University Village Thousand Oaks

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs), Brian Balisi and Martha Arroyo conducted an unannounced annual inspection today. At approx 09:20 a.m. LPAs met with Executive Director (ED) Jeannette Ruggiero and explained the reason for the visit. At approximately 9:50 a.m., Licensing Program Analysts (LPAs), accompanied by the Executive Director, conducted an annual inspection of the facility’s physical plant, resident areas, common areas, grounds, food service, records, medications, infection control practices, emergency preparedness, and fire/life-safety systems. The inspection was conducted to assess compliance with applicable Title 22 regulations and health and safety requirements. The facility is an Independent Living section of a Continuing Care Retirement Community (CCRC). The community is gate-guarded and provides 24-hour security. The property includes four apartment buildings: Lakeview, Creekview, Mountainview, and Gardenview, as well as apartment condominiums and villas. The Clubhouse includes a commercial kitchen, dining rooms, activity rooms, business offices, and a library. Additional amenities include a fitness center, swimming pool, spa, and multiple outdoor common areas. Planned activities are provided, and the activity schedule is posted throughout the community. The dining room and commercial kitchen were inspected. Food service areas appeared clean and appropriately maintained. The facility maintained sufficient perishable and non-perishable food and water supplies to meet applicable minimum requirements. Refrigerators and food storage areas were checked for appropriate labeling and expiration dates. Food items observed had expiration dates clearly identified. An emergency food and water supply was stored in a designated storage room in the Lakeview building and was observed to be adequately stocked at the time of inspection. At approximately 10:05 a.m., LPAs observed residents participating in a group activity. LPAs inspected interior and exterior areas of the community. Common areas were clean and free of clutter or apparent hazards. Lighting was adequate, and furnishings appeared appropriate for resident use. Parking was available for residents and visitors. Passageways, walkways, driveways, steps, patios, and other means of egress were free of obstructions and apparent hazards at the time of inspection. Multiple outdoor areas were available for resident use and included shaded areas and seating. The swimming pool and spa were appropriately enclosed with self-closing/self-locking gates. The property also includes a pond and environmentally protected open space, including a riparian area. These areas are not fenced, but are surrounded by plants and other vegetation. LPAs randomly selected resident rooms for inspection in the four main apartment buildings and villas. Rooms inspected were appropriately furnished and contained clean linens and appropriate furnishings. Bathrooms were adequately supplied with necessary personal care items and paper towels. Hot water temperatures measured in inspected resident areas ranged from 106.2°F to 114°F. Fire and life-safety equipment was observed throughout the inspected areas, including smoke alarms, carbon monoxide detectors, fire sprinklers, and fire extinguishers. Emergency evacuation plans/sketches were posted throughout the hallways. Emergency evacuation chairs and medical sleds were available in the stairways of each building. Several fire extinguishers were inspected and observed to be fully charged. Service records indicated a last service date of January 23, 2026. At approximately 11:45 a.m., LPAs observed residents exercising in a large activity room. Activity rooms and common areas appeared clean, adequately furnished, and in good repair. The facility’s most recent fire alarm inspection was completed in May 2026 and was reported to be in compliance with applicable fire code requirements. The fire sprinkler system was inspected on September 23, 2026. At the time of the inspection, the facility was awaiting the final inspection report and certification. Required postings were observed throughout the property, including emergency exit information, the Licensing Complaint Poster, Resident Personal Rights, Theft and Loss Policy, and Resident Council Rights. Required notices were centrally posted in the mail room and in other appropriate areas throughout the community. Functioning telephones were available on the premises. LPAs reviewed seven (7) resident records and seven (7) personnel records, including the current Executive Director’s personnel file. Continued from 809-C Resident records were reviewed for, but not limited to, admission agreements, current medical assessments and TB results, Consent for Treatment forms, and current Needs and Services Plans. Personnel records were reviewed for, but not limited to, required personnel documentation, health assessments and TB results, criminal record clearances, First Aid/CPR certification, and required annual training. Records reviewed were complete and maintained as required at the time of inspection. Medications are centrally stored in a secured medication room located on the lower level of the Clubhouse. LPAs observed that medications, including PRN medications, were labeled, stored, and secured in a manner that prevented unauthorized access by residents. Physician orders were available for PRN medications. Medication documentation, including centrally stored medication records and medication destruction records, was reviewed. Medication administration observed during the inspection was consistent with physician orders. The medication management process appeared adequate and in compliance with applicable Title 22 requirements at the time of inspection. LPAs reviewed the facility’s infection control policies and emergency/disaster plan. The facility maintained written policies and procedures addressing infection control and emergency preparedness. Emergency/disaster supplies were maintained in four designated areas throughout the community. In addition, an emergency supply trailer was located in the overflow parking lot. LPAs observed cots, emergency food and water, a water pump, and other emergency supplies stored in the trailer. The facility conducts emergency/disaster drills quarterly as required. The most recent disaster drill was conducted on August 27, 2026. Daily vehicle inspection records and the California Highway Patrol inspection report for facility vehicles were reviewed and appeared current and sufficient at the time of inspection. Based on observations and records reviewed during the inspection, the facility was maintained in a clean and safe condition, and no immediate health or safety hazards were observed. No deficiencies or citations were issued during this inspection. An exit interview was conducted with the Executive Director. The inspection findings were reviewed, and a copy of the report was provided to the facility representative.the state’s words, verbatim · CDSS document, Sep 29, 2026

Allegation investigated: Lack of supervision resulting in resident being assaulted by another resident. Licensee did not ensure that resident was provided with a safe environment.

Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation findings. LPA met with concierge staff and introduced self. On duty Director was contacted and LPA explained the reason for the visit. Director of Environmental Services Mauricio Perez arrived at approximately 2:30p.m. and met with LPA. Reason for the visit and the allegation finding was discussed. On 02/27/2026, The Department received a complaint alleging that due to lack of supervision resulted in a resident being assaulted by another resident and that the licensee did not ensure that the resident was provided with a safe environment. On 03/03/2026, LPA Chochian conducted an initial complaint investigation. During the visit, LPA conducted interviews with the Executive Director (ED) and eight (8) random residents from approximately 1p.m.- 3 p.m. In addition, copies of pertinent documents were obtained. Following is the summary of the allegations and investigation finding: (Continue to LIC9099c) Unsubstantiated Regarding allegations “Lack of supervision resulting in resident being assaulted by another resident” and “Licensee did not ensure that resident was provided with a safe environment”: Information was received that Resident #1 (R1) was observed with multiple bruises and alleged R1 was pinned down by Resident #2 (R2) and sexually assaulted. Furthermore, information was received that R1 is not safe since R2 continues to pursue R1. Information gathered during the course of the investigation reflected that once ED had knowledge of the allegations, an interview was conducted with R1 and R2. R1 denied any type of physical or sexual abuse by resident R2. R1 reported to ED and the Department that they were previously involved in a romantic relationship with R2, however, R2 was never sexually or physically abusive. In reference to their romantic relationship, R1 disclosed that on one occasion R2 was a “little rough” while engaging in a consensual sexual activity but not intending to harm R1. When R1 asked R2 to stop R1 immediately complied. Records reviewed revealed that both residents currently reside at the Independent Living section of the facility and don’t require assistance with activities of daily living. R1 also handles own medications. Residents have pendants in case of an emergency requiring immediate assistance. Regarding R1’s alleged bruises, R1 denied that the bruising was related to any type of physical or sexual abuse. It was confirmed that R1 was under prescribed aspirin which could be the cause of R1’s multiple bruises. R1 denied the allegations and indicated that whoever reported the allegations was falsely accusing R2. R1 denied being a victim of any type of physical or sexual abuse. R1 additionally denied being forced into sexual activity with R2. R1 explained that they were previously in a romantic relationship with R2. R1 explained that on one occasion, they engaged in aggressive sexual activity and when R1 told R2 to stop R2 immediately stopped. R1 reiterated that their sexual behaviors were consensual and denied being a victim of physical or sexual abuse. R1 reported that they no longer wanted a relationship with R2 and R2 understood the “no-contact” expectation from R1. R1 denied any type of abuse, neglect or lack of care by the facility staff. R1 indicated that they felt safe at the facility and were extremely happy living at the facility. Other residents interviewed during the initial visit reported being very satisfied with the facility, residents and care staff. No issues or concerns were mentioned during the random interviews. (Continue to LIC9099c) Information obtained from interviews conducted provided no corroborating evidence of R1 being physically or sexually abused while in the facility. Local law enforcement was also contacted, and it was determined that no investigation was initiated since R1 did not file a claim. Based on information gathered during the course of the investigation, the Department does not have sufficient evidence to corroborate the allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore allegations “Lack of supervision resulting in resident being assaulted by another resident” and “Licensee did not ensure that resident was provided with a safe environment” is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Jun 27, 2026 · control 29-AS-20260227164234

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs), Brian Balisi and Martha Arroyo conducted an unannounced annual inspection today. At approx 09:45 a.m. LPAs met with Executive Director (ED) Jeannette Ruggiero and explained the reason for the visit. At approx 10:10am, the LPAs along with the Executive Director , toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. This community is in an Independent Living section of the Continuing Care Retirement Community (CCRC). The facility is a gate-guarded community with 24-hour security. There are 4 apartment buildings: Lakeview, Creekview, Mountainview and Gardenview, Apartment condos and Villas. The Clubhouse has a commercial kitchen, dining rooms, activity rooms, business office, and library. The community also has a fitness center and a pool. Planned activities are offered. The activity schedule is posted throughout the community. During the visit LPAs observed residents engaging in various group activities. All activity rooms and common spaces appeared clean and in good repair. LPAs observed required postings centrally located in the mail room and throughout the property. Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. The LPAs observed sufficient perishable and non-perishable foods to meet the minimum two day and seven day supply of food and water. Refrigerator and food pantry were checked for proper labels and expiration dates and food labels had expiration dates clearly marked. Emergency food supply was observed sufficiently stored in a storage room in the Lakeview apartment building. At approx 10:45 a.m. LPAs observed multiple residents exercising in the large activity room. Parking is available for residents and visitors. The exterior and interior grounds were free of clutter and/or obstructions. The community has a swimming pool and a spa, both of which are appropriately fenced with self-locking gates. There is a pond and environmentally protected land, which includes a riparian; both pond and open space are not fenced. LPAs observed multiple resident rooms randomly chosen in the four (4) main buildings and Villas. All resident rooms were furnished appropriately, with clean linens and appropriate furnishings. The bathrooms were sufficiently stocked with supplies and paper towels. Hot water temperatures were measured between 107– 115.5 degrees Fahrenheit. The common areas were appropriately furnished, and the lighting was adequate. Smoke alarms, carbon monoxide detectors, sprinklers and fire extinguishers were observed throughout the facility. The emergency exiting plans/sketch are posted throughout the hallways. The facility has required postings, including emergency exit plan, Licensing Complaint Poster, Resident Personal Rights, Theft and Loss Policy, and Resident Council Rights. There are functioning telephones on the premises. Emergency evacuation chairs were present in all stairways in each building. There are multiple large outdoor spaces with shaded areas and adequate furniture for resident use throughout the facility. All passageways, walkways, driveways, steps and patios are free from obstructions and hazards at this time. Several fire extinguishers were observed throughout the facility to be fully charged and last serviced between 08/15/2025 to 09/05/2025. LPAs reviewed ten (10) resident records and nine (9) personnel records. (10) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, Consent for Treatment form, and current needs and services plan. (9) personnel files including the current Executive Director’s file were reviewed for, but not limited to: personnel records, health assessments with TB results, criminal record clearances, first aid/CPR training, and the appropriate yearly training. All files were observed to be in order during the visit. Medication review. The medications are centrally stored in a med rooms on the lower level of the clubhouse. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. PRNs have physicians order on file. Medications are properly documented on the centrally stored medications and destruction record. Medications appeared to be given as prescribed at the time of the visit. During today’s visit, the LPAs reviewed the facility's infection control policy as well as their emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. The last fire alarm inspection was completed on 12/29/2024 and was found to be in compliance with Fire Code Regulations at the time of inspections. Daily vehicle inspection list and California Highway Patrol Inspection report were reviewed for facility vehicles. The Fire Sprinkler system was inspected last week and facility is awaiting the report. Emergency disaster drills conducted quarterly as per regulation; last disaster drill was conducted on 08/27/2025. No citations issued. Exit interview conducted. Report was reviewed and copy provided.the state’s words, verbatim · CDSS document, Sep 29, 2025

Allegation investigated: Staff are not adhering to resident's admission agreement.

Staff Services Manager I (SSMI) Wolter contacted the Executive Director, Jeannette Ruggerio, via telephone on August 1, 2025, to deliver complaint findings over the phone, SSMI explained the purpose of the call. On February 26, 2025, the Department received a complaint alleging that, “staff are not adhering to resident’s admission agreement.” The complaint alleges that the change from the “Meal Credit System,” to the “My Choice Dining Points,” point-based allocation system, does not adhere to the resident’s (R1) admission agreement. Throughout the course of the investigation the Department conducted interviews and reviewed documentation relevant to the complaint. The Department reviewed R1’s Residence and Care Agreement (admission agreement) which explicitly states in section ‘4. Basic Services and Items Provided to All Unit Residents’ that, “Unless otherwise specified, these services are included in your monthly fee: one meal per day in one of the community dining rooms.” [Continued on LIC 9099-C] Substantiated The Department also reviewed a copy of a current admission agreement that is being used by the community that states in section ‘5. Basic Services and Amenities’ that, “Unless otherwise specified, these services are included in your Monthly Fee: […] Your Monthly Fee includes one meal per day.” Additionally, the Department reviewed the Resident Handbook (March 2023) and ‘Schedule of Optional Services and Fees,’ neither of which speak to or reference the “My Choice Dining Points.” Under the new points-based system, points are assigned based on the number of days in each month with an average allocation of 15 points per day. If a resident exceeds their dining points for the month, additional points are $1 per point and charged to the monthly bill. Previously, with the “Meal Credit System,” a resident was allocated one meal a day in one of the community dining rooms. A "meal," as commonly understood and as previously provided, could include a complete dining experience: a breadbasket, appetizer, soup, salad, entrée with sides, fruit cup, and dessert. This offering was consistent, predictable, and included without the need for points calculation or supplemental payment. In interviews conducted with the current and former Executive Director, the Department was told that residents were made aware of the changes prior to the implementation of the points program but that no addendum was provided as they are still meeting their contractual promise to provide one meal per day. The replacement of one meal per day with a flexible, but limited point system alters the nature of the contracted service. By introducing this point system without any addendum or updates to the Residence and Care Agreement, the resident handbook or the schedule of optional services and fees, and implementing it without Departmental approval, this is not simply a change in delivery method but a violation of the agreed-upon contract. Due to this information the Department finds this allegation to be SUBSTANTIATED - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies are cited on the attached LIC 9099-D. Exit interview conducted. Copy of report and appeal rights sent to the Executive Director via e-mail to sign and return a copy to the Continuing Care Contracts Bureau either by fax or email, a copy should be retained for facility records as well.the state’s words, verbatim · CDSS document, Aug 1, 2025 · control 29-AS-20250226142116

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1787(d) · Plan of correction due date: Sep 1, 2025

(d) A continuing care contract approved by the department shall constitute the full and complete agreement between the parties. This requirement is not met as evidenced by: Based on interviews and documents reviewed, the licensee failed to get department approval prior to the implementation of the new points system, and did not provide an addendum, or update to their current Residence and Care Agreement, which poses a personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Aug 1, 2025

Plan of correction: The licensee agrees to update their Residence and Care Agreement and Schedule of Optional Services and Fees to reflect the change to the My Choice Dining Program, as well as create an addendum for the My Choice Dining Program. These items are to be submitted to the Continuing Care Contracts Bureau for review and approval prior to implementation.

Allegation investigated: Facility retained resident with a higher level of care needs.

Associate Governmental Program Analyst (AGPA) Jennifer Walden (Walden) made an unannounced complaint visit (telephonically) to this facility and spoke with the Executive Director, Dmitry Estrin (Estrin). Licensing Program Analyst (LPA) Erika Miller (Miller) conducted a subsequent complaint visit to the facility above to issue final findings. LPA Miller met with Estrin, and explained the purpose of the visit. Reporting party (RP) alleges that Resident 1 (R1) was initially healthy then experienced multiple infections. RP alleges that facility did not make a higher level of care available as advertised on their website. RP alleges that family requested assistance in placing R1 in Assisted Living or Skilled Nursing units, but staff advised that space was not available. RP further stated that facility has not helped R1 find a suitable location, despite facility staff stating that R1 requires a higher level of care. Continued on 9099-C Unsubstantiated Walden interviewed Estrin, who stated that an admission to skilled nursing requires a written order, which had only recently been received. Estrin met with R1’s family on January 29, 2024, and advised that a transfer of R1 would be made to a sister community’s Skilled Nursing Facility located in Fuller ton, California. The transfer was completed on February 3, 2024. As of February 5, 2024, Estrin stated that R1 was on the priority list for admission and 3rd in line. Estrin further stated that the wait could take a couple of weeks or more for space to become available. LPA Miller reviewed the August 23, 2010, admission agreement that states in part, “If an assisted living standard studio is not available in the Health Care Center, Continuing Life Communities will arrange for you to receive assisted living at a similar outside facility and will place you on a priority list for admission to an assisted living standard studio in the Health Care Center.” Based on the documentation reviewed and interviews conducted, the facility complied with the terms of the written agreement. 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 allegation is Unsubstantiated. Exit interview conducted, copy of report issued.the state’s words, verbatim · CDSS document, Jan 6, 2025 · control 29-AS-20240130123335

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kelly Dulek arrived unannounced to conduct a required annual visit. Upon arrival, LPA was greeted by front desk staff. At 10:05AM, LPA met with Executive Director (ED) Dmitry Estrin and explained the reason for the visit. Entrance interview conducted. At 10:30AM, LPA along with the ED, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and community is in compliance with Title 22 Regulations. The following was observed: Fire extinguishers throughout the community were observed to be fully charged and recently serviced 04/19/2024. Annual fire safety/sprinkler system was tested on 03/26/2024 by Service Pro Fire Protection; all systems passed at that time. 5-year inspection was conducted on 03/17/2023 and all systems passed. COMMON GROUNDS: This community is in an Independent Living section of the Continuing Care Retirement Community (CCRC). The facility is a gate-guarded community with 24-hour security. There are 4 main buildings: Lakeview, Creekview, Mountainview and Gardenview. The Clubhouse has a commercial kitchen, dining rooms, activity rooms, business office, and library. The community also has a fitness center and a pool. Planned activities are offered. The activity schedule is posted throughout the community. LPA observed residents engaging in various group activities. All activity rooms and common spaces appeared clean and in good repair. LPA observed required postings located in the mailroom. RESIDENT UNITS: LPA observed 21 (twenty one) various resident living units throughout the 4 (four) main buildings and villas. All resident units observed contain a kitchen, living area, bedroom(s) and private restroom(s). All units observed were in good repair, with clean linens, proper furnishings and adequate Report Continued on LIC 809-C lighting. Water temperature was measured in various resident sinks and measured between 116.2 degrees F to 118.6 degrees F, which is within the required range. EXTERIOR GROUNDS: LPA observed appropriate outdoor furniture, with a covered shaded area for residents. Parking is available for residents and visitors. The exterior and interior grounds were free of clutter and/or obstructions. The community has a swimming pool and a spa, both of which are appropriately fenced with self-locking gates. There is a pond and environmentally protected land, which includes a riparian; both pond and open space are not fenced. RECORD REVIEW: Staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, and personal rights. All 10 (ten) resident files and all 10 (ten) staff files observed contained all required documents. Review of records for Resident #1 (R1) revealed that R1 has a diagnosis of dementia and requires assistance with ADL care, including medications and additional supervision. R1 was observed to be residing in a villa in independent living. MEDICATION REVIEW: Medications were observed to be stored in a locked Medication Room. Medications for 3 (three) residents were observed. All medications observed were labeled, stored, and properly documented at the time of the visit. KiTCHEN: The facility had a sufficient supply of two-day perishable and seven-day nonperishable food and water at the time of the visit, stored in a storage unit in the Mountainview building. The menu was posted and the facility offers an alternate menu. Continental breakfast, snacks and beverages are available for residents. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency disaster drills are conducted monthly, with the last drill conducted 06/30/2024. INTERVIEWS: LPA spoke with 14 (fourteen) residents during the tour; residents were very satisfied and voiced no concerns. LPA interviewed 5 (five) staff. No concerns were noted. Pursuant to Title 22 CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D). Executive Director was informed that failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jul 26, 2024