Inspection
No deficiencies recorded in this report
SUNSHINE MANOR
19 E AVENIDA DE LOS ARBOLES, Thousand Oaks CA 91360
6 bedsLatest official report Jul 29, 2026Licensed
Additional info
- Telephone
- (805) 241-9687
- Licensee
- SUNSHINE MANOR RESIDENTIAL, INC.
- Administrator
- TREJO, MIKE
- Contact
- TREJO, MIKE
- License first date
- Jul 12, 2019
- License effective date
- Jul 12, 2019
- District office
- WOODLAND HILLS N.ASC · (818) 596-4334
- Regional office
- 29
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 7 Type A and 7 Type B deficiencies for this facility.
- Most recent inspection
- Jul 29, 2026
- Most recent deficiency
- Jul 24, 2024
2 later reports, from Jul 16, 2025 through Jul 29, 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 6 reports for this facility: 6 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 7 Type A and 7 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 14
- Type A deficiencies
- 7
- Type B deficiencies
- 7
- Substantiated complaints
- 0
- Repeated topics
- 0
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.
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
No deficiencies recorded in this report
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- Regulation authority
- CCR
What the official deficiency says
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: 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 as R1 and R2 were observed to be in Bedroom #4, which has an ambulatory only fire clearance, but R1 is non-ambulatory and R2 was observed to be non-ambulatory, but is documented as bedridden, as well as R3 is marked bedridden, but is in a non-ambulatory room which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/25/2024 Plan of Correction Licensee/Administrator indicated he will switch rooms for the residents identified. Administrator understands that only residents with an ambulatory designation can be in Room #4. Administrator will also obtain clarification from both R2 and R3's physicians on whether they are bedridden or are non-ambulatory. Administrator will draft a letter to the residents' families, contact the residents' physicians for updated reports, and provide proof to CCL by POC due date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. 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 the toilet in the shared resident restroom was backing up and there was clutter in the outside walkway of the facility, which poses potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 08/07/2024 Plan of Correction Administrator repaired the toilet during today's visit. Administrator will remove the items from the outside walkway and provide proof to CCL by POC due date.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- 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 observation and record review, the licensee did not comply with the section cited above as R3 has medications that are prescribed as needed (PRN) however, the facility does not have a PRN authorization form and the nurse directed the staff to administer the medication daily without providing a new presciption order, which poses a potential health risk to persons in care.
Official plan of correction
POC Due Date: 08/07/2024 Plan of Correction Administrator will contact R3's hospice and obtain clarification on this order. Administrator will provide proof to CCL of a change in order or a PRN authorization letter for R3 by POC due date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(5)(A)
- Regulation authority
- CCR
What the official deficiency says
(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above, as 1 resident (R3) out of 6 residents observed has full bed rails, but is no longer on hospice care, which poses a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/07/2024 Plan of Correction Administrator indicated that R3's bed rails are adjustable and can be shortened to meet regulation. Administrator will adjust the bedrails and provide proof to CCL by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can 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: (2) Once ordered by the physician the medication is given according to the physician's directions. 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 seven medicatinotons being available for R1, 1 medication without a current physicians order for R1, and 1 medication not logged for R2, which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 08/29/2023 Plan of Correction During the visit, administrator Mike contacted R1's family member and pharmacy to get all medication orders filled. Administrator Mike agrees to complete a medication audit of all residents medications to ensure accuracy, and get physicians order for R1's Sertraline. The administrator will submit proof of POC no later than 8/29/23
Plan of correction recorded
Correction not verified in available records
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- Regulation authority
- CCR
What the official deficiency says
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: 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 the two fire extinghishers in the home were last serviced in 2021 which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/24/2023 Plan of Correction The administrator went out to service both fire extinghishirs during the visit and provided proof to the LPA.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87412(a)(11)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 as one out of six staff (S1) did not have TB documented in their health screening, or proof of negative TB which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/24/2023 Plan of Correction Upon observation, staff 1 went to emergency care to get TB tested. The administrator agrees S1 will not be back at the home until negative results are provided and provide test results to CCL by 7/26/23
Plan of correction recorded
Correction not verified in available records
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 as the following was accesible to residents with dementia: razors, medication, bleach, tools, fertilizer, and other.., which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 08/04/2023 Plan of Correction Upon observation, the administrator stored all items inside the home in a locked closet, and agrees to due an inspection of the backyard and place all items that can consitute a danger to residents in a locked shed and/or garage and submit proof to CCL BY 7/25/23. The administrator also agrees all staff will receive training in dementia care and submit proof to CCL by 8/4/23.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (1) Postural supports shall be limited to appliances or devices such as braces, spring release trays, or soft ties, used to achieve proper body position and balance, to improve a resident's mobility and independent functioning, or to position rather than restrict movement including, but not limited to, preventing a resident from falling out of bed, a chair, etc. 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 the LPA observed a caregiver restraining a resident in a wheel chair with a gait belt which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/24/2023 Plan of Correction Staff immidiately removed the belt off of the resident upon LPA's intervention. The administrator agrees all staff will receive training on safely redirecting residents in care and submit proof of training by 8/4/23
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(5)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Non-skid mats or strips shall be used in all bathtubs and showers. 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 one of two bathrooms were observed to not have a slip mat which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/25/2023 Plan of Correction The administrator agrees to place a slip mat in the restroom and provide proof to CCL by 7/25/23.
Plan of correction recorded
Correction not verified in available records
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, the licensee did not comply with the section cited above as four out of four staff are misisng 3 out of 8 hours of dementia care which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 08/04/2023 Plan of Correction The administrator agrees all staff will receive the remaining three hours of dementia care training and submit proof to CCL by 8/4/23.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.696(a)
- Regulation authority
- HSC
What the official deficiency says
(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following: 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 as four out four staff files reviewed were missing 3 out of 4 hours of postural supports, restricted conditions or health services, and hospice care training which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 08/08/2023 Plan of Correction The administraor agrees all staff will receive the remaining training and provide prood to CCL by 8/8/23
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. 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 as out of the five files reviewed, the LPA identified that one resident (R3) is missing a physicians report, two residents (R1 & R2) need an updated physicians report, due to the diagnosis of dementia, and two residents (R1 & R2 ) need an annual Appraisal & Needs and Service Plan report, due to the diagnosis of dementia, which poses a potential health and safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/08/2023 Plan of Correction The administrator agrees he will obtain all physcisians reports needed and complete all appraissals & needs and services plans and submit proof to CCL BY 8/8/2023.
Plan of correction recorded
Correction not verified in available records
Inspection
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. 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 staff and visitors were not following infection control protocols in wearing masks, which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/27/2022 Plan of Correction The Administrator has agreed to do the following: 1. Conduct an in-service training, discussing the masking requirements and screening protocol for visitors. Submit sign-in sheet and applicable documents no later than 06/27/2022.
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