565850221-2-16-2024-29-AS-KLOZ-D5SRQ8-20240531131301

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850221
Report Date: 02/16/2024
Date Signed: 02/16/2024 03:24:24 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/06/2023 and conducted by Evaluator Esther Cortez

COMPLAINT CONTROL NUMBER: 29-AS-20230406155619

FACILITY NAME:	GLEN PARK AT OJAI		FACILITY NUMBER:	565850221
ADMINISTRATOR:	GARY Y LEE		FACILITY TYPE:	740
ADDRESS:	225 N LOMITA AVE		TELEPHONE:	(805) 646-2402
CITY:	OJAI	STATE: CA	ZIP CODE:	93023
CAPACITY:	48	CENSUS: 16	DATE:	02/16/2024
		UNANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Gary Y Lee		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Residents are locked in facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Esther Cortez arrived unannounced to conduct a subsequent complaint visit. The LPA met with Executive Director Gary Lee and explained the visit.

On 4/10/2023, LPAs Cortez and Dulek along with facility ED toured the facility at 10:15AM, interviewed staff at the following times: 12:29PM, 01:14PM, 01:55PM, 02:42PM, 04:25PM, and 05:22PM, interviewed Administrator throughout the visit, and reviewed records at 04:15PM. On 7/28/2023, LPA Smith toured the kitchen/food service area from 11:50 a.m. - 12:05 p.m., reviewed fifteen (15) resident files from 12:10 p.m. - 2:00 p.m., interviewed staff at 11:30 p.m., 12:49 p.m., and 1:07 p.m., and interviewed residents at 2:02 p.m., 2:03 p.m., and 2:10 p.m. During today’s visit, LPA Cortez toured the facility, interviewed staff, and residents, conducted a file review and obtained copies of pertinent documents from 10:35 a.m. to 3:00 p.m.
Report will continue on LIC9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kasandra Lopez	TELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Esther Cortez	TELEPHONE: (747) 230-2225
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20230406155619

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: GLEN PARK AT OJAI	FACILITY NUMBER: 565850221
	VISIT DATE: 02/16/2024

NARRATIVE

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On the allegation Residents are locked in facility, it is the reporting party’s concern that the facility is not allowing residents to leave the building, and are tying the doors up, so they cannot be opened. To investigate the allegation, the LPA conducted a file review for all the residents, conducted interviews and toured the facility. File review revealed that all residents cannot leave the facility unassisted based on their Physicians Report LIC602. Staff interviews revealed that facility doors are always locked from the outside, however never locked from the inside and residents can go outside on outings with their family or with a staff member. Furthermore, staff interviews revealed that they need to know where the resident are in case, they need to take their medication. The administrator stated that residents are able to leave whenever they want but due to their safety they need to be supervised based on their Physicians report. The administrator also stated that residents are usually sleeping at night, and only two care givers are available during the night shift, however if a resident would want to go out during the night they can call the administrator and he would be able to take them out. During the facility tour the LPA did not observe any exiting doors locked from the inside, and was able to exit the facility from any of the exiting doors. In addition, the LPA observed that the resident bedroom doors can only be locked from the outside. Based on the information gathered on the above allegation, although the allegation may have happened or is valid, there was insufficient evidence to confirm that “Residents are locked in facility”. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. A copy of the report was issued.

SUPERVISOR'S NAME: Kasandra Lopez	TELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Esther Cortez	TELEPHONE: (747) 230-2225
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024

LIC9099 (FAS) - (06/04)

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