565850112-8-13-2026-29-AS-DPEA-DXH27V-20260831170923

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850112
Report Date: 08/13/2026
Date Signed: 08/13/2026 05:28:06 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
04/24/2026 and conducted by Evaluator Valeria Conway

COMPLAINT CONTROL NUMBER: 29-AS-20260424153846

FACILITY NAME:	REGENCY PALMS OXNARD		FACILITY NUMBER:	565850112
ADMINISTRATOR:	KENNETH MAHLER		FACILITY TYPE:	740
ADDRESS:	1020 BISMARK WAY		TELEPHONE:	(805) 247-0227
CITY:	OXNARD	STATE: CA	ZIP CODE:	93033
CAPACITY:	127	CENSUS: 93	DATE:	08/13/2026
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Ty Hanson		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Licensee allows uncleared staff to provide care to residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Valeria Conway conducted a subsequent complaint visit to the facility above to deliver final findings of the complaint allegations. At 10:00 a.m. LPA met with Ty Hanson, Sales Director, and explained the purpose of the visit. Administrator was unavailable during today's visit, however the Sales Director is authorized to sign today's reports. Entrance interview conducted.
Throughout the course of the investigation, LPA reviewed all documents obtained and the following was determined:
Regarding the allegation of “Licensee allows uncleared staff to provide care to residents” it was the Reporting Party’s (RP’s) concern that corporate staff allowed uncleared individuals to provide care and supervision to resident, adding that Staff #1 (S1) and Staff #2 (S2) did not have the required criminal record clearances. The RP also reported that the licensee rents office space located on the second floor to third-party agencies and individuals, including volunteers, who utilize these areas and they do not have criminal record clearances.
Continued on LIC 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

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-20260424153846

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: 08/13/2026

NARRATIVE

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Continued from LIC 9099

During the initial visit, the LPA conducted a physical plant tour and observed that the second floor was shared by facility residents and individuals not employed by the facility. The second floor contained office rooms and a gym designated for residents’ use. Staff interviews revealed that the Executive Director and General Manager are responsible for ensuring that employees complete the required on-boarding documentation, training, criminal record clearance and association requirements prior to providing care and supervision to residents.

A review of the Guardian system check revealed that all volunteers had a fingerprint clearance. The LPA observed Nurse #1 (N1), an individual employed by Unlimited Home Health, utilizing a room on the second floor. LPA requested documentation verifying criminal record clearance and/or association to the facility. General Manager, Nancy Aguirre, was not able to provide these documents and explained that they were not aware that it was required. LPA explained to facility staff explained that all individuals who have access to residents are required to have the appropriate criminal record clearance and association to the facility, regardless of whether the individuals are directly employed by the facility.

Regarding S1, records revealed that the individual was eligible to work when hired on 10/2025 but was removed from all duties upon the facility’s receipt of an ineligible notice on 02/2026.
Regarding S2, a review of records revealed that S2 was not eligible to work due to a pending exemption process. On-boarding documentation further revealed that S2 was hired in June 2023 and worked as the Dietary Director for approximately eight (8) months.

The LPA also identified that Staff #3 (S3) was hired on 04/07/2026 but was not associated to the facility in the Guardian system until after the LPA’s initial visit on 04/30/2026.

The RP also presented additional concerns that were not related to applicable Title 22 regulations. The LPA explained that those concerns would not be addressed as part of this complaint investigation.

Continued on LIC 9099-C

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20260424153846

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: 08/13/2026

NARRATIVE

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Continued from LIC 9099-C

Based on observations, documentation and interviews, the preponderance of evidence standard has been met, therefore the above allegation, “Licensee allows uncleared staff to provide care to residents” is deemed Substantiated at this time.

Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited at this time (refer to LIC 9099-D) with $1,100 civil penalties. Administrator was informed that failure to correct the deficiencies may result in civil penalties.

Exit interview conducted, appeal rights discussed, and a copy of this report, civil penalties and appeal rights were provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 29-AS-20260424153846

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: 08/13/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/14/2026 Section Cited CCR 87355(e)(1-4)	1 2 3 4 5 6 7	(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: 1-4. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	All volunteers were associated to the facility. Staff #2 is not longer an employee at this facility. Staff #3 was recently associated to the facility. The ED agreed to provide a statement of understanding regarding regulation 87255(e)(1-4) and implement a plan to ensure that all...
	8 9 10 11 12 13 14	Based on record review, and interviews, licensee did not comply with the above section by not ensuring that all individuals that have direct access/contact to residents had a fingerprint clearance,were associated to the facility and/or had an approved excemption, which poses an immediate health and safety risk to residents in care.	8 9 10 11 12 13 14	... individuals renting office space on the second floor, as well as volunteers participating in the Path Point Program, have the required fingerprint clearance and are properly associated to the facility.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

LIC9099 (FAS) - (06/04)

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