELEPHONE:
(805) 247-0227
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:127CENSUS: 95DATE:
03/11/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Kenneth "Ken" MahlerTIME COMPLETED:
08:05 PM
ALLEGATION(S):
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Facility staff did not ensure resident receives prescribed medication.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Emily Peraldi and Quoc Huynh conducted an unannounced subsequent complaint visit to this facility. At 10:15 a.m., the LPAs met with the Executive Director (ED) Ken Mahler and explained the reason for the visit.

During today’s visit starting at 10:18 a.m., the LPAs conducted a physical plant tour and interviewed the ED, four (4) residents and three (3) staff. At 11:36 a.m., the LPAs reviewed and obtained copies of pertinent documents. Between 4:43 p.m. and 5:54 p.m., the LPAs conducted a review of medication and medication documentation with staff for six (6) residents. Continued LIC 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2026
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 4
Control Number 29-AS-20260303093047
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: REGENCY PALMS OXNARD
FACILITY NUMBER: 565850112
VISIT DATE: 03/11/2026
NARRATIVE
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Regarding the allegation: Facility staff did not ensure resident receives prescribed medication. It was alleged that staff did not assist residents with their medication on time and multiple missed medications. During today’s visit, the LPAs conducted a review of resident medication and documentation with staff for six (6) residents. Resident #1 (R1’s) Droxidopa 100MG tablet instructed for 1 capsule orally 3 times a day had zero (0) capsules remaining with no refills, meaning R1’s evening medication was missed. Staff stated that medication was ordered today, however they do not have an expected delivery date. Resident #2 (R2’s) Docusate Sodium 100MG instructed for 1 tablet daily with start date of 03/03/2026 and on 03/06/2026 tablet was not administered, no explanation given. The ED stated that he will review the facilities medication procedures and audit all resident medications. Based on observation and record review, the preponderance of evidence standard has been met, therefore the above allegation, “Facility staff did not ensure resident receives prescribed medication” is deemed Substantiated at this time.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited during the visit (See 9099-D). The ED was informed that failure to correct deficiency may result in civil penalties.

Exit interview conducted. A copy of the report and appeal rights were provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 29-AS-20260303093047
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: REGENCY PALMS OXNARD
FACILITY NUMBER: 565850112
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/12/2026
Section Cited
CCR
87465(a)(4)
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87465(a)(4) Incidental Medical&Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility…(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by:
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Within 24 hours, the ED will notify the LPA when medication training will be completed.
Training will be conducted by a credited training vendor.
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Based on record review and observations, the licensee did not comply with the section cited above, as the facility staff did not properly assist with R1's & R2's self-administered medications per physician’s order which poses an immediate health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4