Glen Park at Ojai

87465 (j) In all facilities licensed for sixteen (16) persons or more, one or more employees shall be designated... needed emergency medical services and for assisting residents as needed with self-administration of medications....and staff.This requirement is not met as evidenced by Based on interview and record review, the licensee did not comply with the above cited section, as no staff scheduled during the overnight shift have medication training and staff were unaware of the facility's plan to meet residents' medical needs, which poses a potential health risk to persons in care.

Based on observation the licensee did not comply with the section cited above in one of four restrooms that hot water temperature measued at 124 degrees F which posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 2 residents that were not administered their morning medications on 10/09/25 which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in two staff who did not have annual training on file which poses a potential health, safety risk to persons in care.

HSC 1569.312(a) Basic services requirements. Basic services shall at a minimum include: (a) Care and supervision as defined in Section 1569.2.This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. Facility staff failed to properly transfer R1 which caused R1 to sustain a skin tear on their left leg. This posed an immediate health and safety risk to residents in care.

CCR 87465(a)4 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility....(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidence by: Based on record review and interviews, the licensee did not comply with the section cited above as medications are not being given to R1 and failed to provide R1’s CSDMR which posed an immediate health and safety concern to persons in care.

87211 Reporting Requirements (c) Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours as required by Welfare and Institutions Code Section 15630(b)(1). This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited as licensee waited 10 days to report this incident, which posed a potential personal rights risk to residents in care.

87224(a)The licensee may evict a resident... Thirty (30) days written notice to the resident is required ..(b) upon obtaining prior written approval from the licensing agency, evict the resident upon three (3) days written notice to quit. ...This regulation is not met as evidenced by: Based on interviews and record review, the ED did not ensure that they provided R1 and/or their responsible person with a proper eviction notice and did not get prior approval from licensing, which posed an immediate health and safety risk to resident(s) in care.

87465 Incidental Medical and Dental Care (h) The following requirements... which are centrally stored: (1) Medications shall be centrally stored...: (B) Any medication is determined by the physician to be hazardous if kept in the personal possession of the person for whom it was prescribed. This requirement was not met as evidenced by: Based on record review, R1, R2 and R3 cannot have access to medications but all had medication found in their room, which poses an immediate health and safety risk to residents in care.

87468.1(a)(1) Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff...This requirment was not met as evidence by: Based on interviews and record review, the licensee did not comply with the section cited above when staff (S1) spoke inappropiately and threw a diaper which posed a potential personal rights risk to residents in care.

87465(a)(4) Incidental Medical and Dental Care. (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply in the section cited above for four out of fifteen residents (R1, R2, R3,R6), due to missed medications, which poses an immediate health and safety risk to residents in care.

87705(k)(1) Care of Persons with Dementia. The following ...must be met for the licensee to utilize delayed egress devices ... (1) The licensee shall notify the licensing agency immediately after determining the date that the device will be installed.This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply in the section cited above, as the licensee installed delayed egress doors without notifying the department, which poses an immediate personal rights risk to residents in care.

87468.1Personal Rights of Residents in All Facilities (a)(1)To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidence by: Based on Interviews, Records obtained and S1 admission. The licensee did not comply with the above cited section as S1 admitted to yelling at residents, multiple staff witnessed S1 yell at residents. Which poses an immidiate personal rights risk to residents in care.

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia:(2) Over-the-counter medication...gardening supplies, cleaning supplies and disinfectants.This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the above cited section, as Glade Air Freshener, Windex wipes, and Oxi Clean spray were observed in resident's room with an open door, accessible to residents which poses an immediate safety risk to residents in care.

87211 (a)(1) (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section as 4 incidents which occurred between 03/02/2023 and 03/06/2023 were not reported to CCL timely, which poses a potential safety and personal rights risk to residents in care.

87468.1Personal Rights of Residents in All Facilities (a)(3)To be free from punishment, humiliation, intimidation, abuse, or other actions...interfering with daily living functions such as eating, sleeping, or elimination.This requirement is not met as evidence by: Based on Interviews, Records obtained and S1 admission. The licensee did not comply with the above cited section as S1 admitting to abusive actions towards residents including incontinence spray, and grabbing residents nose, which poses an immidiate personal rights risk to residents in care.

87633 Hospice Care of Terminally Ill Residents(h) For each terminally ill resident receiving hospice services in the facility, the licensee shall maintain the following in the resident’s record: (4) A copy of the resident’s current hospice care plano hspice agency, and the resident; or the resident's Health Care Surrogate Decision Maker if the resident is incapacitated. This requirement was not met as evidenced by: Licensee had no records regarding R1's and R2's hospice care, including no hospice care plan or hospice care provider visits, which posed a potenital risk to resident in care.

1569.269 Enumerated rights; severability(a)(2) Residents of residential care facilities for the elderly shall have all of the following rights: To be granted a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone...This requirement is not met as evidenced by Based on LPA’s observations and record review, the licensee did not comply with the section cited above as LPA observed video cameras in the common areas of the facility which poses a potential personal rights risk to persons in care.

87217 Safeguards for Resident Cash, Personal Property, and Valuables (g)(1) Records of residents' cash resources maintained as a drawing account shall include a ledger accounting...for each resident, and supporting receipts filed in chronological order. Each accounting shall be kept current.This requirement is not met as evidenced by: Based on LPA’s observations and record review, the licensee did not comply with the section cited above as the facility did not keep a ledger of the accounting for R1's cash resources which poses a potential personal rights risk to persons in care.

87465 Incidental Medical and Dental Care Services(a)(5) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on medication review, the licensee did not comply with the section cited above in 3 out of 7 resident medications which poses an immediate health risk to persons in care.

87305 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit.This requirement is not met as evidenced by: Based on LPA's observations, the licensee did not comply with the section cited above as a toilet and sink was added to a storage room and a wall added to the medication room which poses a potential safety and 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 and R2 left the facility unassisted which poses an 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 and record review, the licensee did not comply with the section cited above as razors and gardening tools were observed accessible to residents which poses an immediate health and safety 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 and record review, the licensee did not comply with the section cited above as over-the-counter medications and toxic substances were observed accessible to residents which poses an immediate health risk to persons in care.

1569.269 Enumerated rights; severability(a)(2) Residents of residential care facilities for the elderly shall have all of the following rights: To be granted a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone...This requirement is not met as evidenced by: Based on LPA’s observations and record review, the licensee did not comply with the section cited above as LPA observed video cameras in the common areas of the facility which poses a potential personal rights risk to persons in care.

87465 Incidental Medical and Dental Care Services (h)(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement is not met as evidenced by: Based on LPA’s observations and record review, the licensee did not comply with the section cited above as residents medication was not kept in a safe locked place not accessible to residents which posed an immediate health 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 and record review, the licensee did not comply with the section cited above as over-the-counter medications and toxic substances were observed accessible to residents which poses an immediate health risk to persons in care.

87307 Personal Accommodations and Services (d)(6) The following space and safety provisions shall apply to all facilities: All outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirement is not met as evidenced by: Based on LPA’s observations and record review, the licensee did not comply with the section cited above as 2 water system tanks are blocking the passageway leading to the outdoor gate which poses a potential safety and personal rights risk to person in care.

87303 Maintenance and Operation. (e)(2)Water supplies and plumbing fixtures shall be maintained as follows: Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature…This requirement is not met as evidenced by: Based on LPA's observations the licensee did not comply with the section cited above as resident bathroom #3's water temperature tested at 77.9 degrees F which poses a potential health and personal rights risk to persons in care.

87457 Pre-Admission Appraisal – General (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance..This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in 1 out of 10 resident records which poses a potential health and safety risk to persons in care.

87463 Reappraisals(c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, when there is significant change in the resident’s condition, or once every 12 months…This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in 9 out of 10 resident records which poses a potential 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 and record review, the licensee did not comply with the section cited above as scissors and gardening tools were observed accessible to residents which poses an immediate health and safety risk to persons in care.

87202 Fire Clearance (a)(2) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of...This requirement is not met as evidenced by: Based on LPA's observation and record review, the licensee did not comply with the section cited above in 1 out of 10 resident records which poses a potential health and safety risk to persons in care.