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Inspection visit

Routine inspection (multi-day)

MANOR OF OJAI, THELicense 5658011146 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Annual Continuation Visit to the facility to continue the annual inspection visit initiated on 06/02/2023. The LPA met with Administrator Halina Garbacz and informed them of the reason for the visit. Today the LPA conducted a file review, and one staff interview. Record Review: At 09:50 a.m. a review of facility files was initiated. The LPA observed documentation of infection control, staff and resident roster, and Insurance liability. The LPA reviewed five (5) of eleven (11) Resident Files. The following was noted: 1/5 Admission Agreements were not signed by resident and/or responsible party, 3/5 Appraisal/Needs and Service plan LIC625 were missing, 1/5 needed TB result on file, and 4/5 personal rights LIC613 were missing or not signed. The LPA reviewed five (5) out of eight (8) staff files. The following was noted: 3/5 Criminal records statements LIC 508 were missing, 4/5 Health screenings were missing, 2/5 TB results were missing, and 5/5 were missing 40 hours of required training. I nterviews: During the visit the LPA conducted one (1) staff interview, no immediate concerns were voiced. Due to time constraints, the LPA will return at a later date to complete the inspection. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report and appeal rights provided to the Administrator.

Citations

6 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87411(f)Type B

    Based on record review, the licensee did not comply with the section cited aboveas for four staff (S1, S3, S4, S5) need a health screening and two staff (S1,S5) need TB results, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(f)Type B

    Based on record review, the licensee did not comply with the section cited above as three staff (S3, S4, S5) did not have a criminal record statement LIC508 on file which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(b)(1)Type B

    Based on record review, the licensee did not comply with the section cited above as one resident (R2) does not have TB results on file iwhich poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(a)Type B

    Based on record review, the licensee did not comply with the section cited above as three out of five residents (R2, R4, R5) were missing appraisal/needs and services plans which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87507(c)Type B

    Based on record review, the licensee did not comply with the section cited above as one out five residents admission agreement was not signed by resident and/or residents responsible party which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.625(b)(1)Type B

    Based on record review, the licensee did not comply with the section cited above as five out of five staff were missing 40 hours of training in the required topics wich poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 28, 2023 inspection of MANOR OF OJAI, THE?

This was a other inspection of MANOR OF OJAI, THE on December 28, 2023. 6 citations were issued: 6 Type B.

Were any citations issued to MANOR OF OJAI, THE on December 28, 2023?

Yes, 6 citations were issued (0 Type A, 6 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited aboveas for four staff (S1, S3, S4, S5) need ..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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