GABLES OF OJAI, THE

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: 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.

Official plan of correction

POC is cleared, photos were submitted of smoke detectors placed in the appartments and clubhouse.

Deadline recorded: May 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) 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 persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement 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.

Official plan of correction

POC Due Date: 10/17/2025 Plan of Correction ED agrees to place smoke detectors in the clubhouse and rooms 7 and 22 and submit to LPA by 10/17/25.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) 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 of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement 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.

Official plan of correction

POC Due Date: 10/30/2025 Plan of Correction ED agrees to adjust the hot water temperature in all rooms that were observed with hot water temp over 120 F and conduct a 10 day water log. And will place hot water warning signs in all the restrooms until it gets fixed. Submit proof to LPA by 10/30/25

Official classification

Type A

Official code

87705(f)

Regulation authority

CCR

What the official deficiency says

(f) Licensees that lock exterior doors or perimeter fence gates shall meet the following initial and continuing requirements: This requirement is not met as evidenced by: Deficient Practice Statement 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.

Official plan of correction

POC Due Date: 10/17/2025 Plan of Correction ED agrees to remove the lock until it is approved by the fire department and submot to LPA by 10/17/25.

Official classification

Type B

Official code

87465(i)

Regulation authority

CCR

What the official deficiency says

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.

Official plan of correction

Licensee will submit a statement of understanding that they reviewed the regulation and confirm medications awaiting destruction have been destroyed.

Deadline recorded: Aug 14, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

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.

Official plan of correction

Incident report for R1 was submitted during todays visit. Administrator agreed to submit a plan to ensure written reports will be submitted to CCL within 7 days and submit plan to LPA by 2/16/23.

Deadline recorded: Feb 16, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

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.

Official plan of correction

Staff locked all items during todays visit Administrator stated that they will provide documentation staff training regarding regulation 87705(f)(1) to CCL by 1/6/22.

Deadline recorded: Oct 16, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87555(b)(27)

Regulation authority

CCR

What the official deficiency says

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.

Official plan of correction

The Administrator agreed to do the following: 1. Submit a written plan of action, detailing how the facility will maintain compliance with the regulation. Indicate the steps the facility is taking to manage the pest concern on a daily basis and submit to CCL by 10/10/23.

Deadline recorded: Oct 10, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

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.

Official plan of correction

During today's visit, items identified were disposed of. Administrator agreed to a full audit of all food items, including dry storage, refrigeration and freezer units to ensure all items are properly labeled, stored and within appropriate expiration date range and will provide proof to CCLD by POC due date.

Deadline recorded: Oct 16, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.626(a)(1)

Regulation authority

HSC

What the official deficiency says

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.

Official plan of correction

The Administrator agreed to do the following: 1. Audit staff files in the memory care unit. Identify who needs to complete/finish training for 2023. Submit a letter, indicating the schedule in which training hours will be completed for staff no later than 8/4/2023

Deadline recorded: Aug 4, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87819(d)(1)

Regulation authority

CCR

What the official deficiency says

(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1568.09 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or... This requirement is not met as evidenced by: Deficient Practice Statement 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.

Official plan of correction

POC Due Date: 10/20/2022 Plan of Correction Administrator agrees that staff member will not work at this facility without receiving a criminal background/fingerprint clearance and will be taken off the schedule until then. Administrator will send a copy of the old schedule and new schedule to CCL by 10/20/2022.

Official classification

Type A

Official code

87819(d)(2)

Regulation authority

CCR

What the official deficiency says

(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1568.09 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87819(a)(2) or... This requirement is not met as evidenced by: Deficient Practice Statement 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.

Official plan of correction

POC Due Date: 10/19/2022 Plan of Correction Administrator immediately associated staff. POC cleared durring the visit.

Official classification

Type B

Official code

1569.269(9)

Regulation authority

HSC

What the official deficiency says

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.

Official plan of correction

Staff stated that they will provide documentation of staff training regarding regulation 1569.269(9) to CCL by 3/18/22.

Deadline recorded: Mar 18, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)(c)

Regulation authority

CCR

What the official deficiency says

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.

Official plan of correction

Administrator stated that R1 was placed on frequent checks and they have started staff retraining regarding elopement protocols. Administrator stated that they will conduct a reappraisal for R1 and will provide a copy of reappraisal and staff training to CCL by 2/7/22.

Deadline recorded: Jan 27, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87207

Regulation authority

CCR

What the official deficiency says

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.

Official plan of correction

Administrator stated that they will provide documentation of training regarding false claims to CCL by 10/29/21.

Deadline recorded: Oct 29, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)(c)

Regulation authority

CCR

What the official deficiency says

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.

Official plan of correction

Administrator stated that R1 will be placed with a 1:1 caregiver starting immediately. Administrator stated that they will provide documentation of staff training regarding safety and elopement protocols to CCL by 9/20/21.

Deadline recorded: Sep 10, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

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.

Official plan of correction

Staff locked cabinet containing the lysol wipes, bleach, disinfectant cleaner, laundry detergent, fabric softener, oxi clean stain remover, lime-a-away cleaner, toilet bowl cleaner, and furniture polish. Administrator stated that they will provide documentation of scheduled staff training regarding regulation 87705(f)(2) by 9/10/21.

Deadline recorded: Sep 10, 2021. A deadline is not proof that correction was completed.