567609954-8-25-2021-29-AS-KBUY-CSC4QA-20230530191758

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 567609954
Report Date: 08/25/2021
Date Signed: 08/25/2021 08:08:14 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/04/2021 and conducted by Evaluator Angel Ascencio

COMPLAINT CONTROL NUMBER: 29-AS-20210604105830

FACILITY NAME:	ARTESIAN OF OJAI, THE		FACILITY NUMBER:	567609954
ADMINISTRATOR:	BROWN, MARY THERESA		FACILITY TYPE:	740
ADDRESS:	203 E EL ROBLAR DRIVE		TELEPHONE:	(805) 798-9305
CITY:	OJAI	STATE: CA	ZIP CODE:	93023
CAPACITY:	72	CENSUS: 33	DATE:	08/25/2021
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Therese Brown		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility not maintained clean and sanitary at all times

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angel Ascencio conducted an unannounced subsequent complaint visit to the above facility to continue investigation of the above allegation. LPA arrived at 12:30 PM and met with Administrator Therese Brown and explained reason for visit.

Regarding allegation: Facility not maintained clean and sanitary at all times. LPA Ascencio toured the facility inside and outside between 12:39 PM and 12:59 PM. LPA observed 13 resident rooms which were clutter-free and furnished appropriately with clean linen. The LPA did not observe any foul odors coming from any of the rooms. At 1:05 PM, LPA observed Admin office to be clean and odor free.

Based on all information gathered, the above allegation, “Facility not maintained clean and sanitary at all times” is deemed unsubstantiated at this time.
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Exit interview conducted. Copy of the report to be provided via email.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Angel Ascencio	TELEPHONE: 747-230-3888
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

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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