Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
CONEJO VALLEY HOME CARE
2476 DRAYTON AVE, Thousand Oaks CA 91360
6 bedsLatest official report Feb 2, 2026Licensed
Additional info
- Telephone
- (805) 418-7646
- Licensee
- TKA FACILITIES MANAGEMENT, LLC
- Administrator
- SHUBIN, MELISSA
- Contact
- SHUBIN, MELISSA
- License first date
- Feb 7, 2023
- License effective date
- Feb 7, 2023
- 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 4 Type B deficiencies for this facility.
- Most recent inspection
- Feb 2, 2026
- Most recent deficiency
- Feb 2, 2026
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 5 reports for this facility: 3 inspections, 0 complaint investigations, and 2 licensing or administrative records.
Those records contain 1 Type A and 4 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 3
- Recorded deficiencies
- 5
- Type A deficiencies
- 1
- Type B deficiencies
- 4
- Substantiated complaints
- 0
- Repeated topics
- 2
Fewer than the typical 4
1 in the last 12 months
More than the typical 2
1 in the last 12 months
About the same as most this size
0 in the last 12 months
More than the typical 1
1 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
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.
Staffing, personnel, and training
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(c)(2)(C)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. (2) Documentation of staff training shall include: (C) Date(s) of attendance; and 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 (2) out of five (5) staff training records were missing the specific date, and time of the training which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/16/2026 Plan of Correction Licensee representative agrees to review all staff files and input the missing information including the specific time, and date the training was completed and send LPA a written statement of understanding of the regulation and that the task has been completed by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(i)
- Regulation authority
- CCR
What the official deficiency says
(i) When there is significant change in condition, as defined in Section 87101, Definitions, or once every 12 months, whichever occurs first, the licensee shall arrange an in-person or virtual meeting or conference call to share the reappraisal with the resident, the resident's representative, if applicable, and appropriate facility staff, as specified in Section 87467, Resident Participation in Decision Making. 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 5 out of 5 resident files reviewed did not contain a reappraisal/needs and service appraisal which poses a potential health and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/11/2025 Plan of Correction Incoming Administrator agreed to complete LIC 625 form for all residents in care, review the form with the resident and/or their responsible person, and submit copies of the signed forms to CCL by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87415(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The following persons providing night supervision from 10:00 p.m. to 6:00 a.m. shall be familiar with the facility's planned emergency procedures, shall be trained in first aid as required in Section 87465, Incidental Medical and Dental Care Services, and shall be available as indicated below to assist in caring for residents in the event of an emergency: This requirement is not met as evidenced by: Deficient Practice Statement Based on record reviewe, the licensee did not comply with the section cited above in as two out of out of two night staff are not trained in first aid as required, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/01/2024 Plan of Correction The Licensee(desiganted facility representative) has agreed to have staff trained in CPR and First Aid by the date on the POC. Licensee will email the department acopy of the first Aid and CPR certification card.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87457(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. 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 as six out of six residents did not have a completed appraisal, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/01/2024 Plan of Correction The Licensee(desiganted facility representative) has agreed to have complete the Appraisal for each resident by the date on the POC. Licensee will email the department acopy of the appraisals..
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(e)(4)
- Regulation authority
- HSC
What the official deficiency says
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (4) Contact information for the responsible party and physician for each resident. 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 as four out of six residents files didnot have a completed emergency form, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/01/2024 Plan of Correction The Licensee(desiganted facility representative) has agreed to have complete the Emergency ontact form for each resident by the date on the POC. Licensee will email the department acopy of the Emergecy form.
Plan of correction recorded
Correction not verified in available records
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