565850221-8-8-2024-29-AS-KLOZ-D8MQBR-20240830120157

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850221
Report Date: 08/08/2024
Date Signed: 08/08/2024 10:53:56 AM

Unsubstantiated

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
03/15/2023 and conducted by Evaluator Esther Cortez

COMPLAINT CONTROL NUMBER: 29-AS-20230315122126

FACILITY NAME:	GLEN PARK AT OJAI		FACILITY NUMBER:	565850221
ADMINISTRATOR:	GARY Y LEE		FACILITY TYPE:	740
ADDRESS:	225 N LOMITA AVE		TELEPHONE:	(805) 646-2402
CITY:	OJAI	STATE: CA	ZIP CODE:	93023
CAPACITY:	48	CENSUS: 15	DATE:	08/08/2024
		UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Leticia Hernandez-Interim Executive Director		TIME COMPLETED:	10:55 AM

ALLEGATION(S):

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Staff are stealing the residents personal funds
Staff are allowing residents with prohibited health conditions to reside in the facility

INVESTIGATION FINDINGS:

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At 10:10 a.m. Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced subsequent complaint visit to deliver findings for the above allegations. The LPA met with interim Executive Director (ED) Leticia Hernandez and the reason for the visit was explained.

On 03/23/2023, during the initial 10-day visit, LPAs Cortez and Chochian toured the facility from 9:50 a.m. - 10:40 a.m. along with the ED. LPAs also conducted interviews with six (6) facility residents between 10:45 a.m.-12:15 p.m. and six (6) facility staff between 2:45 p.m.- 5:30 p.m. Moreover, during the visit, LPAs conducted a file review and obtained pertinent documentation between 1:15 p.m. – 2:40 p.m. Additional documentation was requested and obtained from ED on 03/27/2023 and 03/29/2023. On 03/29/2023 at 1:58 p.m., LPA Cortez conducted a phone interview with Staff #1 (S1). On 03/30/2023, LPAs Cortez and Dulek along with TCRC QAS Aced-Arnett and facility ED toured the facility between 11:03 a.m. – 11:30 a.m. Additional interviews were done with four (4) staff between 10:00 a.m.- 12:25 p.m. Report will continue on LIC9099-C (2ND PAGE).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024

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 3

Control Number 29-AS-20230315122126

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: GLEN PARK AT OJAI	FACILITY NUMBER: 565850221
	VISIT DATE: 08/08/2024

NARRATIVE

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File review began at 12:30 p.m. and one (1) resident interview at 1:16 p.m. During the week of 5/20/2024, LPA Cortez interviewed six (6) Tri-Counties Regional Center (TCRC) Service Coordinators (SC) via email correspondence. On 08/07/2024, LPA Cortez toured the facility with Interim Administrator Leticia at 12:43 p.m. and conducted a file review at 1:18 p.m. In addition, Interviews and file reviews conducted by LPA Cortez on 02/16/2024, 05/23/2024 and 05/24/2024 as part of a separate compliant investigation (CC# 29-AS-20230406155619) with similar allegations were incorporated and reviewed for the purpose of this investigation; this includes any relevant findings, witness statements, and documented evidence.

Staff are stealing the residents personal funds
On the allegation that Staff are stealing the residents’ personal funds it is the concern of the reporting party that staff are stealing resident’s money. No additional information was provided about the residents’ identifiers. No contact information was provided for the reporting party to obtain additional information about this allegation. To investigate the allegations resident and staff interviews and file reviews were conducted by LPA Cortez and LPA Cortez also conducted interviews with residents’ Service Coordinators from TCRC. Resident interviews conducted regarding the above allegation revealed that they have not had anything go missing or stolen from their rooms. Staff interviews conducted revealed that they were not aware of any issues or concerns of any stolen items. Interview with past administrator Gary revealed that they or staff do not touch any of the resident’s money. For residents who do not receive services through TCRC, the administrator will purchase anything necessary for them with the money provided by the facility and then the resident’s family will reimburse the administrator. Furthermore, for the residents with TCRC, they have a process in place where the resident's funds are managed by the facility’s corporate office accounting staff alongside Trust Management Services (TMS) provided by TCRC. Anytime a resident wants to purchase something the money is given to them and the resident signs receipt for the amount given. If there’s a particular item that the resident wants to make online, the administrator will assist the resident with the purchase and will save copy of the receipt. Administrator interview and file review also revealed that the administrator keeps records of all transactions and receipts and sends out to accounting for reimbursements. Interviews conducted with TCRC SC revealed that almost all the residents have a service coordinator who visits them once every three months and provide services depending on the resident. Six (6) of six (6) service coordinators interviewed revealed that residents’ funds are managed by TMS and have no concerns regarding the residents’ finances. Based on the investigation, there is insufficient evidence to support the claim that Staff are stealing the resident’s personal funds. This allegation is deemed Unsubstantiated at this time. REPORT WILL CONTINUE ON LIC9099-C (3RD PAGE).

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20230315122126

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: GLEN PARK AT OJAI	FACILITY NUMBER: 565850221
	VISIT DATE: 08/08/2024

NARRATIVE

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Staff are allowing residents with prohibited health conditions to reside in the facility.
On the allegation that Staff are allowing residents with prohibited health conditions to reside in the facility; it is the concern of the reporting party that staff are keeping residents with prohibited health conditions and hiding skin tears and prohibited health conditions. No additional information was provided by the reporting party about the resident(s) who exhibited prohibited health conditions, or how to the reporting party acquired the information. No contact information was provided for the reporting party to obtain additional information about this allegation. To investigate the allegation, the LPA conducted a tour of the facility on 08/07/2024, conducted a file review for six random selected residents and conducted interviews with staff and resident’s service coordinators from TCRC. During the tour the LPA observed all residents who were present either eating in the dining room, watching TV in the living room, or in their room and did not observe any gastrostomy tubes, naso-gastric tubes, tracheostomies, or any other type of visible prohibited health conditions. File review revealed that one (1) out of six (6) residents had a history of a stage 2 wound on their left foot in 2023 however they were being treated by home health and the wound healed. Six (6) out of six (6) staff interviewed regarding this allegation revealed that they do not have any resident with prohibited health conditions including open wounds. Interviews conducted with TCRC SC revealed that almost all the residents have a service coordinator who visits them once every three months and provide services depending on the resident. Services can range from crisis support, funding, and supplemental support among other services. Six (6) of six (6) service coordinators interviewed revealed that all ten (10) residents that they assist do not have any history of skin tears or prohibited health conditions. Based on the investigation, there is insufficient evidence to support the claim that Staff are allowing residents with prohibited health conditions to reside in the facility. This allegation is deemed Unsubstantiated at this time.

No deficiencies cited. Exit interview conducted. A copy of the report was issued to the Interim Executive Director Leticia Hernandez.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024

LIC9099 (FAS) - (06/04)

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