Facility condition and maintenance
Cited in 2 reports, with 4 deficiencies in total.
MADELAINE PLACE, INC.
51 DOONE STREET, Thousand Oaks CA 91360
6 bedsLatest official report May 27, 2026Licensed
Additional info
- Telephone
- (805) 418-7762
- Licensee
- MADELAINE PLACE, INC.
- Administrator
- ERLINDA GONZALES
- Contact
- ERLINDA GONZALES
- License first date
- May 24, 2004
- License effective date
- May 24, 2004
- District office
- WOODLAND HILLS N.ASC · (818) 596-4334
- Regional office
- 29
- Clients served
- 935 - ELDERLY
Summary
The available records show 7 Type A and 8 Type B deficiencies for this facility.
- Most recent inspection
- May 27, 2026
- Most recent deficiency
- May 7, 2025
1 later report, on May 27, 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 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 7 Type A and 8 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 15
- Type A deficiencies
- 7
- Type B deficiencies
- 8
- Substantiated complaints
- 0
- Repeated topics
- 2
More than the typical 4
1 in the last 12 months
Well above the typical 2
0 in the last 12 months
Well above the typical 1
0 in the last 12 months
Well above 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.
Fire safety and emergency preparedness
Cited in 2 reports, with 3 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87307(a)(2)(B)
- Regulation authority
- CCR
What the official deficiency says
(2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (B) No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage, storage area, shed or similar detached building. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview the licensee did not comply with the section cited above in one (1) twin bed observed, in the non-permitted staff area in the garage which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/08/2025 Plan of Correction Administrator agreed to not allow staff sleeping in this area and clear out all furniture (bed) and submit photos to LPA by 5/8/2024. Licensee/Administrator agreed to submit 24hr staffing schedule (LIC500).
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above. The left side gate was blocked by a ladder, wheel barrel, generator, cart which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/08/2025 Plan of Correction Administrator began relocating the items to the garage at the time of the visit and will have all items removed by end of the day. Administrator will send a photo proof to LPA that the passageway is free of obstruction by 05/08/2025.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in seven (7) gallons of paint were accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/07/2025 Plan of Correction At the time of the visit the Administrator relocated the paint.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.695(a)(1)
- Regulation authority
- HSC
What the official deficiency says
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (1) Evacuation procedures, including identification of an assembly point or points that shall be included in the facility sketch. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview the licensee did not comply with the section cited above in not having an up to date accuate facility sketch with emergency exits listed which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/07/2025 Plan of Correction At the time of the visit the Administrator updated and submited a facility sketch. Administrator agreed to submit a current and accurate official facility sketch to CCLD by 05/21/2025.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87305(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above as a room was observed in the garage and a bathroom in bedroom #6 without documentation of a building permit which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/21/2025 Plan of Correction Administrator stated that will go to the City of Ventura to obtain a building permit if they are unable to obtain the permit they will remove the room / wall in the garage. They will update CCLD on what is advised regarding the bathroom in bedroom #6.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not having documentation of drills and not have conducted a drill since January 2025 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/14/2025 Plan of Correction Administrator agreed to conduct a drill tomorrow 05/08/2025 and will submit proof to CCLD by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Dementia careType A
- Official classification
- Type A
- 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. Gardening cutter observed in the backyard, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/03/2024 Plan of Correction Licensee/Administrator removed the item and locked it away. Staff were informed and reminded of this regulation/requirement during the visit by Licensee/admininstrator. Corrected during visit.
Corrective action observedRecorded in report dated May 3, 2024
Plan of correction recorded
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(2)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Eye drops observed accessible in resident room; medicated creams observed in resident room and restroom, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/03/2024 Plan of Correction Licensee/Administrator removed the items and locked it away. Staff were informed and reminded of this regulation/requirement during the visit by Licensee/admininstrator. Corrected during visit.
Corrective action observedRecorded in report dated May 3, 2024
Plan of correction recorded
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above. Three out of three staff files reviewed revealed that the required 20hrs annual training was not completed or recorded accordingly, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/17/2024 Plan of Correction Licensee/Administrator agreed to complete record of all three staff training as required by health and safety section sited above. Submit record of training completed for all three staff identified during todays visit by 5/10/2024.
Plan of correction recorded
Correction not verified in available records
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 interview and record review, the licensee did not comply with the section cited above. Staff designated to handle residents medication did not have proof of required medication training, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/17/2024 Plan of Correction Licensee/Administrator agreed to complete record of all three staff training as required by health and safety section sited above. Admiistrator will assume assisting with residents medications until staff complete the required annual medication training. Submit record of training completed for staff who assist with residents medication by 5/10/2024.
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 interview and record review, the licensee did not comply with the section cited above. Identified resident with PRN medication; no PRN authorization on file. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/10/2024 Plan of Correction Licensee/Administrator obtain copy of the PRN authorization letter for resident #6 during the visit. Submit copy of the PRN log that will be used by facility staff to assist with PRN medication according to regulation.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87609(b)
- Regulation authority
- CCR
What the official deficiency says
(b) Incidental medical care may be provided to residents through a licensed home health agency provided the following conditions are met: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above. Resident #3 is receiving home health services. No record of home health services for resident #3 at facility. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/10/2024 Plan of Correction Licensee agreed to submit a self certification letter of understanding the requirements for having home health services and submit plan of action by 5/10/24.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87633(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility, when all of the following conditions are met: (4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident's hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident's or prospective resident's Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). 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. Two residents are receiving hospice service at the facility. No hospice records observed at the facility. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/10/2024 Plan of Correction Licensee/Administrator contacted the hospice agency during LPAs visit and had the care plans faxed over to the facility. Licensee/Administrator shall review section cited and submit a self certification letter of understanding the requirements cited above and how they will ensure compliance in the future.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(a)
- Regulation authority
- CCR
What the official deficiency says
87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above. A storage area is converted to staff sleeping area, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/06/2024 Plan of Correction Licensee/Administrator agreed to not allow staff sleeping in this area and clear out all furniture (bed) and submit photos to LPA by 5/6/2024. Licensee/Administrator agreed to submit 24hr staffing schedule (LIC500).
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(2)
- Regulation authority
- CCR
What the official deficiency says
The following shall be stored inaccessible to residents with dementia: Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation during physical plant tour, the Licensee failed to ensure that all toxins such as paint are kept locked and inaccessible to residents, which poses an immediate health and safety risk to the resident in care.
Official plan of correction
POC Due Date: 05/20/2022 Plan of Correction The Administrator immediately removed the paint gallons and placed them in a locked cabinet in the garage. Cleared during visit.
Corrective action observedRecorded in report dated May 20, 2022
Plan of correction recorded
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