Inspection Reports for Norma J’s Home for the Elderly
142 W Columbia Rd, Thousand Oaks, CA 91360, United States, CA, 91360
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with the facility generally maintaining compliance with health, safety, and infection control standards. The most recent report from September 26, 2025, was a complaint investigation that found insufficient evidence to substantiate allegations of staff sexual abuse and forced medication. Earlier complaint investigations also found allegations unsubstantiated, and annual inspections typically showed no issues, except for a minor deficiency in October 2024 related to hot water temperatures exceeding the allowed maximum, which was corrected during the visit. A more serious deficiency was cited in February 2023 when the facility admitted a resident without capacity for self-care, a prohibited condition posing a health risk, but no fines or enforcement actions were listed in the available reports. Overall, the facility’s record shows improvement with recent reports free of deficiencies and most complaints unsubstantiated.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
0.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
88% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
83% occupied
Based on a September 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Sep 26, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2025-01-22 regarding staff sexually abusing a resident and forcing the resident to take medications.
Findings
The investigation found insufficient evidence to substantiate the allegations of sexual abuse and forced medication. Staff and administrator interviews, medication records, and a sheriff's report were reviewed. The resident had a history of hallucinations and aggression, and the allegations were deemed unsubstantiated.
Complaint Details
The complaint alleged that Staff #1 sexually abused resident #1 on 2025-01-18 and forced the resident to take medications on multiple occasions including 2025-01-17. The investigation included interviews with staff, administrator, family members, and review of medication records and sheriff's report. The allegations were found unsubstantiated due to insufficient evidence.
Report Facts
Facility capacity: 6
Resident census: 5
Medication refusal dates: 5
Caregivers present: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Zabel Chochian | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Loretta Louise Tiede | Administrator | Facility administrator contacted and interviewed during investigation |
| Robin Douglas | Caregiver | Caregiver present during investigation and contacted administrator |
| Valeria Conway | Licensing Program Analyst | Conducted unannounced complaint visit on 2025-01-23 |
| Desaree Perera | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Oct 21, 2024
Visit Reason
The inspection was an unannounced required annual visit to evaluate compliance with Title 22 Regulations and ensure there are no health and safety hazards.
Findings
The facility was generally found to be in compliance with regulations, including proper kitchen conditions, clean and safe restrooms, and appropriate resident and personnel records. However, a deficiency was cited for hot water temperatures in resident bathrooms exceeding the regulated maximum, which was corrected during the visit.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Hot water temperature in resident bathrooms ranged between 109 and 134.2 degrees Fahrenheit, exceeding the allowed maximum of 120 degrees Fahrenheit, posing a potential health, safety, or personal rights risk. | Type B |
Report Facts
Residents present: 6
Facility capacity: 6
Hot water temperature: 134.2
Hot water temperature: 109
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Arroyo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Desaree Perera | Licensing Program Manager | Supervisor overseeing the inspection |
| Robin Douglas | Facility Manager | Met with Licensing Program Analyst during inspection |
| Loretta Louise Tiede | Administrator/Director | Facility Administrator present during inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Nov 13, 2023
Visit Reason
The visit was an unannounced continuation of a required annual case management visit to the facility.
Findings
The medication review found medications properly stored, labeled, and documented with no errors observed. No deficiencies were cited during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Loretta Louise Tiede | Administrator | Met with during the inspection and involved in the medication review. |
| Elsie Campos | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named in the report header. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Oct 30, 2023
Visit Reason
The inspection was an unannounced required annual visit to evaluate the facility's compliance with Title 22 regulations and ensure health and safety standards are met.
Findings
The facility was found to be in compliance with regulations, with bedrooms and bathrooms appropriately furnished and sanitary, kitchen and common areas in good condition, safety equipment operational, and records in order. No health or safety hazards were observed during the inspection.
Report Facts
Hot water temperature: 116.9
Hot water temperature: 117.6
Facility capacity: 6
Resident census: 6
Inspection start time: 10
Inspection end time: 16
Fire extinguisher last serviced: Oct 17, 2023
Facility temperature: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Loretta Louise Tiede | Administrator | Administrator present during inspection and greeted Licensing Program Analyst |
| Elsie Campos | Licensing Program Analyst | Conducted the inspection visit |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Feb 16, 2023
Visit Reason
The visit was conducted as a Case Management - Deficiencies visit in conjunction with a complaint investigation to issue a citation for a deficiency observed during the complaint investigation.
Findings
The licensee admitted and retained a resident (R1) who had no capacity for self-care, which is a prohibited health condition and posed an immediate health and safety risk to residents in care. The licensee did not submit an exception request to admit and retain this resident.
Complaint Details
Complaint Control # 29-AS-20220325091634. The deficiency was observed during the complaint investigation and a citation was issued.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Admitted and retained Resident #1 who had no capacity for self-care, a prohibited health condition. | Type A |
Report Facts
Capacity: 6
Census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Arroyo | Licensing Program Analyst | Conducted the Case Management - Deficiencies visit and complaint investigation |
| Desaree Perera | Licensing Program Manager | Supervisor of the licensing evaluation |
| Loretta Louise Tiede | Administrator | Facility administrator |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Feb 16, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-03-25 regarding inappropriate touching of a resident by staff, inappropriate comments made by staff towards a resident, and concerns about the quality of food served at the facility.
Findings
The investigation found insufficient evidence to substantiate the allegations of sexual abuse, inappropriate comments by staff, and poor food quality. Interviews with residents, staff, and the administrator, as well as observations of the facility, supported the conclusion that the allegations were unsubstantiated.
Complaint Details
The complaint involved allegations that Staff #1 sexually abused Resident #1 by inappropriate touching, made inappropriate comments calling the resident 'honey' and 'baby', and that the facility served food that was not of quality. The investigation included interviews with the resident, resident representative, staff, and other residents, as well as review of relevant documents. The allegations were deemed unsubstantiated due to lack of sufficient evidence.
Report Facts
Capacity: 6
Census: 6
Complaint received date: Mar 25, 2022
Length of resident stay: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Arroyo | Licensing Program Analyst | Conducted complaint investigation and delivered findings |
| Loretta Louise Tiede | Administrator | Facility administrator unavailable during initial visit; Licensee Representative interviewed |
| Susana Vincecruz | Staff member met with during investigation and exit interview | |
| Douglas Real | Investigator | Assigned to complaint investigation branch and conducted interviews |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Nov 22, 2022
Visit Reason
The inspection was a required one-year unannounced visit focusing on infection control practices and procedures at the facility.
Findings
The facility was found to be clean, well-maintained, and compliant with infection control protocols. Fire safety equipment was functional, emergency exits unobstructed, and COVID-19 precautions adequate. No deficiencies were noted in the report.
Report Facts
Resident bedrooms: 6
Bathrooms: 3
Residents present: 6
Fire extinguisher last serviced: 2022
Hot water temperature range: 105
Hot water temperature range: 120
PPE supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Loretta Louise Tiede | Administrator | Met with Licensing Program Analyst during inspection and discussed infection control practices |
| Brian Balisi | Licensing Program Analyst | Conducted the one-year required inspection |
| Desaree Perera | Licensing Program Manager | Named in report header and signature section |
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