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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 567609954
Report Date: 08/25/2025
Date Signed: 08/25/2025 03:59:58 PM

Substantiated


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
08/20/2025 and conducted by Evaluator Esther Cortez
COMPLAINT CONTROL NUMBER: 29-AS-20250820161847
FACILITY NAME:ARTESIAN OF OJAI, THEFACILITY NUMBER:
567609954
ADMINISTRATOR:DAVID SCARLETTFACILITY TYPE:
740
ADDRESS:203 E EL ROBLAR DRIVETELEPHONE:
(805) 798-9305
CITY:OJAISTATE: CAZIP CODE:
93023
CAPACITY:72CENSUS: 36DATE:
08/25/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Iris Perez-Memory Care Director/ Melanie Lopez Business Office ManagerTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Emergency cords are not accessible to residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a 10 Day complaint visit. Upon arrival, the LPA met with Memory Care Director Iris Perez and Business Office Manager Melanie Lopez for Care Field and the reason for the visit was explained. Entrance interview conducted.

During today's visit the LPA toured the facility with the Memory Care Director, conducted interviews with five (5) staff, conducted interviews with three (3) residents and attempted to interview two additional residents, and observed med pass for five (5) residents.

Report will continue on the following page LIC9099-C, 2nd page.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 29-AS-20250820161847
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: ARTESIAN OF OJAI, THE
FACILITY NUMBER: 567609954
VISIT DATE: 08/25/2025
NARRATIVE
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On the allegation “Emergency cords are not accessible to residents,”; it is the concern of the Reporting Party (RP) that the Emergency strings in the toilet are tied up in multiple rooms across all buildings, primarily in memory care. Additionally, if a resident falls, they cannot reach it. The LPA observed two resident rooms that had their emergency cords wrapped around the bar grab and the cord was not long enough to be reached from the toilet. Furthermore two (2) out of four (4) care staff revealed that they have witnessed the emergency cords wrapped around the grab bars, residents like to play with them and tie them up, they do not know if staff wraps the cord, however they both acknowledge that even when observed they have left them wrapped up due to either not having enough time to unwrap it or not knowing that they needed to unwrap the cords. Based on Observations and interviews, the above noted allegations are deemed SUBSTANTIATED at this time.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9009-D): Exit interview conducted, todays reports and appeal rights were reviewed and issued.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 29-AS-20250820161847
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: ARTESIAN OF OJAI, THE
FACILITY NUMBER: 567609954
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/08/2025
Section Cited
CCR
87303(a)
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87303 Maintenance and Operation (a) 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:
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Memory Care Director unwrapped the emergency cords and asked staff to check all the residents bathrooms to ensure all cords were unwrapped and agreed to have an all staff in service and provide proof by 09/08/25.
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Based on interviews and observation, the licensee did not comply with the section cited above in two emergency cords that were wrapped around the grab bars and inaccessible to residents from the toilet or if they fall which posed a potential health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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
08/20/2025 and conducted by Evaluator Esther Cortez
COMPLAINT CONTROL NUMBER: 29-AS-20250820161847

FACILITY NAME:ARTESIAN OF OJAI, THEFACILITY NUMBER:
567609954
ADMINISTRATOR:DAVID SCARLETTFACILITY TYPE:
740
ADDRESS:203 E EL ROBLAR DRIVETELEPHONE:
(805) 798-9305
CITY:OJAISTATE: CAZIP CODE:
93023
CAPACITY:72CENSUS: 36DATE:
08/25/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Robert Coe- Melanie Lopez BOMTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff do not ensure residents take their medications.
Staff do not ensure that hazards are not accessible to residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a 10 Day complaint visitt. Upon arrival, the LPA met with Business Office Manager Melanie Lopez and the reason for the visit was explained. Entrance interview conducted.

During today's visit the LPA toured the facility with the Memory Care Director, conducted interviews with five (5) staff, conducted interviews with three (3) residents and attempted to interview two additional residents, and observed med pass for five (5) residents.

Report will continue on the following page LIC9099-C, 2nd page.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 29-AS-20250820161847
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: ARTESIAN OF OJAI, THE
FACILITY NUMBER: 567609954
VISIT DATE: 08/25/2025
NARRATIVE
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On the allegations, “Staff do not ensure residents take their medications and Staff do not ensure that hazards are not accessible to residents”; it is the concern of the Reporting Party (RP) that Med Techs are not staying with the residents until they take their medication. There is a resident in the Sespe building who is aware of the code to the laundry room, often leaves it open and there are chemicals inside. Furthermore, it was reported that salons and laundry rooms are often found open, primarily in the AL buildings. All staff interviews revealed that MT’s always wait until residents take their medications before leaving, all rooms with chemicals are always locked and that there have been no issues with residents not taking the medications or having access to chemicals. Resident interviews revealed that residents have observed staff wait till residents take their medications and that residents do not have access to rooms with chemicals. Starting at 12:15 p.m., the LPA observed the MT on duty pass medications to five (5) residents and wait till the residents took their medication before moving on. Additionally, the MT asked them if they had already taken them, waiting for confirmation, and with one (1) resident had them open their mouth to verify. The LPA observed all laundry rooms, maintenance rooms, salons and Med Tech rooms in each building locked and inaccessible to the residents in care. Furthermore, the LPA did not observe any hazardous items accessible to the residents in care and observed the laundry rooms with an automatic lock that locks by itself. Based on observations and interviews, there is not sufficient evidence to support the allegations. Therefore, the allegations are deemed Unsubstantiated at this time.

Exit interview was conducted with the Memory care director. A copy of the report and Appeal Rights were issued.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5