<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565800360
Report Date: 08/28/2025
Date Signed: 08/28/2025 01:39:32 PM

Document Has Been Signed on 08/28/2025 01:39 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:ARC-OJAI ENRICHMENT CENTERFACILITY NUMBER:
565800360
ADMINISTRATOR/
DIRECTOR:		AMBER LUNDEENFACILITY TYPE:
775
ADDRESS:210 CANADATELEPHONE:
(805) 646-5186
CITY:OJAISTATE: CAZIP CODE:
93023
CAPACITY: 105CENSUS: 44DATE:
08/28/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:05 AM
MET WITH:Amber LundeenTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Kelly Dulek conducted a Required Annual Inspection at the facility. LPA initially met with back-up Administrator/Program Supervisor Jordon Hunter and explained the reason for the visit. Administrator Amber Lundeen joined LPA and Program Supervisor on the facility tour at 10:40AM.

This facility is vendored by Tri-Counties Regional Center. The program currently operates from 8:00 a.m. to 2:00 p.m. The day program was staffed with 1:4 staff to participant ratios and 2 (two) 1:1 staff to participant ratios.

Beginning at 10:18AM, LPA and Program Supervisor toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguishers were last serviced on 06/30/2025 and appeared fully charged. Smoke alarms and carbon monoxide detector were tested and functioned properly.

Common Activity Space: The facility is a single-story structure containing various buildings/indoor spaces, including a gallery, recreation room, art room, sensory room, event room, music room, two offices, two restrooms, a changing area, and a food service area. LPA did not observe any obstructions or hazards during the inspection. The program site appeared to be clean, safe, sanitary, and in good repair at this time. Cleaning supplies are stored in a locked area.

Activities: Activity schedule was posted throughout the facility, with activities designed for both individual participants and groups. LPA observed participants engaged in activities during the visit. Activity supplies were available in all rooms and outdoor space.

Report Continued on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Kelly Dulek
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are 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 deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ARC-OJAI ENRICHMENT CENTER
FACILITY NUMBER: 565800360
VISIT DATE: 08/28/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Outdoor Space: The LPA observed the facility's outdoor space, which was observed to be fenced and contain both front and back exit gates. There is ample outdoor space for activities which includes shaded seating, walking pathways, landscaped areas, and a garden.

Restrooms/Changing Room: The two restrooms and changing room were observed to be clean and sanitary with hand soap and paper towels. The hot water temperature in both restroom areas was tested and measured at 113.5 and 111.6 degrees Fahrenheit, which is within the required range.

Food Service: The kitchen area was clean and in good condition. Participants bring their lunch and snacks or bring money to purchase their meal in the community. The facility has emergency food supplies, water and snacks available for participants.

Record Review: Beginning at 10:50AM, LPA reviewed 5 (five) participant records. All required CCL documents were found in the records. LPA reviewed 5 (five) staff files for items including, but not limited to: health screening, TB test results, and staff training. All staff files reviewed contained all required documents.

Emergency Disaster Plan/Infection Control Plan: During today’s visit, LPA reviewed both the facility’s emergency disaster plan and infection control plan. Both documents were complete and updated annually as required. The facility’s last documented disaster drill was completed 06/24/2025.

Medications: Medications were reviewed for 2 (two) participants – 1 (one) regularly scheduled medication and 1 (one) with PRN (as needed) medication. Medications are documented properly and appear to be administered as prescribed. First aid kit was observed to be complete.

Interviews: LPA interviewed 4 (four) participants and 2 (two) staff. No concerns were noted.

No citations issued. Exit interview conducted. A copy of today’s report was provided.

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Kelly Dulek
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025
LIC809 (FAS) - (06/04)
Page: 3 of 3