CHANNEL ISLANDS HOME

941 GILL AVE, Port Hueneme CA 93041

Facility 565850530 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Aug 5, 2025Licensed

Additional info
Licensee
CHANNEL ISLANDS HOME
Administrator
BARRETTO, CLEOFE S
Contact
BARRETTO, CLEOFE S
License first date
Aug 27, 2024
License effective date
Aug 27, 2024
District office
WOODLAND HILLS N.ASC · (818) 596-4334
Regional office
29
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 1 Type A and 2 Type B deficiencies for this facility.

Most recent inspection
Aug 5, 2025
Most recent deficiency
Aug 5, 2025

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 218 Ventura County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 3 reports for this facility: 1 inspection, 0 complaint investigations, and 2 licensing or administrative records.

Those records contain 1 Type A and 2 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
1

Fewer than the typical 4

0 in the last 12 months

Recorded deficiencies
3

More than the typical 2

0 in the last 12 months

Type A deficiencies
1

About the same as most this size

0 in the last 12 months

Type B deficiencies
2

More than the typical 1

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

Last 36 months

No inspection in the last 12 months, so a zero above means no record rather than a clean visit.

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Medical and dental careType A
Official classification
Type A
Official code
87465(a)(4)
Regulation authority
CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review the licensee did not comply with the section cited above in two residents medications that were either missing a medication pill or had an excess of medication based on the start dates and quantities, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/08/2025 Plan of Correction The Administrator agreed to have all staff receive training on proper documentation and medication administration and submit proof to LPA by 08/08/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Medical and dental careType B
Official classification
Type B
Official code
87465(b)
Regulation authority
CCR

What the official deficiency says

(b) If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in three residents that did not have a PRN authorization on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/19/2025 Plan of Correction Administrator agreed to obtain PRN authorization forms for all three residents and submit proof to LPA by 08/19/25

Plan of correction recorded
Correction not verified in available records
View official report
Records and plan of operationType B
Official classification
Type B
Official code
87506(a)
Regulation authority
CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in three residents that either did not have a medical emergency treatment forrm, a signed appraisal needs and services plan, or a negative TB test within a year prior to admission which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/19/2025 Plan of Correction Administrator agreed to obtained the missing consent forms for emergency medical tratment, have residents appraisal needs and services plan signed, and resident obtained a new TB test and submit proof to LPA by 08/19/25.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology