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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565800551
Report Date: 10/25/2024
Date Signed: 10/28/2024 08:11:55 AM

Document Has Been Signed on 10/28/2024 08:11 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:GABLES OF OJAI, THEFACILITY NUMBER:
565800551
ADMINISTRATOR/
DIRECTOR:
MATTEO DIGRIGOLIFACILITY TYPE:
740
ADDRESS:701 N. MONTGOMERY ST.TELEPHONE:
(805) 646-1446
CITY:OJAISTATE: CAZIP CODE:
93023
CAPACITY: 118CENSUS: 70DATE:
10/25/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:DeeDee HeningerTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Teresa Camara conducted a required annual visit. LPA met with Executive Director (ED) DeeDee Heninger and explained the reason for the visit. The current Administrator is Christine Fenn but she was unavailable to meet with LPA.

A tour of the inside and outside of the facility was conducted with ED. The facility has all required postings. Menus and activity calendars are also posted.

Infection Control: The facility has submitted a current Infection Control Plan. The facility has a sign in and out area for visitors at entry with hand sanitizer. The facility has EPA approved disinfectant sprays and cleaners. Trash cans have tight fitting lids. The facility has a sufficient supply of PPE and can obtain more if needed.

Operational Requirements: The facility has a current plan of operation. The facility is approved for a capacity of 118 residents with 54 Ambulatory, 60 Non-Ambulatory, of which four (4) may be bedridden in the memory care building rooms 302, 306, and 307. Facility has a current Hospice wavier granted for 15. The Facility is operating in compliance with the granted fire clearance.

Physical Plant & Environment Safety: The facility has 14 buildings on the licensed property. The memory care (Gardens) building has 17 apartments with a capacity of up to 20 residents. The assisted living buildings have 66 apartments with a capacity of up to 98 residents. Each apartment has at least one bathroom in assisted living apartments and the memory care units have one half bath in each unit and two shower rooms. In addition, there are four public restrooms. All restrooms and shower rooms had grab bars, non-slip surfaces, toilet paper, soap and paper towels. LPA toured ten resident rooms in all buildings.

(continued on LIC9099-C)
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: GABLES OF OJAI, THE
FACILITY NUMBER: 565800551
VISIT DATE: 10/25/2024
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(continued from LIC9099)

The facility has a fenced pool with two locked gates. The clubhouse had a theater room, library and small kitchen. The wellness center had a small kitchen area, seating and was well lit. The dining room was clean with sufficient amount of seating and was well lit. The beauty salon was kept locked while not in use. The maintenance building was kept locked. The building which houses the generator is kept locked. Facility grounds were free of hazards.

Kitchen: The facilities main kitchen is clean, safe and sanitary. The facility has a sufficient supply of perishable and non-perishable foods.

LPA will return at a later date to finish this annual to review records and medications.

No deficiencies observed. Exit interview conducted and report issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
LIC809 (FAS) - (06/04)
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