Inspection Reports for
The Gables of Ojai
701 N. MONTGOMERY ST., OJAI, CA, 93023
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
3.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
56% occupied
Based on a October 2025 inspection.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 66
Capacity: 118
Deficiencies: 3
Date: Oct 16, 2025
Visit Reason
The inspection was an unannounced required annual visit to evaluate compliance with licensing regulations and ensure health and safety standards at the facility.
Findings
The facility was found to have missing smoke detectors in the clubhouse and two resident apartments, hot water temperatures exceeding regulatory limits in multiple bathrooms, and a locked gate on the Memory Care unit that was not approved. Several Type A deficiencies were cited posing immediate health and safety risks.
Deficiencies (3)
CCR 87202(a) Fire Clearance: The licensee did not comply with fire clearance requirements due to missing smoke detectors in the clubhouse and two resident apartments.
CCR 87303(e)(2) Maintenance and Operation: Hot water temperature exceeded the maximum allowed 120°F in 8 out of 13 resident bathrooms.
CCR 87705(f) Locked Exterior Doors or Gates: The Memory Care unit gate was locked with a combination lock without fire department approval.
Report Facts
Resident census: 66
Total licensed capacity: 118
Resident bedrooms: 89
Resident bathrooms observed: 13
Resident interviews conducted: 4
Hot water temperatures exceeding limit: 8
Inspection Report
Complaint Investigation
Census: 64
Capacity: 118
Deficiencies: 0
Date: Feb 7, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations regarding staff activities, interference with residents' religious beliefs, and interference with residents' visitations.
Complaint Details
The complaint investigation addressed three allegations: lack of planned activities for residents, staff interference with a resident's religious beliefs, and staff interference with residents' visitations. All allegations were deemed unsubstantiated based on interviews and records reviewed.
Findings
All allegations were investigated through interviews and document reviews and were found to be unsubstantiated. The facility was found to have planned activities for residents, accommodate religious needs, and maintain an open visitation policy with safety measures.
Report Facts
Capacity: 118
Census: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Teresa Camara | Licensing Program Analyst | Conducted the complaint investigation visit |
| DeeDee Heninger | Executive Director | Met with Licensing Program Analyst during investigation |
| Christine Fenn | Administrator | Facility administrator named in report header |
Inspection Report
Annual Inspection
Census: 70
Capacity: 118
Deficiencies: 0
Date: Oct 25, 2024
Visit Reason
Licensing Program Analyst Teresa Camara conducted a required annual unannounced visit to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be in compliance with all operational, infection control, physical plant, and safety requirements. No deficiencies were observed during the inspection.
Inspection Report
Complaint Investigation
Census: 65
Capacity: 118
Deficiencies: 1
Date: Aug 7, 2024
Visit Reason
The visit was an unannounced complaint investigation regarding allegations that staff do not ensure medication disposal procedures are followed and that the facility is maintained in good repair.
Complaint Details
The complaint investigation was substantiated for medication disposal procedures and unsubstantiated for facility maintenance. The medication disposal allegation was confirmed based on review of medication records and storage. The facility maintenance allegation was found unsubstantiated after inspection of the kitchen and sinks.
Findings
The allegation regarding medication disposal procedures was substantiated as medications signed off as destroyed were still stored in the medication room. The allegation regarding facility maintenance was unsubstantiated as the kitchen was clean and sinks drained properly despite a temporarily malfunctioning disposal.
Deficiencies (1)
CCR 87465(i) Prescription medications not taken with the resident upon termination were signed as destroyed but still stored in the medication room, posing a potential health and safety risk.
Report Facts
Capacity: 118
Census: 65
Plan of Correction Due Date: Aug 14, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Teresa Camara | Licensing Evaluator | Conducted complaint investigation and cited deficiency |
| Trevor Byrne | Licensing Program Analyst | Assisted in complaint investigation |
| DeeDee Heninger | Assisted Living Director | Met with investigators during complaint visit |
| Matteo DiGrigoli | Administrator | Named in medication disposal deficiency |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 118
Deficiencies: 0
Date: May 3, 2024
Visit Reason
The visit was conducted to investigate a complaint alleging that facility staff were retaining a resident requiring a higher level of care.
Complaint Details
The complaint alleged that facility staff were retaining a resident requiring a higher level of care due to aggressive behavior, refusal to take medication, and walking off property. The allegation was found unsubstantiated based on interviews and document review.
Findings
The investigation found that Resident #1 has a 24-hour private caregiver not affiliated with the facility. The facility took steps to assist the resident, communicated with the resident's physician and responsible party, and the allegation was deemed unsubstantiated.
Report Facts
Capacity: 118
Census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matteo Digrigoli | Administrator | Met during investigation and provided information regarding the resident's care |
| Esther Cortez | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Follow-Up
Census: 76
Capacity: 118
Deficiencies: 0
Date: May 3, 2024
Visit Reason
The inspection was conducted as an unannounced Case Management – Incident visit to follow up on a self-reported death report received on 2024-05-01 related to a resident involved in a fatal motorized scooter collision.
Findings
The visit included interviews, file reviews, and document collection. The resident was found to be independent with no observed change in condition prior to the incident. No citations were issued during the visit.
Inspection Report
Complaint Investigation
Census: 82
Capacity: 118
Deficiencies: 1
Date: Feb 8, 2024
Visit Reason
The visit was a Case Management-deficiencies visit conducted to address deficiencies noted during a complaint investigation related to incident reporting at the facility.
Complaint Details
The visit was triggered by a complaint investigation (Complaint Control #29-AS-20240201103428). The deficiency related to failure to submit Unusual/Serious Incident Reports (SIR) for a resident's fractured rib and other incidents was substantiated.
Findings
The facility failed to submit required incident reports within seven days as mandated by Title 22 of the California Code of Regulations, posing a potential health and safety risk to residents. A deficiency was cited for failure to comply with reporting requirements.
Deficiencies (1)
CCR 87211(a)(1) Reporting Requirements. The facility did not submit written incident reports to the licensing agency within seven days of the occurrence, posing a potential health and safety risk to residents.
Report Facts
Census: 82
Total Capacity: 118
Plan of Correction Due Date: Feb 16, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matteo Digrigoli | Administrator | Met with Licensing Program Analyst during the visit and agreed to submit a plan of correction |
| Esther Cortez | Licensing Program Analyst | Conducted the Case Management-deficiencies visit and cited deficiencies |
| Kasandra Lopez | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 82
Capacity: 118
Deficiencies: 0
Date: Oct 18, 2023
Visit Reason
The inspection was a required 1-year annual unannounced visit to evaluate the facility's compliance with licensing and operational requirements.
Findings
The facility was found to be in compliance with infection control, operational requirements, physical plant and environment safety, staffing, personnel records and training, resident records, resident rights, planned activities, food service, incidental medical and dental care, disaster preparedness, and care for residents with special health needs. No deficiencies or violations were noted in the report.
Report Facts
Facility Capacity: 118
Resident Census: 82
Staff Count: 41
Hospice Waiver Capacity: 15
Food Storage Duration: 2
Food Storage Duration: 7
Fire Extinguisher Last Inspection Date: Jun 5, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matteo Digrigoli | Administrator | Met with Licensing Program Analyst during inspection and responsible for facility operations |
| Rachael De Leon | Licensing Evaluator | Conducted the annual inspection visit |
| Kelly Burley | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 118
Deficiencies: 1
Date: Oct 9, 2023
Visit Reason
The visit was an unannounced Case Management - Deficiencies inspection conducted in conjunction with an initial complaint investigation to issue citations for deficiencies observed that were not related to the complaint.
Complaint Details
The visit was conducted in conjunction with an initial complaint visit (Complaint Control#29-AS-20231002090407). The deficiencies cited were not related to the complaint itself.
Findings
The inspection found that cleaning supplies, bottles of merlot, a hammer, and other tools were accessible to residents in the memory care unit, posing an immediate safety risk. These items were stored in unlocked cabinets accessible to residents with dementia.
Deficiencies (1)
CCR 87705(f)(1) requires that knives, matches, firearms, tools, and other dangerous items be stored inaccessible to residents with dementia. The facility failed to comply as cleaning supplies, bottles of merlot, a hammer, and other tools were accessible to residents, posing an immediate safety risk.
Report Facts
Census: 79
Total Capacity: 118
Deficiency Type Count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matteo Digrigoli | Administrator | Facility administrator present during the visit |
| Esther Cortez | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Christine Fenn | Marketing Director | Accompanied the Licensing Program Analyst during the facility tour |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 118
Deficiencies: 2
Date: Oct 9, 2023
Visit Reason
The visit was an unannounced initial 10-Day complaint investigation triggered by multiple allegations including vermin presence, improper food storage, inadequate food service, unclean carpets, and odors at the facility.
Complaint Details
The complaint investigation was substantiated for vermin presence and improper food storage. Allegations about inadequate food service, carpet cleanliness, and odors were unsubstantiated based on interviews, observations, and document review.
Findings
The investigation substantiated allegations that staff did not keep the facility free from vermin and did not properly store food, citing rodent droppings and improperly stored food items. Allegations regarding inadequate food service, unclean carpets, and odors were deemed unsubstantiated based on observations and interviews.
Deficiencies (2)
CCR 87555(b)(27) General Food Service Requirements. All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. Rodent droppings were observed in the kitchen and staff admitted to a rodent issue posing an immediate health risk.
CCR 87555(b)(8) General Food Service Requirements. Food shall be of good quality and not stored in damaged containers. Numerous food items were stored without start labels, exposed to freezer burn, and improperly stored posing a potential health risk.
Report Facts
Facility Capacity: 118
Resident Census: 79
Staff interviewed: 8
Residents interviewed: 5
Resident private caregiver interviewed: 1
Plan of Correction Due Dates: Type A deficiency due 10/10/2023; Type B deficiency due 10/16/2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matteo Digrigoli | Administrator | Named in relation to findings and exit interview |
| Esther Cortez | Licensing Program Analyst | Conducted the complaint investigation |
| Christine Fenn | Marketing Director | Interviewed and assisted during facility tour |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 118
Deficiencies: 1
Date: Jul 31, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 03/13/2023 regarding untrained staff and other care concerns at the memory care unit of the facility.
Complaint Details
The complaint investigation was substantiated for untrained staff failing to meet dementia care training requirements. Other allegations including failure to assess resident medical needs, failure to administer medication as prescribed, resident elopement, failure to provide records, and failure to return phone calls were unsubstantiated.
Findings
The investigation substantiated that four out of five staff failed to meet the required dementia care training hours. Other allegations including failure to assess resident medical needs, failure to administer medication as prescribed, resident elopement due to lack of supervision, failure to provide records to authorized representatives, and failure to return phone calls were found unsubstantiated based on staff interviews, record reviews, and medication audits.
Deficiencies (1)
HSC 1569.626(a)(1) Training requirements for direct care staff were not met as four out of five staff failed to have the required dementia care training hours.
Report Facts
Staff training audit: 5
Staff training noncompliance: 4
Medication audit: 5
Facility capacity: 118
Resident census: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Smith | Licensing Program Analyst | Conducted the complaint investigation and audit |
| Matteo Digrigoli | Executive Director | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 118
Deficiencies: 0
Date: Jul 26, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2023-03-13 regarding resident care, staffing, and facility cleanliness at The Gables of Ojai.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to meet resident incontinent and hygiene needs, resident isolation, insufficient staffing, malodorous rooms, failure to keep resident rooms clean, and the facility being unclean and unkempt. Interviews, observations, and record reviews did not support these claims.
Findings
The investigation found insufficient evidence to substantiate any of the allegations including failure to meet resident incontinent and hygiene needs, resident isolation, insufficient staffing, malodorous rooms, unclean resident rooms, and overall facility cleanliness. All allegations were deemed unsubstantiated.
Report Facts
Capacity: 118
Census: 80
Rooms toured: 13
Residents interviewed: 10
Staff interviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Smith | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Matteo Digrigoli | Executive Director | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 118
Deficiencies: 0
Date: Oct 19, 2022
Visit Reason
The visit was conducted as a complaint investigation following an allegation that a resident's phone did not function the same as other residents' phones in the facility.
Complaint Details
The complaint alleged that Resident 1's phone did not have the same features as other residents' phones. The allegation was investigated and found unsubstantiated.
Findings
The investigation found that the resident's phone was on a separate line and could not be easily added to the main phone system, but the facility provided a workaround with preprogrammed speed dial numbers. No regulation was violated and the allegation was deemed unsubstantiated.
Report Facts
Capacity: 118
Census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeannette Olson | Licensing Evaluator | Conducted the complaint investigation |
| Matteo Digrigoli | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Annual Inspection
Census: 77
Capacity: 118
Deficiencies: 2
Date: Oct 19, 2022
Visit Reason
An unannounced infection control annual inspection was conducted to evaluate compliance with infection control policies and procedures.
Findings
The facility implemented and followed all infection control protocols, including screening, PPE use, isolation procedures, and staff training. However, deficiencies were cited related to staff criminal background and fingerprint clearance requirements.
Deficiencies (2)
CCR 87819(d)(1): One facility staff did not receive a fingerprint clearance prior to working in the facility, posing an immediate health and safety risk to residents.
CCR 87819(d)(2): One facility staff was not associated to work in the facility prior to working, posing an immediate health and safety risk to residents.
Report Facts
PPE supply duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matteo Digrigoli | Administrator | Met with Licensing Program Analyst and responsible for infection control and plan of correction. |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 118
Deficiencies: 0
Date: Jun 9, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility staff did not assist a resident with medication as prescribed.
Complaint Details
The complaint alleged that facility staff did not assist a resident with medication as prescribed. After review of records and interviews, the allegation was deemed unsubstantiated.
Findings
The investigation found that the allegation was unsubstantiated. The resident's family member, who was trained and designated as Power of Attorney, administered medications as prescribed and facility staff documented medication administration appropriately.
Report Facts
Capacity: 118
Census: 79
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Dulek | Licensing Program Analyst | Conducted the complaint investigation |
| Matteo DiGrigoli | Executive Director | Met with Licensing Program Analyst during investigation |
| Deedee Quolas | Assisted Living Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Capacity: 118
Deficiencies: 1
Date: Mar 10, 2022
Visit Reason
This was an unannounced complaint investigation visit triggered by a complaint alleging that staff did not notify resident #1's authorized representative of medical appointments.
Complaint Details
The complaint alleging failure to notify resident #1's authorized representative of medical appointments was substantiated based on interviews and record review.
Findings
The investigation substantiated that staff failed to notify resident #1's authorized representative of all medical appointments, posing a potential personal rights risk to persons in care.
Deficiencies (1)
HSC 1569.269(9) Enumerated rights; severability. The licensee did not notify resident #1’s authorized representative of all medical appointments, violating the resident's right to participate in care planning.
Report Facts
Total Capacity: 118
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joann Rosales | Licensing Program Analyst | Conducted the complaint investigation |
| Ashley Phelps | Staff member met during investigation authorized to review and sign reports | |
| Eric Terrill | Administrator | Facility administrator notified of findings |
| Kristin Heffernan | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 118
Deficiencies: 0
Date: Mar 3, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff left residents unattended while in care.
Complaint Details
The complaint alleged that staff left residents unattended while in care. The investigation was unsubstantiated based on interviews and staff schedule reviews.
Findings
The investigation found no evidence that residents were left alone in the Gardens (memory care unit) during the night. Interviews and staff records confirmed staff were scheduled to work throughout the night. The allegation was deemed unsubstantiated.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joann Rosales | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Eric Terrill | Facility administrator met during the investigation. |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 118
Deficiencies: 1
Date: Jan 27, 2022
Visit Reason
The visit was conducted as a Case Management investigation of an incident involving the elopement of resident #1 on 2022-01-23.
Complaint Details
The investigation was triggered by a complaint regarding the elopement incident of resident #1 on 2022-01-23. The incident was substantiated as staff failed to supervise the resident.
Findings
The facility failed to supervise resident #1 who left the facility unassisted and was missing for approximately 3 hours. The resident was found unharmed at a nearby home, and the facility was cited for noncompliance with care and supervision regulations.
Deficiencies (1)
CCR 87464(f)(1)(c) Care and supervision means the facility assumes responsibility for ongoing assistance with activities of daily living. The licensee did not comply as resident #1 left the facility unassisted, posing an immediate health and safety risk.
Report Facts
Census: 70
Total Capacity: 118
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric Terrill | Administrator | Met with Licensing Program Analyst during investigation and involved in incident response. |
| Joann Rosales | Licensing Program Analyst | Conducted the case management visit and investigation. |
| Kristin Heffernan | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 118
Deficiencies: 1
Date: Oct 19, 2021
Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation that staff lied to a resident's authorized representative regarding services provided by the facility.
Complaint Details
The complaint was substantiated. The allegation was that staff lied to a resident's authorized representative regarding services provided by the facility. The Administrator admitted to making a false claim about mandated 1:1 caregiving services.
Findings
The investigation substantiated that the Administrator made a false claim to resident #1's authorized representative about Community Care Licensing mandating 1:1 caregiving services. The Administrator admitted the statement was incorrect and posed a potential personal rights risk to persons in care.
Deficiencies (1)
CCR 87207 False Claims No licensee, officer or employee shall make or disseminate any false or misleading statement regarding the facility or services. The Administrator made a false claim to resident #1's authorized representative posing a potential personal rights risk.
Report Facts
Capacity: 118
Census: 73
Plan of Correction Due Date: Oct 29, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric Terrill | Administrator | Named in false claim finding and interview |
| Joann Rosales | Licensing Program Analyst | Conducted complaint investigation |
Inspection Report
Annual Inspection
Census: 73
Capacity: 118
Deficiencies: 0
Date: Oct 7, 2021
Visit Reason
The inspection was an unannounced required annual visit to evaluate compliance with Title 22 Regulations and ensure health and safety standards.
Findings
The facility was found to be in compliance with regulations, with clean and well-maintained resident bedrooms, restrooms, and common areas. Infection control practices were adequate, and no citations were issued during the visit.
Inspection Report
Complaint Investigation
Census: 68
Capacity: 118
Deficiencies: 2
Date: Sep 9, 2021
Visit Reason
The visit was a Case Management investigation of an incident where resident #1 eloped from the facility on 08/26/2021.
Complaint Details
The investigation was triggered by a complaint regarding resident #1 eloping from the facility on 08/26/2021. The complaint was substantiated as staff failed to supervise the resident properly.
Findings
The licensee failed to supervise resident #1 who left the facility unassisted, posing an immediate health and safety risk. Additionally, cleaning supplies and disinfectants were found accessible to residents with dementia, which is a violation of safety regulations.
Deficiencies (2)
CCR 87464(f)(1)(c) Care and supervision requirement was not met as resident #1 left the facility unassisted, posing an immediate health and safety risk.
CCR 87705(f)(2) Cleaning supplies and disinfectants were accessible to residents with dementia, posing an immediate health and safety risk.
Report Facts
Plan of Correction Due Date: Sep 10, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric Terrill | Administrator | Met with Licensing Program Analyst during investigation and provided information about resident #1's care plan. |
| Ashley Phelps | Staff member interviewed regarding incident report of resident #1 eloping. |
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