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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565800682
Report Date: 05/28/2026
Date Signed: 05/28/2026 07:28:54 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
09/17/2025 and conducted by Evaluator Valeria Conway
COMPLAINT CONTROL NUMBER: 29-AS-20250917145319
FACILITY NAME:ALMAVIA OF CAMARILLOFACILITY NUMBER:
565800682
ADMINISTRATOR:MICHAEL O'NEILLFACILITY TYPE:
740
ADDRESS:2500 NORTH PONDEROSA DRIVETELEPHONE:
(805) 388-5277
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:100CENSUS: 56DATE:
05/28/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Michele JohnsonTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff did not treat residents with dignity and respect
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Valeria Conway conducted an unannounced subsequent complaint visit to deliver findings for the allegation listed above. Upon arrival LPA met with the Executive Director (ED), Michele Johnson, and explained the reason for the visit. Entrance interview.

During previous visits conducted on 09/25/2025 and 05/15/2026, the LPA toured the physical plant, interviewed staff members and residents, and obtained pertinent documents relevant to the investigation. Throughout the course of the investigation, the LPA reviewed all documents obtained and conducted additional telephonic interviews. The following was then determined:

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

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
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 5
Control Number 29-AS-20250917145319
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: ALMAVIA OF CAMARILLO
FACILITY NUMBER: 565800682
VISIT DATE: 05/28/2026
NARRATIVE
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Continued from LIC 9099

Regarding allegation of “Staff did not treat residents with dignity and respect” it was reported that afternoon (P.M.) shift staff made rude comments toward Memory Care (MC) residents and that when staff became aggravated with residents, staff would limit and/or refuse food to them. Interviews conducted with staff and residents did not reveal any observations or reports of P.M. staff refusing or limiting food portions to residents. Staff and residents interviewed stated that the facility always maintains an adequate supply of food and snacks available to residents, and residents are provided with additional servings upon request. However, staff interviews did reveal concerns regarding inappropriate comments and behaviors made by Staff #1 (S1), Staff #2 (S2) and Staff #3 (S3). Staff #4 (S4) witnessed S1, S2 and S3 making “gagging” gestures, noises, and rude or condescending comments while assisting Resident #1 (R1) who had experienced and incontinent episode. S4 expressed concern for the residents’ well-being, stating that the resident repeatedly apologized to staff for causing a “mess” during the incident. Additionally, other staff interviewed reported hearing P.M. staff make inappropriate and rude comments toward the residents during care. According to interviews conducted, these comments and gestures were occasionally made in the presence of residents and other staff members. Staff interviewed also indicated concerns that S1, S2 and S3 communicated with residents in an unprofessional and disrespectful manner. Staff reported that the residents were spoken to in a raised tone of voice and inappropriate for a caregiving setting, rather than with the respect and professionalism expected when providing care and supervision to residents. Several staff members also expressed concerns regarding reporting issues to the former ED and/or upper management due to fear of favoritism and potential retaliation. Records reviewed and interviews conducted revealed that management provided in-service training to MC staff on 03/28/2026, regarding appropriate communication and interaction with residents, on 12/27/2025, regarding respecting residents’ rights; and on 06/27/2025 reminding staff to avoid or “stay away” from words like “No”, “Stop” and, “Don’t Do That” when interacting with residents. Based on interview and record review, the allegation that "Staff did not treat residents with dignity and respect" 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 (refer to LIC 9099-D.) 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 and appeal rights were provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
09/17/2025 and conducted by Evaluator Valeria Conway
COMPLAINT CONTROL NUMBER: 29-AS-20250917145319

FACILITY NAME:ALMAVIA OF CAMARILLOFACILITY NUMBER:
565800682
ADMINISTRATOR:MICHAEL O'NEILLFACILITY TYPE:
740
ADDRESS:2500 NORTH PONDEROSA DRIVETELEPHONE:
(805) 388-5277
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:100CENSUS: 56DATE:
05/28/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Michele JohnsonTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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9
Staff handled resident in a rough manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Valeria Conway conducted an unannounced subsequent complaint visit to deliver findings for the allegation listed above. Upon arrival LPA met with the Executive Director (ED), Michele Johnson, and explained the reason for the visit. Entrance interview.

During previous visits conducted on 09/25/2025 and 05/15/2026, the LPA toured the physical plant, interviewed staff members and residents, and obtained pertinent documents relevant to the investigation. Throughout the course of the investigation, the LPA reviewed all documents obtained and conducted additional telephonic interviews. The following was then determined:

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

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 29-AS-20250917145319
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: ALMAVIA OF CAMARILLO
FACILITY NUMBER: 565800682
VISIT DATE: 05/28/2026
NARRATIVE
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Continued on LIC 9099

Regarding allegation of “Staff handled resident in a rough manner” it was it was reported that Memory Care unit staff were yanking residents when being transferred from their chair. Interviews conducted with staff members, including the former Executive Director, denied the allegation and stated that residents are not being mistreated, and they have not seen any staff handle residents in a rough manner. Staff interviews revealed that when a resident becomes agitated or noncompliant, staff are trained to utilize redirection techniques and, when appropriate, temporarily step away and revisit the situation at a later time to allow the resident an opportunity to de-escalate and comply with care. LPA attempted to conduct random resident interviews within the Memory Care Unit; however, multiple residents were unable to participate due to loss of cognitive ability. One resident who was interviewed did not indicate that staff had been aggressive or rough, adding that staff are “nice and kind”. A private caregiver interviewed stated that the morning (A.M.) staff are very helpful and efficient. Based on the above information gathered, although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred. The Department does not have sufficient evidence to support the allegation of “staff handled resident in a rough manner”. Therefore, this allegation is deemed UNSUBSTANTIATED at this time.


No deficiencies issued. Exit interview conducted. A copy of the report provided.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20250917145319
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: ALMAVIA OF CAMARILLO
FACILITY NUMBER: 565800682
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/28/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/29/2026
Section Cited
CCR
87468(a)
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87468(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons.
This requirement is not met as evidenced by:
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ED agreed to submit a statement of understanding on regulation 87468(a) and get all staff (including all shifts) trained on personal rigths and Elder Abuse. ED will submit memo provided to all staff regarding the training by POC due date.Training log will be sent to LPA by 6/5/2026.
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Based on interviews and record review, the Administrator did not comply with the section cited above as S1, S2, and S3 were observed making rude comments and speaking inappropriately to Memory Care residents which poses an immediate personal rights risk for persons 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.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5