Colony of Thousand Oaks at Venus

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 9:29 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The Administrator Eleanor Jimenez, Administrative staff Manju Natarajan and Licensee representative Dr. Rashita Aggarwal arrived shortly after and the reason for the visit was explained. Entrance interview. The facility is a single story home located in a residential neighborhood. The LPA and staff 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. COMMON AREAS: This includes two (2) living rooms rooms, and dining room. At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 11:56 a.m., hardwire combination of smoke / carbon monoxide detectors and fire doors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 03/15/2026. The emergency exiting plans/sketch are posted. The emergency telephone numbers are posted in the common hallway. The LPA observed required postings throughout the common space. Activities were observed in the common areas. The fireplace in the living room was adequately screened. There is a functioning telephone on the premises. LPA observed surveillance cameras installed in the common areas of the facility. The staff presented the live monitoring screen to the LPA, confirming that all cameras were functioning properly and that none of them were equipped with audio capability. INTERVIEWS: Starting at 9:36 a.m. one (1) staff and two (2) resident interviews were conducted. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interviews revealed that no concerns were noted or voiced at the time of the visit. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809-C...BEDROOMS: There are eight (8) total bedrooms in the facility; six (6) bedrooms are designated as private, single occupancy, resident rooms and two (2) staff rooms. The staff rooms are kept locked at all times and one (1) was observed to be occupied by staff and one (1) was observed as furniture storage. Two (2) out of six (6) resident rooms have exits to the exterior. All passageways were observed to be clear of obstructions. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are four (4) total restrooms. Two (2) are designated as a shared / common resident restroom, and two (2) are designated as a private resident restrooms. Resident restrooms were observed to be equipped with a slip resistant surface / mat. Grab bars were observed in the restrooms. The restrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured in all resident restrooms and ranged between 106.9 - 116.8 degrees Fahrenheit, all within the required range. LPA observed storage space closets in hallway containing extra clean linens and towels for resident use. KITCHEN: The LPA inspected the kitchen/food service area. Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 106.9 degrees Fahrenheit. Cleaning supplies and other chemicals are kept under the sink locked and inaccessible to residents in care. LAUNDRY ROOM: LPA observed the locked laundry room adjacent to the garage. Laundry room has a washer and dryer and locked cleaning supplies. BACKYARD: The entire property is fenced. The backyard has a covered patio area with shade, patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPA observed one (1) self-latching gate. There were no bodies of water noted at the time of the visit. Only one (1) pathway is used as an emergency exit which was free of obstructions at the time of the visit. RECORDS: Resident Records Five (5) Resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, Home Health records, PRN authorization, hospice records and current needs and services plan. All records were in order. Report Continued on LIC 809-C PAGE3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... Personnel Records: Five (5) Personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. INFECTION CONTROL/ EMERGENCY DISASTER PLANNING: During today’s visit the LPA reviewed the facility’s infection control practices and the facilities emergency disaster plan. Both documents were observed to be complete and updated annually as required. The facilities policies and procedures, as they pertain to infection control and emergency planning meet the regulatory standard. The last emergency disaster drill took place on 08/07/2026 and are conducted quarterly. MEDICATIONS: LPA observed the first aid supplies to be complete, including sterile first aid dressings, bandages, tweezer, a thermometer and a current version of a first aid manual. Medication review began at approximately 12:40 p.m. Medications are centrally stored and locked in a closet adjacent to the living room and dining room. Medications for two (2) residents were reviewed. Medications are labeled and checked for expiration dates. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications reviewed were found to be self-administered as prescribed and documented on the centrally stored medication and destruction records. No errors observed during review. DOCUMENTS: Documents obtained during the visit include: LIC 500 facility roster, LIC 9020A Resident roster, copy of the Limited Liability insurance, and LIC 610E emergency disaster plan. No citations issued at this time. Exit interview conducted. Copy of report reviewed and provided.the state’s words, verbatim · CDSS document, Sep 15, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10:30 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. Administrative staff Manju Natarajan arrived shortly after and the reason for the visit was explained. Entrance interview. The LPA and staff 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. COMMON AREAS: This includes two (2) living rooms rooms, and dining room. At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 2:40 p.m., hardwire combination of smoke / carbon monoxide detectors and fire doors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 10/03/2024. The emergency exiting plans/sketch are posted. The emergency telephone numbers are posted in the common hallway. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 05/24/2025. LPA advised staff that drills are to be conducted quarterly and was informed that a drill will be conducted this week. Activities were observed in the common areas. The fireplace in the living room was adequately screened. There is a functioning telephone on the premises. LPA observed surveillance cameras installed in the common areas of the facility. The staff presented the live monitoring screen to the LPA, confirming that all cameras were functioning properly and that none of them were equipped with audio capability. INTERVIEWS: Starting at 10:36 a.m. one (1) staff and two (2) resident interviews were conducted. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interview revealed that no concerns were noted or voiced at the time of the visit. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809-C... BEDROOMS: There are eight (8) total bedrooms in the facility; six (6) bedrooms are designated as private, single occupancy, resident rooms and two (2) staff rooms. The staff rooms are kept locked at all times and observed to be occupied by staff. One (1) out of six (6) resident rooms have exits to the exterior. All passageways were observed to be clear of obstructions. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are four (4) total restrooms. Two (2) are designated as a shared / common resident restroom, and two (2) are designated as a private resident restrooms. Resident restrooms were observed to be equipped with a slip resistant surface / mat. Grab bars were observed in the restrooms. The restrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured in all resident restrooms and ranged between 108.6-114.3 degrees Fahrenheit, all within the required range. LPA observed storage space closets in hallway containing extra clean linens and towels for resident use. KITCHEN: The LPA inspected the kitchen/food service area at 10:54 a.m. Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 118.6 degrees Fahrenheit at 10:55 a.m. Cleaning supplies and other chemicals are kept under the sink locked and inaccessible to residents in care. LAUNDRY ROOM: LPA observed the locked laundry room adjacent to the garage. Laundry room has a washer and dryer and locked cleaning supplies. BACKYARD: The entire property is fenced. The backyard has a covered patio area with shade, patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPA observed one (1) self-latching gate. There were no bodies of water noted at the time of the visit. Only 1 (one) pathway is used as an emergency exit which was free of obstructions at the time of the visit. RECORDS: Resident Records were reviewed beginning at 11:01 a.m. six (6) Resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, Home Health records, PRN authorization, hospice records and current needs and services plan. All records were in order. Report Continued on LIC 809-C PAGE3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... Personnel Records were reviewed beginning at 12:03 p.m. Five (5) Personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. INFECTION CONTROL/ EMERGENCY DISASTER PLANNING: During today’s visit the LPA reviewed the facility’s infection control practices and the facilities emergency disaster plan. The facilities policies and procedures, as they pertain to infection control and emergency planning, meet the regulatory standard. MEDICATIONS: The first aid supplies were complete, including a first aid manual. Medication review began at approximately 2:23 p.m. Medications are centrally stored and locked in a closet adjacent to the living room and dining room. Medications for three (3) residents were reviewed. Medications are labeled and checked for expiration dates. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications reviewed were found to be self-administered as prescribed and documented on the centrally stored medication and destruction records. No errors observed during review. DOCUMENTS: Documents obtained during the visit include: LIC 500 facility roster, LIC 9020A Resident roster and copy of the Limited Liability insurance. During today's inspection, the facility is in compliance with Title 22 regulations. No citations issued. Exit interview conducted. Copy of report reviewed and provided.the state’s words, verbatim · CDSS document, Sep 25, 2025

Type of visit: Office

An Office Meeting was conducted today in the Woodland Hills Office. The purpose of the Office Meeting was to discuss concerns regarding observations made during the recent annual visit on 08/29/2024. Present at today’s meeting were the following: Kristin Heffernan Licensing Program Manager (LPM), Kelly Dulek Licensing Program Analyst (LPA), Dr. Rashita Aggarwal Licensee Representative/Administrator, and Manju Natarajan Assistant Administrator. As this facility has only been licensed for 1 (one) year following a Change of Ownership, LPM discussed the Department’s Administrative Action process. Concerns were in the area of medication administration and physical plant issues: pests, both alive and deceased were observed in the kitchen area, items blocking the facility’s passageways, and hot water temperature. LPA also observed knives and other sharps, as well as cleaning supplies accessible to residents. The purpose of today’s visit was to discuss concerns related to a citation issued for bed rails. During the visit, LPA observed the Facility Designee, who is not a medical professional, writing in orders for half bed rails for a resident on the resident’s existing physician’s report that had been previously signed by the resident’s doctor. Licensee acknowledged the Facility Designee was not authorized to do so. During today’s visit, Licensee stated that the facility will no longer be using the physican’s report to document orders for bed rails. The Licensee will be utilizing a separate form for both the resident’s family and the physician to acknowledge a resident’s need for bed rails. Licensee stated that the Facility Designee is currently still employed but has been retrained and will have limited hours working at the facility going forward. It was also discussed that currently Rashita Aggarwal is Administrator of record at 6 (six) licensed facilities, however the Department advises that an individual be designated as Administrator at a maximum of 2 (two) Report Continued on LIC 809-C facilities. Licensee plans to designate 2 (two) additional Administrators for 4 (four) facilities and remain the Administrator for 2 (two) facilities. Assistant Administrator has a pending Administrator certificate and Licensee stated that when the Administrator certificate is received, Assistant Administrator will be designated as a full time Administrator. LPA/LPM requested all documents related to change of Administrator for the 4 (four) facilities be submitted to CCL by 09/23/2024. Exit interview conducted. Signatures obtained. A copy of today’s report was provided.the state’s words, verbatim · CDSS document, Sep 18, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced at 10:37AM to conduct an annual inspection. LPA initially met with facility staff. Administrator & Facility Designee were contacted via telephone. Designee Connie Roush arrived at 10:47AM, Administrator arrived at 11:10AM. Entrance interview conducted. At 10:52AM, the LPA 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. The following was observed: Fire extinguishers throughout the facility were observed to be fully charged, but 2 (two) indicated were last serviced 10/08/2022; the third did not indicate a date purchased or date serviced. Facility management showed LPA there are new recently purchased extinguishers present in the facility garage, which will be exchanged for the ones inside. Hardwired smoke and carbon monoxide detectors and fire doors were tested at 02:35PM and were functional at the time of the visit. BEDROOMS: There are 8 (eight) bedrooms in the facility; the facility has 6 (six) private bedrooms for resident use, and 2 (two) staff rooms. Both staff rooms are kept locked. All resident rooms were observed to contain adequate lighting, proper furnishings and linens. BATHROOMS: The facility contains 4 (four) bathrooms; there are (2) two full bathrooms in the hallways. There are two (2) private bathrooms for resident use. The showers are equipped with nonskid surfaces and available nonskid mats. Grab bars were observed in the bathrooms. Hot water temperature in all resident bathrooms were well under the required range, measuring between 71.6 and 72 degrees Fahrenheit. In the hallway bathroom on the left, cleaning supplies were observed unlocked under the sink. In Continued on LIC 809-C Continued from LIC 809 the common bathroom on the right of the facility, air freshener was observed in the cabinet, accessible to residents in care. COMMON AREAS: The common areas were appropriately furnished, and the lighting was adequate. There is a television and other entertainment equipment in the living room area. The facility does have a fireplace, which was adequately screened. There is a functioning telephone on the premises. Emergency exiting plans/sketch are posted. Emergency telephone numbers are posted at the entrance area wall. Other required postings are also posted in the entrance area wall and living room wall. Hall closet contains extra linens and the door was off the track and falling down. KITCHEN: Kitchen knives are stored in a drawer on the left hand side of the stove, however at 11:04AM, the lock on the drawer was observed to be non-functional and knives were accessible to residents in care. The supply of perishable and nonperishable food is adequate. Appliances in the kitchen were clean and appeared functional. There is an adequate supply of emergency food. At 11:09AM, multiple dead bugs were observed throughout the kitchen area, as well as live bugs in the kitchen, dining room, and living room area. LAUNDRY/GARAGE: The laundry area is locked and located in the hallway to the right of the facility. Laundry detergent and chemicals are stored inaccessible in the laundry room. Entry to the garage is through the laundry room, so is also locked and inaccessible to residents in care. Garage contained extra food, storage, and additional items. EXTERIOR: The exterior passageways were obstructed with a barbecue and a recliner chair. Both were moved during the visit. There is a covered patio area in the backyard with tables and chairs for resident use. There are no bodies of water noted on the premises. The back and sides of the house are separated from the front yard by gates. Exit gate on the side of the house was observed to be not self-latching at the time of the visit. FILES: Beginning at 11:40AM, LPA observed 6 (six) resident files for items including but not limited to physician's report, physician's orders, needs and service appraisals, and personal rights. Resident #1 (R1) was observed with full bed rails, but did not contain an order, nor is R1 on hospice. LPA observed 5 (five) Continued on LIC 809-C Continued from LIC 809-C staff files for items including but not limited to health screening, TB test, criminal record clearance, and training records. All staff files observed were maintained in compliance with regulation. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: The facility has an infection control plan, which was observed to be complete but not updated annually. Emergency disaster plan is also complete, but not updated annually. Emergency disaster drills are conducted, with the last drill documented on 01/08/2024. Regulation requires emergency drills documented quarterly. MEDICATIONS: Medications are in a locked closet at the entrance of the facility. The first aid supplies were complete, including a first aid manual. They were stored in the medication closet. At 01:43PM, medications for 2 (two) residents were observed. Start dates were either not listed or were not accurate on the Centrally Stored Medication and Destruction Record (CSMDR). For one resident (Resident #2 - R2) medications were written twice on the CSMDR with differing information including start date and prescription number. Medication count did not match the number of days elapsed from start dates indicated for either resident. INTERVIEWS: During today's visit, LPA conducted interviews with both staff and residents. No concerns were noted during interviews. Pursuant to Title 22, California Code of Regulations (CCR) and/or California Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D). Exit interview was conducted. A copy of the report and Appeal Rights were reviewed and provided.the state’s words, verbatim · CDSS document, Aug 29, 2024

The state marks this report as 9 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.