Senior Care Records.

Facility Evaluation Report

House of Transition, Camarillo01/03/2024Licence 565801423

Capacity15
Census15
Date signed01/03/2024 03:43:00 PM
The inspector’s account

Licensing Program Analyst (LPA) Kelly Dulek conducted a case management-deficiencies visit at the facility today. The LPA arrived at 09:55AM and met with Facility Designee Alesha Evans. Entrance interview conducted.

On 12/27/2023, the Woodland Hills Regional Office received 2 (two) incident reports via e-fax from this facility. One report was for an incident that occurred on 12/13/2023, involving Client #1 (C1), which resulted in C1 being hospitalized. The other incident report was for an incident that occurred on 11/11/2023 involving Client #2 (C2), which resulted in a call to 9-1-1 and C2 being transported to the hospital for further observation. Neither of these incidents were reported by telephone to the Regional Office and written reports were received well outside of the 7 (seven)-day time frame.

Pursuant to Title 22 CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D). Exit interview conducted with Facility Designee Jordan Ward. A copy of the report and appeal rights were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction