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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 567609954
Report Date: 01/15/2026
Date Signed: 01/15/2026 02:48:50 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
11/09/2025 and conducted by Evaluator Esther Cortez
COMPLAINT CONTROL NUMBER: 29-AS-20251109194550
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:0CENSUS: 0DATE:
01/15/2026
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Michael Weyrick TIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff did not provide a safe environment for resident while in care
Staff did not follow reporting requirements
INVESTIGATION FINDINGS:
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On 01/15/2026, Licensing Program Analyst (LPA), Esther Cortez contacted former Licensee Representative Mihael Weyrick to deliver the findings telephonically as this facility closed as of 11/18/2025. A copy of this report will be emailed to former licensee representative and mailed to the former licensee’s mailing address for signature.

On 11/10/2025, the LPA conducted the initial complaints inspection and met with Community Representative Andrea Davis and went over the allegations and interviewed Ms. Davis.

On the allegations, "Staff did not provide a safe environment for resident while in care and Staff did not follow reporting requirements"; it is the concern of the reporting party (RP) that facility staff did not intervene or report the sexual abuse of Resident 1’s (R1’s) by R1’s family member/Suspected Abuser (SA). Report will continue on LIC9099-C, 2nd page.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025
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 4
Control Number 29-AS-20251109194550
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: 01/15/2026
NARRATIVE
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 The RP alleged the facility failed to report an incident to law enforcement when staff found the resident naked showering and with the SA. Facility staff allowed SA to visit R1 for over a year unsupervised until SA was finally caught outside with their penis in R1’s mouth. SA was arrested and is currently being tried in criminal court. Lastly, RP alleges that R1 had been drugged.

After receiving a formal complaint, the LPA reviewed the facility’s history and determined that on 11/20/2023, 03/08/2024, 02/28/2025 Case Management (CM) visits had been conducted by either LPAs Campos and Peraldi or LPA Cortez regarding the incidents involving R1. Additionally, on 11/20/2023 these incidents were referred to and investigated by the Community Care Licensing (CCL) Investigations Branch (IB).
On 11/18/2023, the Department received a Report of Suspected Dependent Adult/Elder Abuse Report from the facility. The report advised on 11/18/2023, Resident #1’s (R1) family member/Suspected Abuser (SA) was observed with their penis in R1’s mouth. On 11/20/2023, the Department referred the case to the Community Care Licensing (CCL) Investigations Branch (IB). The case was assigned to Investigator Christine Ferris to conduct the investigation in reference to the allegation.

On 11/20/2023, from 1:50pm to 3:30pm, Licensing Program Analysts (LPAs) Elsie Campos and Emily Peraldi conducted an unannounced Case Management - Incident visit. At 1:55pm, LPAs Campos and Peraldi met with Administrator, Amber Winterstein and explained the reason for the visit. The reason for the visit was to follow up on a self-reported incident report received on 11/20/2023. The report pertained to a personal rights violation of Resident #1 (R1). At 1:58pm, the LPAs conducted an interview with the Administrator. At 2:06pm, the LPAs obtained copies of pertinent documents. At 2:55pm, the LPAs along with the Administrator conducted a physical plant tour. No immediate health and safety concerns were observed during the inspection. The LPAs determined further investigation was needed and informed the Administrator that the investigation was assigned to the Community Care Licensing (CCL) Investigations Branch (IB).

On 12/04/2023, from approximately 11:00am to 1:30pm, CCL IB Investigator Ferris conducted interviews with R1, Administrator, staff, and residents; on 12/19/2023, from approximately 11:30am to 1:00pm, with staff; on 01/19/2024 and 01/22/2024, attempted to contact the SA and left voice mails; and on 01/22/2024, at approximately 10:00am, with Detective Torres of the Ventura County Sheriff’s Department. In addition, Investigator Ferris requested Ventura County Sheriff’s Department Report #2023-147699 and facility file documents related to R1. Report will continue on LIC9099-C, 3rd page.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 29-AS-20251109194550
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: 01/15/2026
NARRATIVE
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A review of R1’s Physician Report, dated 05/21/2023, lists R1’s primary diagnosis as end stage Cerebrovascular Disease with Dementia. The report also noted R1 was confused, disoriented with increased forgetfulness. R1’s health status was listed as poor. R1 required assistance with all activities of daily living and was receiving hospice care.

The investigation revealed that on 11/18/2023, at approximately 9:40am, facility Staff #1 (S1) stated they were delivering “punch cards” to the employee break room located in the southwest corner of the facility. The employee entrance opens into a long private pathway accessible to all residents and visitors. Located in the middle of the walkway was a bench. S1 turned the corner of the building to enter the break room and observed the SA standing over R1 with their penis in R1’s mouth. R1 was seated on the bench fully clothed facing the SA. S1 began yelling at the SA and walked towards them. As S1 got closer to them, the SA sat down on the bench beside R1 and S1 noticed the SA used their hands to cover their pants. S1 yelled at the SA for an explanation of what they witnessed, and the SA denied their actions. At approximately 9:42am, S1 used their radio to call for Staff #2 (S2) to come to the location and help get R1 back to their room. S1 told the SA to leave the location and when the SA stood, S1 noticed the SA’s pants were unzipped, and the SA’s belt was completely undone. S1 followed the SA until they left the facility. Once the SA was gone, S1 notified the supervisors and had R1 checked on. The Administrator then contacted the Ventura County Sheriff’s Office who continued the investigation. The detectives attempted to interview R1, but R1 was unable to give a relevant statement. The detectives took the SA into custody and arrested the SA for PC 287(a) Forcible Oral Copulation and PC 368(b)(1) Elder abuse.

During the Department’s investigation, there was no evidence found to support the resident had been drugged. However, further investigation revealed that this was not the first unusual incident between SA and R1. On 03/27/2022, staff observed SA showering with R1 while both were naked. While the facility did report the current incident to the police, the facility did not report the past incident of SA showering with R1. Staff also sent emails to the Administrator documenting strange interactions between SA and R1 – an indication that staff were suspicious of SA’s motives for regularly visiting R1. This was the second instance of SA sitting on the same bench with a shirt over their waist. Thus, the facility was aware of inappropriate behavior between SA and R1, and should have been more vigilant, or could have inquired with R1’s family members regarding the suspicious behavior. Report will continue on LIC9099-C, 4th page.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 29-AS-20251109194550
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: 01/15/2026
NARRATIVE
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Therefore, based on the information gathered during the investigation, the department has sufficient evidence to support that the allegations occurred. As a result, the allegations of “Staff did not provide a safe environment for resident while in care and Staff did not follow reporting requirements” are SUBSTANTIATED at this time. However, these issues were previously addressed during a case management visit conducted on 03/08/2024 and 02/28/2025, at which time citations of Reporting Requirements 87211(c), Basic Services 1569.312(a), and a civil penalty of $500 were issued. Therefore, no citations will be issued today.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4