The Gables of Ojai

Based on observation and record review, the licensee did not comply with the section cited above in th MC gate that was observed locked with a combination lock which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation the licensee did not comply with the section cited above in the clubhouse and two resident apartments that were misisng smoke detectors which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation the licensee did not comply with the section cited above in 8 out of 13 bathrooms that were over the required hot water temperature which poses an immediate health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care(i) Prescription medications which are not taken with the resident upon termination of services...or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult wo is not a resident. Both shall sign a record, to be retained for at least three years. Based on record review, the licensee did not comply with the section cited above as there were medications signed off as destroyed but still stored in the med room, which posed a potential health and safety risk to residents in care.

87211 (a)(1) Reporting Requirements. A written report shall be submitted to the licensing agency and to person responsible within seven days of the occurrence of any of the events specified in (A) through (D) below...This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above when the facility did not submit incident reports within 7 days, which posed a potential health and safety risk to residents in care.

87555 General Food Service Requirements (b) The following food service requirements shall apply: (8) All food shall be of good quality...Food in damaged containers shall not be accepted, used or retained. Based on observation, numerous food items were observed in the kitchen refrigerator and freezer to be stored with no start label, meats were observed exposed to freezer burn and food not stored properly which poses a potential health risk to residents in care.

87555(b)(27) General Food Service Requirements. All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects.This requirement is not met as evidenced by Based on interviews and observations, the licensee did not comply with the section cited above, as there were rodent droppings observed in the kitchen and staff admitted that the facility has an issue with rodents in the kitchen, which poses and immediate health and safety risk to persons in care.

87705 Care of Persons with Dementia(f)(1) The following shall be stored inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).This requirement is not met as evidenced by Based on LPA's observations, the licensee did not comply with the section cited above as cleaning supplies, bottles of merlot,hammer and other tools were observed accessible to residents which posed an immediate safety risk to persons in care.

1569.626(a)(1) Training requirements for direct care staff. Twelve hours of dementia care training ... All 12 hours shall be devoted to the care of persons with dementia.This requirement is not met as evidenced by: Based on file audit, the licensee did not comply with the section cited above in 4 out of 5 staff (S1, S2, S3, S4), which poses a potential health and safety risk to residents in care.

Based on record review and interview, the licensee did not comply with the section cited above as one facility staff did not receive a fingerprint clearance prior to working in the facility which poses an immediate health and safety risk to residents in care.

Based on record review and interview, the licensee did not comply with the section cited above as one facility staff was not associated to work in the facility prior to working in the facility which poses an immediate health and safety risk to residents in care.

1569.269 Enumerated rights; severability (9) To fully participate in planning their care, including the right to attend and participate in meetings or communications regarding the care and services to be provided in accordance with... and to involve persons of their choice in the planning process...This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as the licensee did not notify R1’s authorized representative of all R1’s medical appointments which posed a potential personal rights risk to persons in care.

87464 Basic services (f)(1)(c) "Care and supervision" means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as R1 left the facility unassisted which poses an immediate health and safety risk to persons in care.

87207 False Claims No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility.This requirement is not met as evidenced by: Based on interviews, the Administrator made a false claim to R1’s authorized representative which poses a potential personal rights risk to persons in care.

87705 Care of Persons with Dementia (f)(2) The following shall be stored inaccessible to residents with dementia: Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.This requirement is not met as evidenced by: Based on LPA's observations, the licensee did not comply with the section cited above as cleaning supplies and disinfectants were accessible to residents which poses an immediate health and safety risk to persons in care.

87464 Basic services (f)(1)(c) "Care and supervision" means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as R1 left the facility unassisted which poses an immediate health and safety risk to persons in care.