Mountain Vista of Ojai

Type of visit: Required - 1 Year

At 10:00 a.m. Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. The LPA was greeted by Assistant Administrator Theresa Burdick and Administrator Nickie Perez and informed them of the reason for the visit. Record Review: A review of facility files was initiated. Facility records are stored in a locked office. The LPA observed documentation of Infection Control, Disaster prevention and last disaster drill (conducted on 11/12/2025). The LPA obtained Client Roster, Staff Roster, and Insurance Liability. The LPA reviewed five (5) of twenty-seven (27) resident files. Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All resident records were in order. The LPA reviewed five (5) of twenty-two (22) staff files. Personnel records and Administrator’s file were reviewed for, but not limited to personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All staff records were complete and current. Medications: A medication review was conducted for three out of five residents and the following was observed. The medications were stored in a medication room and med carts which are locked and inaccessible to the residents. Medications are properly documented on the Centrally Stored Medication and Destruction Record (CSMDR). Interviews: The LPA conducted three (3) resident and three (3) staff interviews. No concerns were voiced. Report will continue on LIC809-C, 2nd page. The LPA conducted a tour of the physical plant with Administrator Nickie Perez to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a residence that consists of two (2) buildings, with ten (10) resident rooms in each building. Building #2 is two stories and the second story is designated solely for staff. The LPA observed fire extinguishers throughout the facility, which were fully charged and last serviced 01/09/2026. All smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed all required postings throughout the facility. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. Kitchen: During the facility tour, the kitchen appeared clean and the appliances and fixtures functional. The LPA observed a sufficient amount of perishable and non-perishable food at the facility. Food is prepared based on the menu. Snacks and beverages are available for residents. The LPA observed one of two kitchen refrigerators with the temperature of 49*F, upon observation the Administrator stated that the attached thermometer was not working properly and placed a second thermometer inside the fridge, however that thermometer was also showing temperature above 40*F. Bedrooms: During today’s visit, the LPA observed five (5) randomly selected resident units. The resident bedrooms were properly furnished with at least one chair, nightstand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Bathrooms: The LPA observed all bathrooms, properly supplied and had functional fixtures. The LPA observed grab bars and non-skid mats in all bathrooms. Water temperature measured in the restrooms in both buildings ranged between 110.7 degrees Fahrenheit and 117.5 degrees Fahrenheit. Common Areas: These included the dining areas and living areas. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. There were no obstructions and/or tripping hazards throughout the facility. Cleaning supplies and toxins were observed locked and inaccessible. Surrounding Grounds (Outdoors)/Garage: The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. The garage is detached and locked at all times. No bodies of water were observed. 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.the state’s words, verbatim · CDSS document, Jan 12, 2026

Allegation investigated: Facility staff did not provide resident medication as prescribed. Facility staff handles residents in a rough manner. Facility staff do not ensure resident's hygiene needs are being met. Facility staff are not assisting with soiled diapering in a timely manner. Facility staff are not communicating with the residents’ hospice agency/representative.

Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint investigation visit regarding the above allegations. LPA met with Administrator Nickie Perez and back-up Administrator Teresa Burdick and explained the reason for the visit. On 5/21/2025, LPA Erica Mosley conducted the initial complaint investigation visit. LPA Mosley conducted interviews with the licensee, administrator, staff, and witness, as well as collected pertinent documents. On 7/11/2025, LPA Camara attempted interviews with four witnesses via telephone. Two witnesses stated they had no information regarding these allegations. Messages were left for two other witnesses; however, they did not respond. During today’s visit 7/14/2025, starting at 9:50 a.m. LPA conducted interviews with the administrators and three witnesses. LPA conducted a review of medications for Resident 1 (R1) at 12:38 p.m. (continued on LIC9099C) Unsubstantiated (continued from LIC9099) Regarding the allegation “Facility staff did not provide resident medication as prescribed”: LPA reviewed medication records; it appeared medications were given to R1 as prescribed. The complaint alleged PRN medications were not given. LPA observed PRN medication was given as requested by hospice nurses. Staff stated on or about 5/15/2025, R1 was unable to self administer medications due to being so sedated from prior doses. The hospice nurse wanted R1 to receive another dose of a sedating medication but R1 was already too sedated and could not self administer. The hospice nurse somehow administered the new medication order. Based on interviews and records reviewed this allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Facility staff handles residents in a rough manner”: LPAs interviewed staff and witnesses regarding this allegation. There were no witnesses to any residents being handled in a rough manner. Based on interviews this allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegations “Facility staff do not ensure resident's hygiene needs are being met” and “Facility staff are not assisting with soiled diapering in a timely manner:” LPAs interviewed staff and witnesses regarding these allegations. Bathing is provided on a schedule or more often as needed. Residents on hospice are bathed by hospice personnel on a schedule and hygiene is provided as needed by facility staff. Residents’ incontinence care needs are checked every one to two hours or more often as needed. Witnesses who were interviewed stated they did not have any concerns about hygiene and incontinence care provided by the facility staff. Based on interviews these allegations are deemed UNSUBSTANTIATED at this time. Regarding the allegation “Facility staff are not communicating with the residents’ hospice agency representative”: LPA’s interviewed staff and witnesses and reviewed documents. Based on documentation received by CCL, whenever there is a reportable incident involving residents at the facility who are on hospice, the hospice agency is also notified. Based on interviews with staff and witnesses, the facility communicates with hospice and family members when a resident on hospice has any issues that must be addressed. Based on interviews and records reviewed, this allegation is deemed UNSUBSTANTIATED at this time. No citations issued. Exit interview conducted and report issued.the state’s words, verbatim · CDSS document, Jul 14, 2025 · control 29-AS-20250520150238

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Teresa Camara conducted a required annual inspection. LPA met with administrator Nickie Perez and explained the reason for the visit. At 2:00 p.m., LPA along with the administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: LPA inspected the main kitchen/food service area in building two. Kitchen appliances were clean and appeared in operable condition. The facility has a sufficient supply of perishable and non-perishable food and water. Refrigerator and dry food pantry were checked for proper labels and expiration dates and food labels had expiration dates clearly marked. Knives and sharps were observed locked and inaccessible in the kitchen; the kitchen door remains locked. LPA inspected the locked kitchen in building one where drinks and snacks are kept. The kitchen was clean and appliances appeared functional. COMMON AREAS: The gathering rooms and dining rooms had appropriate furnishings that were in good condition. The facility maintained a comfortable temperature. At 2:45 p.m. the smoke detectors and carbon monoxide detectors were tested and operational at the time of the visit. The fire extinguishers were observed to be in compliance and last charged on 4/4/2024. LPA observed required postings throughout the common space. There is a working telephone on premises. Auditory alarms, call buttons and pendants were functioning at the time of the visit. LPA observed cameras in common areas. (Continued on LIC 809C) Continued from LIC809 GARAGE: The garage is locked and detached. Most of the facilities food supplies, PPE, and personal care supplies are stored in the garage. LAUNDRY ROOM: There is a washer and dryer in each building in a locked room. The staff assist residents with all laundry needs. Detergents and cleaning supplies were locked in a cabinet inaccessible to residents in care. COURTYARD: The yard has a covered outdoor area with furniture for residents use. Emergency exits and passageways were observed free of obstruction. The facility has one (1) side gate that is delayed egress. The gate opened automatically when the fire system was tested as designed. No bodies of water noted at the time of the visit. BEDROOMS: LPA inspected 10 resident bedrooms. All were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: LPA inspected restrooms and shower rooms. All were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper products. LPA will return at a later date to review records and medications. No deficiencies cited at this time. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Feb 21, 2025

Allegation investigated: Staff failed to treat resident with dignity and respect Staff not providing adequate food service Facility not providing a comfortable temperature for resident Staff left resident in soiled diaper for extended period of time Staff do not offer resident opportunity to exercise Staff failed to provide proper hygiene to resident Staff failed to elevate resident's feet

Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint visit at the facility. LPA met with administrator Nickie Perez and explained the reason for the visit. During LPA's visit on 1/12/2023, LPA interviewed staff and other witnesses, conducted a facility tour, inspected the food supply, observed residents eating lunch, reviewed surveillance video of incidents involving resident #1 (R1), obtained pertinent documents, and met with R1's family, Adult Protective Services Social Worker, and Ventura County Sheriff's Department deputies. On 7/29/2024, LPA conducted interviews with visitors, resident, and observed residents eating lunch. Based on interviews with witnesses and residents, staff treat all residents with respect and kindness. There were no concerns voiced regarding how staff treat the residents, therefore the allegation staff failed to treat resident with dignity and respect is deemed Unsubstantiated at this time. (continued on LIC9099-C) Unsubstantiated (continued from LIC9099) Based on interviews with witnesses and residents, the food at the facility is good and the serving sizes are large. The facility cook will ask "picky eaters" what they like to eat to try and accommodate them. LPA observed the food supply was abundant, with more than enough perishable and nonperishable foods. Therefore, the allegation staff was not providing adequate food service is deemed Unsubstantiated at this time. Based on interviews with witnesses and residents as well as LPA's observations, the facility is kept at a comfortable temperature. Some residents may feel cold even if the facility temperature is at 78*F. They keep sweaters/jackets and blankets in case a resident feels chilly. Therefore, the allegation the facility is not providing a comfortable temperature for residents is deemed Unsubstantiated at this time. Based on interviews with witnesses and residents, facility staff provide assistance with incontinence care. Staff respond to call buttons for assistance quickly, never more than 15 minutes wait time. Staff also assist with showers on a schedule or as needed. None of the witnesses had ever come into the facility and observed residents disheveled, needing incontinence care for a long period of time or smelling badly. Therefore, the allegations staff left resident in soiled diaper for extended period of time and staff failed to provide proper hygiene to resident are deemed Unsubstantiated at this time. Based on interviews with witnesses and residents, facility staff will assist residents with mobility issues. They do not perform physical therapy (PT) on residents as this is not a rehabilitation facility with PT professionals, but they do assist residents with walking if the resident is physically capable of safely using a walker. Facility staff also offer chair exercise activites to the residents. Therefore, the allegation staff do not offer resident opportunity to exercise is deemed Unsubstantiated at this time. Based on interviews with witnesses and residents, facility staff assist residents with circulation issues. Staff assist residents with elevating their feet while sitting in chairs, wheelchairs, or in bed throughtout the day. Therefore, the allegation staff failed to elevate resident's feet is deemed Unsubstantiated at this time. No deficiencies were observed. Exit interview conducted and a copy of the report issued.the state’s words, verbatim · CDSS document, Jul 29, 2024 · control 29-AS-20230104090949

Type of visit: Required - 1 Year

At 09:15 a.m. Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Nickie Perez arrived shortly after. At 09:38 a.m. the LPA conducted a tour of the physical plant with Administrator Nickie Perez to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a residence that consists of two (2) buildings, with ten (10) resident rooms in each building. Building #2 is two stories and the second story is designated solely for staff. The LPA observed fire extinguishers throughout the facility, which were fully charged and last serviced 03/17/2023. At 12:05 p.m. all smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed all required postings throughout the facility. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. Kitchen: During the facility tour, the kitchen appeared clean and the appliances and fixtures functional. The LPA observed a sufficient amount of perishable and non-perishable food at the facility. Food is prepared based on the menu. Snacks and beverages are available for residents. Bedrooms: During today’s visit, the LPA observed ten (10) randomly selected resident units. The resident bedrooms were properly furnished with at least one chair, nightstand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Bathrooms: The LPA observed all bathrooms, properly supplied and had functional fixtures. The LPA observed grab bars and non-skid mats in all bathrooms. Water temperature measured in the restrooms in both buildings ranged between 108.6 degrees Fahrenheit and 118.6 degrees Fahrenheit. Report will continue on LIC809-C. Common Areas: These included the dining areas and living areas. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. There were no obstructions and/or tripping hazards throughout the facility. Cleaning supplies and toxins were observed locked and inaccessible. Surrounding Grounds (Outdoors)/Garage: The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. The garage is detached and locked at all times. No bodies of water were observed. Infection Control: The community's policies and procedures pertaining to infection control were adequate. Record Review: At 11:38 a.m. a review of facility files was initiated. Facility records are stored in a locked office. The LPA observed documentation of Infection Control, Disaster prevention and last fire drill (conducted on 10/09/2023). The LPA obtained Client Roster, Staff Roster, and Insurance Liability. The LPA reviewed five (5) of twenty-three (23) resident files. Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. The LPA identified that all five residents were missing the Consent for Emergency medical treatment form, (LIC 627C). Otherwise, all resident records were in order. The LPA reviewed five (5) of twenty-two (22) staff files. Personnel records and Administrator’s file were reviewed for, but not limited to personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. The LPA identified that three (3) of five (5) staff did not have a total of 20 hours of the annual required training which includes 8 hours of dementia training, and 4 hours which shall be specific to postural supports, restricted health conditions, and hospice care. Interviews: During today’s visit, the LPA conducted six (6) resident interviews and four (4) staff interviews. No concerns voiced during the interviews. Medications: At approximately 3:45 p.m. a medications review was initiated for two out of five residents and the following was observed. The medications were stored in a medication room and med carts which are locked and inaccessible to the residents. During Resident #2 (R#2's) audit, the LPA observed four (4) extra Metoclopramide 5 MG tablets, and two (2) extra Mirtazapine 15 MG ½ tabs based on start dates, and medication quantities documentation on the Centrally Stored Medication and Destruction Record (CSMDR). No change in orders were observed, and no refusals, or other reasons for medicine not being taken were observed on the Medication Administration Record (MAR) by the LPA and Administrator Teresa. 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.the state’s words, verbatim · CDSS document, Feb 15, 2024

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.