Inspection
No deficiencies recorded in this report
FAMILYCARE COTTAGE IV
825 CALLE CEDRO, Thousand Oaks CA 91360
6 bedsLatest official report Jul 16, 2026Licensed
Additional info
- Telephone
- (805) 380-4108
- Licensee
- FAMILYCARE COTTAGE ONE, INC.
- Administrator
- DEBRA BRYANT
- Contact
- DEBRA BRYANT
- License first date
- Jul 6, 2015
- License effective date
- Jul 6, 2015
- District office
- WOODLAND HILLS N.ASC · (818) 596-4334
- Regional office
- 29
- Clients served
- 935 - ELDERLY
Summary
The available records show 1 Type A and 3 Type B deficiencies for this facility.
- Most recent inspection
- Jul 16, 2026
- Most recent deficiency
- Jul 22, 2024
4 later reports, from Jan 29, 2025 through Jul 16, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 8 reports for this facility: 5 inspections, 3 complaint investigations, and 0 licensing or administrative records.
Those records contain 1 Type A and 3 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 4
- Type A deficiencies
- 1
- Type B deficiencies
- 3
- Substantiated complaints
- 0
- Repeated topics
- 0
More than the typical 4
1 in the last 12 months
More than the typical 2
0 in the last 12 months
About the same as most this size
0 in the last 12 months
More than the typical 1
0 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.
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.
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. 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. unable to confirm required medication training for Staff #2. This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/26/2024 Plan of Correction Licensee/Administrator agreed to provide proof of Staff #2's medication training or see that the required training is provide as required and submit copy of proof of training provided.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(d)
- Regulation authority
- CCR
What the official deficiency says
(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: 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. Licensee/Administrator did not have, Four out of five residents PRN authorization letter from the physician. This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/26/2024 Plan of Correction Licensee/Administrator shall obtain a PRN Authorization letter from the resident physician prior to assisting residents with PRN medication. Submit copy of the PRN Authorization letter to LPA by due date.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed laundry supplies, disinfectants and cleainging supplies accessible in the attached garage. This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/22/2024 Plan of Correction Administrator locked all hazardous items in a cabinet in the garage during today's visit.
Plan of correction recorded
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87468.1(a)(2) Personal Rights of Residents in All Facilities ...To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above as two (2) staff were observed not wearing masks/face coverings in common areas, which poses an immediate health, safety, and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/07/2022 Plan of Correction Staff was asked to wear face masks during visit and Administrator will hold a training with all staff about proper mask-wearing and COVID-19 prevention protocol, and provide training records to CCL by 7/07/2022.
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