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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565800551
Report Date: 03/03/2022
Date Signed: 03/03/2022 02:52:40 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
01/04/2021 and conducted by Evaluator Joann Rosales
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20210104113506
FACILITY NAME:GABLES OF OJAI, THEFACILITY NUMBER:
565800551
ADMINISTRATOR:DAVID SCARLETTFACILITY TYPE:
740
ADDRESS:701 N. MONTGOMERY ST.TELEPHONE:
(805) 646-1446
CITY:OJAISTATE: CAZIP CODE:
93023
CAPACITY:118CENSUS: 76DATE:
03/03/2022
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Eric TerrillTIME COMPLETED:
02:52 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff leave residents unattended while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) JoAnn Rosales conducted a subsequent unannounced complaint visit to this facility for the above complaint allegation to deliver final investigation findings. LPA met with Administrator Eric Terrill.

Concerns were that staff left residents alone in the Gardens (memory care unit) during the night for about 10 minutes. Interviews conducted with random staff and residents on 1/25/21 starting at 2:34 pm, 9/9/21 starting at 11:11 am, 10/19/21 starting at 1:52 pm and 3/3/22 at 8:24 am revealed that no one is aware of residents being left alone in the Gardens at any time. A review of staff records on 9/9/21 starting at 2:44 pm revealed that staff were scheduled to work the Gardens throughout the night. Based on the information obtained during the course of the investigation the allegation is deemed unsubstantiated at this time.

Exit interview conducted. Today's reports and appeal rights were reviewed and emailed to Administrator.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Joann Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
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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