Glen Park At Ojai is a residential care home for the elderly (RCFE) in Ojai, Ventura County, California — state license #565850221, licensed for 48 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It does not appear on the DHCS Assisted Living Waiver participant list checked August 9, 2026 — that list covers the state waiver only, not a home's own payment arrangements. California has 26 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated July 14, 2026 — published below in full, verbatim and unscored.

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Glen Park At Ojai

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Residential care home for the elderly (RCFE) · Mid-size home, 48 residents · Ojai, CA · Ventura County
LicensedWheelchairHospiceBedriddenMemory care not on file
No openings reportedBeds change hands in days ·
License #565850221, held since 2021 · read from the California state record on August 2, 2026 ·See on State Site →
225 N Lomita Ave · Ojai, Ventura County
Phone
(805) 646-2402
from the state licensing roster · August 2, 2026
No Google listing is on file for this home.
Website
None on file
Many small homes have no website — that says nothing about the care inside.
Contact facts come from the state roster, a county Area Agency on Aging roster, the home’s Google listing, or the operator — each labelled, never blended. Operators: add or correct yours, free →
Print tour sheet →

Wheelchair / non-ambulatoryApproved for 48 residents
Dementia / memory careNot on file — ask the home
Hospice careApproved for 27 residents
Bedridden careApproved for 8 residents

“Not on file” is not a no — approvals can be bed- or room-specific, so confirm current scope with the home on a tour. Where a number is shown it is the state’s own wording for how many residents the approval covers, not how many places are open today; where none is shown, the record simply does not state one.

Specific medical needs — insulin, oxygen, a catheter, an ostomy — aren’t in the state license record; ask the home directly. A feeding tube, tracheostomy, or advanced wound care usually needs skilled nursing →

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What the state record says, word for word
AGE RANGE 60 AND OVER. APPROVED FOR 48 NON-AMBULATORY, OF WHICH 8 MAY BE BEDRIDDEN. HOSPICE CARE WAIVER FOR 27 RESIDENTS.State service designation935 - ELDERLYthe CDSS license record, verbatim · checked August 2, 2026

Since 2021, the state has visited this home 34 times and filed 26 documents. The most recent is a facility evaluation report, dated July 14, 2026.

Most recent state visit
July 14, 2026
Occupancy at the November 20, 2025 visit
15 of 48 beds

The state's published file for this home includes 13 documents with transcribed findings, dated July 29, 2022 to November 20, 2025. 13 of the 13 carry the state's recorded outcome word: “Substantiated” (5), “Unsubstantiated” (8). 13 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 13 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
The last 36 months — 19 of 26 documentsFull record on the state’s site →
20263 state visits · 3 documents
Jul 14, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jul 9, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jun 30, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

20253 state visits · 3 documents
Nov 20, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff do not get timely medical care for residents

Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced subsequent complaint visit with the purpose of delivering findings for the above allegation. Upon arrival, LPA met with staff and explained the reason for the visit. Executive Director (ED) Rafael Silva was out of the facility at the time of the visit. Entrance interview conducted. During an initial complaint visit conducted on 08/01/2025, between 12:30 p.m. and 3:00 p.m., the LPA Esther Cortez toured the facility and observed fourteen (14) residents in the facility, interviewed the Administrator, one (1) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. During a subsequent visit conducted by LPA Dulek and Tri-Counties Regional Center Quality Assurance Specialist (QA) Katy Robison on 09/03/2025, LPA and QA interviewed ED at 09:58AM, interviewed three (3) staff and attempted to interview one (1) resident from 10:53AM to 11:55AM. At 12:06, Report Continued on LICthe state’s words, verbatim · CDSS document, Nov 20, 2025 · control 29-AS-20250801083243
Oct 15, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 14, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

20249 state visits · 11 documents
Oct 29, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff caused an injury to a resident Staff mishandled a resident's medication

Licensing Program Analyst (LPA), Esther Cortez conducted a subsequent complaint visit to deliver findings for the above allegations. Upon arrival, LPA met with Activity Director Hollyn Heron and explained the reason for the visit. Executive Director (ED) Roman Sierra Tobar was unable to be at the facility during today’s visit, was explained the reason for the visit via phone and authorized Holyn Heron to sign and receive the report. However, ED arrived as LPA was issuing findings. On 03/14/2024, between 11:30 a.m. and 4:00 p.m., the LPA toured the facility with staff, interviewed the Administrator, two (2) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/07/2024, between 11:30 a.m. and 4:30 p.m., the LPA toured the facility with staff, interviewed the Administrator, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/08/2024, between 10:55 a.m. and 11:55 a.m., the LPAthe state’s words, verbatim · CDSS document, Oct 29, 2024 · control 29-AS-20240313134850
Oct 15, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 15, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 9, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not prevent a resident from drinking another resident's drink Staff did not prevent a resident from running naked while in care

Licensing Program Analyst (LPA), Esther Cortez conducted a subsequent complaint visit for the above allegations. Upon arrival, LPA met with Executive Director Roman Sierra Tobar and was explained the reason for the visit. On 03/14/2024, between 11:30 a.m. and 4:00 p.m., the LPA toured the facility with staff, interviewed the Administrator, two (2) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/07/2024, between 11:30 a.m. and 4:30 p.m., the LPA toured the facility with staff, interviewed the Administrator, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/08/2024, between 10:55 a.m. and 11:55 a.m., the LPA interviewed two staff and obtained pertinent documents relevant to the investigation. On 10/04/2024, the LPA conducted a file review and one (1) staff and one (1) witness phone interview between 2:00 p.m. and 4:30 p.m.During today's visit the LPA conducted a filethe state’s words, verbatim · CDSS document, Oct 9, 2024 · control 29-AS-20240313134850
Oct 4, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Residents left soiled for an extended amount of time. Residents are not awarded privacy. Staff did not provide adequate supervision.

Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced subsequent complaint visit for the above allegations. Upon arrival, LPA met with Executive Director Roman Sierra Tobar and was explained the reason for the visit. On 4/10/2023 LPAs Cortez and Kelly Dulek along with facility ED toured the facility at 10:15AM, interviewed staff at the following times: 12:29PM, 01:14PM, 01:55PM, 02:42PM, 04:25PM, and 05:22PM, interviewed Administrator throughout the visit, and reviewed records at 04:15PM. On 08/01/2023, LPA Cortez toured the facility from 9:40 a.m. - 9:50 a.m., reviewed documents with the ED and Assistant adminisrtator at 10:12 a.m. and interviewed residents at 11:14 a.m., 11:32 a.m., 11:40 a.m., 11:44 a.m. and staff at 2:32 p.m. During the week of 5/20/2024, LPA Cortez interviewed R2's Tri-Counties Regional Center (TCRC) Service Coordinator via email correspondence. 08/07/2024, between 11:30 a.m. and 4:30 p.m., the LPA toured the facility with the ED, and obtained cothe state’s words, verbatim · CDSS document, Oct 4, 2024 · control 29-AS-20230403161332
Oct 4, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff unlawfully evicted a resident

Licensing Program Analyst (LPA), Esther Cortez conducted a subsequent complaint visit for the above allegation. Upon arrival, LPA met with Executive Director Roman Sierra Tobar and was explained the reason for the visit. On 03/14/2024, between 11:30 a.m. and 4:00 p.m., the LPA toured the facility with staff, interviewed the Administrator, two (2) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/07/2024, between 11:30 a.m. and 4:30 p.m., the LPA toured the facility with staff, interviewed the Administrator, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/08/2024, between 10:55 a.m. and 11:55 a.m., the LPA interviewed two staff and obtained pertinent documents relevant to the investigation. During today's visit the LPA conducted a file review and one (1) staff and one (1) witness phone interview between 2:00 p.m. and 4:30 p.m. Report will continue on LIC9099-C 2nd pthe state’s words, verbatim · CDSS document, Oct 4, 2024 · control 29-AS-20240313134850
Oct 2, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 1, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility not providing adequate food service.

Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced subsequent complaint visit for the above allegation. Upon arrival, LPA met with Executive Director Roman Sierra Tobar and was explained the reason for the visit. On 4/10/2023 LPAs Cortez and Kelly Dulek along with facility ED toured the facility at 10:15AM, interviewed staff at the following times: 12:29PM, 01:14PM, 01:55PM, 02:42PM, 04:25PM, and 05:22PM, interviewed Administrator throughout the visit, and reviewed records at 04:15PM. On 08/01/2023, LPA Cortez toured the facility from 9:40 a.m. - 9:50 a.m., reviewed documents with the ED and Assistant adminisrtator at 10:12 a.m. and interviewed residents at 11:14 a.m., 11:32 a.m., 11:40 a.m., 11:44 a.m. and staff at 2:32 p.m. On 08/07/2024, between 11:30 a.m. and 4:30 p.m., the LPA toured the facility with the ED, and obtained copies of pertinent documents relevant to the investigation. During today's visit the LPA toured the facility and observed all residents stathe state’s words, verbatim · CDSS document, Oct 1, 2024 · control 29-AS-20230403161332
Aug 8, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff are stealing the residents personal funds Staff are allowing residents with prohibited health conditions to reside in the facility

At 10:10 a.m. Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced subsequent complaint visit to deliver findings for the above allegations. The LPA met with interim Executive Director (ED) Leticia Hernandez and the reason for the visit was explained. On 03/23/2023, during the initial 10-day visit, LPAs Cortez and Chochian toured the facility from 9:50 a.m. - 10:40 a.m. along with the ED. LPAs also conducted interviews with six (6) facility residents between 10:45 a.m.-12:15 p.m. and six (6) facility staff between 2:45 p.m.- 5:30 p.m. Moreover, during the visit, LPAs conducted a file review and obtained pertinent documentation between 1:15 p.m. – 2:40 p.m. Additional documentation was requested and obtained from ED on 03/27/2023 and 03/29/2023. On 03/29/2023 at 1:58 p.m., LPA Cortez conducted a phone interview with Staff #1 (S1). On 03/30/2023, LPAs Cortez and Dulek along with TCRC QAS Aced-Arnett and facility ED toured the facility between 11:03 a.m. – 11:30 a.m. Addthe state’s words, verbatim · CDSS document, Aug 8, 2024 · control 29-AS-20230315122126
May 24, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff sexually abused residents Facility illegally evicted residents. Facility not safeguarding residents’ personal belongings. Facility denied food to residents. Residents are threatened while in care. Residents are bullied while in care.

Licensing Program Analyst (LPA) Esther Cortez arrived unannounced to conduct a subsequent complaint visit. The LPA met with Executive Director Gary Lee and explained the visit. On 4/10/2023, LPAs Cortez and Dulek along with facility ED toured the facility at 10:15AM, interviewed staff at the following times: 12:29PM, 01:14PM, 01:55PM, 02:42PM, 04:25PM, and 05:22PM, interviewed Administrator throughout the visit, and reviewed records at 04:15PM. On 7/28/2023, LPA Smith toured the kitchen/food service area from 11:50 a.m. - 12:05 p.m., reviewed fifteen (15) resident files from 12:10 p.m. - 2:00 p.m., interviewed staff at 11:30 p.m., 12:49 p.m., and 1:07 p.m., and interviewed residents at 2:02 p.m., 2:03 p.m., and 2:10 p.m. On 02/16/2024, LPA Cortez toured the facility, interviewed staff and residents, conducted a file review and obtained copies of pertinent documents from 10:35 a.m. to 3:00 p.m. During the week of 5/20/2024, LPA Cortez interviewed six (6) Tri-Counties Regional Center (TCthe state’s words, verbatim · CDSS document, May 24, 2024 · control 29-AS-20230406155619
Feb 16, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Residents are locked in facility.

Licensing Program Analyst (LPA) Esther Cortez arrived unannounced to conduct a subsequent complaint visit. The LPA met with Executive Director Gary Lee and explained the visit. On 4/10/2023, LPAs Cortez and Dulek along with facility ED toured the facility at 10:15AM, interviewed staff at the following times: 12:29PM, 01:14PM, 01:55PM, 02:42PM, 04:25PM, and 05:22PM, interviewed Administrator throughout the visit, and reviewed records at 04:15PM. On 7/28/2023, LPA Smith toured the kitchen/food service area from 11:50 a.m. - 12:05 p.m., reviewed fifteen (15) resident files from 12:10 p.m. - 2:00 p.m., interviewed staff at 11:30 p.m., 12:49 p.m., and 1:07 p.m., and interviewed residents at 2:02 p.m., 2:03 p.m., and 2:10 p.m. During today’s visit, LPA Cortez toured the facility, interviewed staff, and residents, conducted a file review and obtained copies of pertinent documents from 10:35 a.m. to 3:00 p.m. Report will continue on LIC9099C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 16, 2024 · control 29-AS-20230406155619
20232 state visits · 2 documents
Oct 26, 2023Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 25, 2023Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Beside homes the same size
Type A citations6typical 1
Type B citations2typical 1
Substantiated complaints8typical 2
Total complaints7typical 7
State visits on file34typical 19
“Typical” is the statewide median across the 1,244 licensed larger communities (16+ beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 2021.
Year-by-year trend
YearVisitsDocumentsSubstantiated2026330202533120249112202377120224512021110
An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record.Operate this home? Respond to or correct any document here, free. Respond or correct →

See an error in these counts? Report it — free →

$5,000$7,500 /mo
our estimate — Ventura County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one. Ask the home for its rate sheet, or
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo (2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home isn’t on the DHCS waiver list (checked August 9, 2026). Details →

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Non-ambulatory approval — whole home or specific rooms, and is a spot open?
Ask how the 2025 complaint investigation report was corrected — what changed?
How is medication handled and logged day to day?
What’s in the base monthly rate, and what’s billed separately?
Staff-to-resident ratio on day and night shifts?
How are medical emergencies handled after hours?

The first two come straight from this home’s record — a brochure won’t answer them.

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
Claim your home → · See something wrong? → · How we source every fact →
Call (805) 646-2402

Is Glen Park At Ojai licensed?

Yes — Glen Park At Ojai is a licensed residential care home for the elderly (RCFE) in Ojai (Ventura County): California license #565850221, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 48 residents. State records list 26 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated July 14, 2026, appears in the inspection record on this page.

Can Glen Park At Ojai care for dementia, hospice, bedridden, or non-ambulatory residents?

From the CDSS license record, checked August 2, 2026.

The CDSS license record checked August 2, 2026 lists Glen Park At Ojai with clearances for wheelchair / non-ambulatory, hospice care, and bedridden; it does not list dementia / memory care. A clearance that is not on file is not a “no” — it may simply be unrecorded, so if your family needs one of these, ask the home directly and confirm its current scope on a tour.

Wheelchair / non-ambulatoryDementia / memory careHospice careBedridden

From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.

What the state record says, word for word
Verbatim, from the CDSS license recordAGE RANGE 60 AND OVER. APPROVED FOR 48 NON-AMBULATORY, OF WHICH 8 MAY BE BEDRIDDEN. HOSPICE CARE WAIVER FOR 27 RESIDENTS.

How much does Glen Park At Ojai cost?

California's public licensing record does not include Glen Park At Ojai's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Ventura County typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.

Does Glen Park At Ojai accept Medi-Cal or the Assisted Living Waiver?

Glen Park At Ojai is not in the DHCS Assisted Living Waiver participant record we checked August 9, 2026 — that list covers only the state's ALW program, not a home's own payment policies, so ask the home directly about private Medi-Cal arrangements. The waiver pays for assisted-living care services (not room and board) at participating homes; every DHCS-listed home appears on our statewide Medi-Cal page.

Assisted living on Medi-Cal in California →See the DHCS list →

How full it was at the last state visit

15 of 48 beds occupied (31%) when the state visited on November 20, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Glen Park At Ojai?

Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.

The CDSS state record checked August 2, 2026 lists 34 state visits and 26 dated documents since 2021 for Glen Park At Ojai; 13 complaint-investigation narratives are transcribed verbatim below. The most recent, dated November 20, 2025, records an allegation the state marked “Substantiated. Open any entry to read the state's full finding, word for word.

Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.

13 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff do not get timely medical care for residents
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced subsequent complaint visit with the purpose of delivering findings for the above allegation. Upon arrival, LPA met with staff and explained the reason for the visit. Executive Director (ED) Rafael Silva was out of the facility at the time of the visit. Entrance interview conducted. During an initial complaint visit conducted on 08/01/2025, between 12:30 p.m. and 3:00 p.m., the LPA Esther Cortez toured the facility and observed fourteen (14) residents in the facility, interviewed the Administrator, one (1) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. During a subsequent visit conducted by LPA Dulek and Tri-Counties Regional Center Quality Assurance Specialist (QA) Katy Robison on 09/03/2025, LPA and QA interviewed ED at 09:58AM, interviewed three (3) staff and attempted to interview one (1) resident from 10:53AM to 11:55AM. At 12:06, Report Continued on LICCDSS inspection report, November 20, 2025 · control 29-AS-20250801083243

2024

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff caused an injury to a resident Staff mishandled a resident's medication
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA), Esther Cortez conducted a subsequent complaint visit to deliver findings for the above allegations. Upon arrival, LPA met with Activity Director Hollyn Heron and explained the reason for the visit. Executive Director (ED) Roman Sierra Tobar was unable to be at the facility during today’s visit, was explained the reason for the visit via phone and authorized Holyn Heron to sign and receive the report. However, ED arrived as LPA was issuing findings. On 03/14/2024, between 11:30 a.m. and 4:00 p.m., the LPA toured the facility with staff, interviewed the Administrator, two (2) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/07/2024, between 11:30 a.m. and 4:30 p.m., the LPA toured the facility with staff, interviewed the Administrator, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/08/2024, between 10:55 a.m. and 11:55 a.m., the LPACDSS inspection report, October 29, 2024 · control 29-AS-20240313134850
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not prevent a resident from drinking another resident's drink Staff did not prevent a resident from running naked while in care
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA), Esther Cortez conducted a subsequent complaint visit for the above allegations. Upon arrival, LPA met with Executive Director Roman Sierra Tobar and was explained the reason for the visit. On 03/14/2024, between 11:30 a.m. and 4:00 p.m., the LPA toured the facility with staff, interviewed the Administrator, two (2) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/07/2024, between 11:30 a.m. and 4:30 p.m., the LPA toured the facility with staff, interviewed the Administrator, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/08/2024, between 10:55 a.m. and 11:55 a.m., the LPA interviewed two staff and obtained pertinent documents relevant to the investigation. On 10/04/2024, the LPA conducted a file review and one (1) staff and one (1) witness phone interview between 2:00 p.m. and 4:30 p.m.During today's visit the LPA conducted a fileCDSS inspection report, October 9, 2024 · control 29-AS-20240313134850
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResidents left soiled for an extended amount of time. Residents are not awarded privacy. Staff did not provide adequate supervision.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced subsequent complaint visit for the above allegations. Upon arrival, LPA met with Executive Director Roman Sierra Tobar and was explained the reason for the visit. On 4/10/2023 LPAs Cortez and Kelly Dulek along with facility ED toured the facility at 10:15AM, interviewed staff at the following times: 12:29PM, 01:14PM, 01:55PM, 02:42PM, 04:25PM, and 05:22PM, interviewed Administrator throughout the visit, and reviewed records at 04:15PM. On 08/01/2023, LPA Cortez toured the facility from 9:40 a.m. - 9:50 a.m., reviewed documents with the ED and Assistant adminisrtator at 10:12 a.m. and interviewed residents at 11:14 a.m., 11:32 a.m., 11:40 a.m., 11:44 a.m. and staff at 2:32 p.m. During the week of 5/20/2024, LPA Cortez interviewed R2's Tri-Counties Regional Center (TCRC) Service Coordinator via email correspondence. 08/07/2024, between 11:30 a.m. and 4:30 p.m., the LPA toured the facility with the ED, and obtained coCDSS inspection report, October 4, 2024 · control 29-AS-20230403161332
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff unlawfully evicted a resident
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA), Esther Cortez conducted a subsequent complaint visit for the above allegation. Upon arrival, LPA met with Executive Director Roman Sierra Tobar and was explained the reason for the visit. On 03/14/2024, between 11:30 a.m. and 4:00 p.m., the LPA toured the facility with staff, interviewed the Administrator, two (2) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/07/2024, between 11:30 a.m. and 4:30 p.m., the LPA toured the facility with staff, interviewed the Administrator, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 08/08/2024, between 10:55 a.m. and 11:55 a.m., the LPA interviewed two staff and obtained pertinent documents relevant to the investigation. During today's visit the LPA conducted a file review and one (1) staff and one (1) witness phone interview between 2:00 p.m. and 4:30 p.m. Report will continue on LIC9099-C 2nd pCDSS inspection report, October 4, 2024 · control 29-AS-20240313134850
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility not providing adequate food service.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced subsequent complaint visit for the above allegation. Upon arrival, LPA met with Executive Director Roman Sierra Tobar and was explained the reason for the visit. On 4/10/2023 LPAs Cortez and Kelly Dulek along with facility ED toured the facility at 10:15AM, interviewed staff at the following times: 12:29PM, 01:14PM, 01:55PM, 02:42PM, 04:25PM, and 05:22PM, interviewed Administrator throughout the visit, and reviewed records at 04:15PM. On 08/01/2023, LPA Cortez toured the facility from 9:40 a.m. - 9:50 a.m., reviewed documents with the ED and Assistant adminisrtator at 10:12 a.m. and interviewed residents at 11:14 a.m., 11:32 a.m., 11:40 a.m., 11:44 a.m. and staff at 2:32 p.m. On 08/07/2024, between 11:30 a.m. and 4:30 p.m., the LPA toured the facility with the ED, and obtained copies of pertinent documents relevant to the investigation. During today's visit the LPA toured the facility and observed all residents staCDSS inspection report, October 1, 2024 · control 29-AS-20230403161332
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are stealing the residents personal funds Staff are allowing residents with prohibited health conditions to reside in the facility
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
At 10:10 a.m. Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced subsequent complaint visit to deliver findings for the above allegations. The LPA met with interim Executive Director (ED) Leticia Hernandez and the reason for the visit was explained. On 03/23/2023, during the initial 10-day visit, LPAs Cortez and Chochian toured the facility from 9:50 a.m. - 10:40 a.m. along with the ED. LPAs also conducted interviews with six (6) facility residents between 10:45 a.m.-12:15 p.m. and six (6) facility staff between 2:45 p.m.- 5:30 p.m. Moreover, during the visit, LPAs conducted a file review and obtained pertinent documentation between 1:15 p.m. – 2:40 p.m. Additional documentation was requested and obtained from ED on 03/27/2023 and 03/29/2023. On 03/29/2023 at 1:58 p.m., LPA Cortez conducted a phone interview with Staff #1 (S1). On 03/30/2023, LPAs Cortez and Dulek along with TCRC QAS Aced-Arnett and facility ED toured the facility between 11:03 a.m. – 11:30 a.m. AddCDSS inspection report, August 8, 2024 · control 29-AS-20230315122126
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff sexually abused residents Facility illegally evicted residents. Facility not safeguarding residents’ personal belongings. Facility denied food to residents. Residents are threatened while in care. Residents are bullied while in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Esther Cortez arrived unannounced to conduct a subsequent complaint visit. The LPA met with Executive Director Gary Lee and explained the visit. On 4/10/2023, LPAs Cortez and Dulek along with facility ED toured the facility at 10:15AM, interviewed staff at the following times: 12:29PM, 01:14PM, 01:55PM, 02:42PM, 04:25PM, and 05:22PM, interviewed Administrator throughout the visit, and reviewed records at 04:15PM. On 7/28/2023, LPA Smith toured the kitchen/food service area from 11:50 a.m. - 12:05 p.m., reviewed fifteen (15) resident files from 12:10 p.m. - 2:00 p.m., interviewed staff at 11:30 p.m., 12:49 p.m., and 1:07 p.m., and interviewed residents at 2:02 p.m., 2:03 p.m., and 2:10 p.m. On 02/16/2024, LPA Cortez toured the facility, interviewed staff and residents, conducted a file review and obtained copies of pertinent documents from 10:35 a.m. to 3:00 p.m. During the week of 5/20/2024, LPA Cortez interviewed six (6) Tri-Counties Regional Center (TCCDSS inspection report, May 24, 2024 · control 29-AS-20230406155619
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResidents are locked in facility.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Esther Cortez arrived unannounced to conduct a subsequent complaint visit. The LPA met with Executive Director Gary Lee and explained the visit. On 4/10/2023, LPAs Cortez and Dulek along with facility ED toured the facility at 10:15AM, interviewed staff at the following times: 12:29PM, 01:14PM, 01:55PM, 02:42PM, 04:25PM, and 05:22PM, interviewed Administrator throughout the visit, and reviewed records at 04:15PM. On 7/28/2023, LPA Smith toured the kitchen/food service area from 11:50 a.m. - 12:05 p.m., reviewed fifteen (15) resident files from 12:10 p.m. - 2:00 p.m., interviewed staff at 11:30 p.m., 12:49 p.m., and 1:07 p.m., and interviewed residents at 2:02 p.m., 2:03 p.m., and 2:10 p.m. During today’s visit, LPA Cortez toured the facility, interviewed staff, and residents, conducted a file review and obtained copies of pertinent documents from 10:35 a.m. to 3:00 p.m. Report will continue on LIC9099C. UnsubstantiatedCDSS inspection report, February 16, 2024 · control 29-AS-20230406155619

2023

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff exposing residents to hazardous chemicals. Staff are unable to communicate/understand English.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Esther Cortez arrived unannounced to conduct a subsequent complaint visit. The LPA met with Executive Director Gary Lee and explained the reason for the visit. On 4/10/2023 LPAs Cortez and Kelly Dulek along with facility ED toured the facility at 10:15AM, interviewed staff at the following times: 12:29PM, 01:14PM, 01:55PM, 02:42PM, 04:25PM, and 05:22PM, interviewed Administrator throughout the visit, and reviewed records at 04:15PM. During today’s visit, the LPA toured the facility from 9:40 a.m. - 9:50 a.m., reviewed documents with the ED and Assistant adminisrtator at 10:12 a.m. and interviewed residents at 11:14 a.m., 11:32 a.m., 11:40 a.m., 11:44 a.m. and staff at 2:32 p.m. Report will continue on LIC9099-C. UnsubstantiatedCDSS inspection report, August 1, 2023 · control 29-AS-20230403161332
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff are abusing the residents while in care Staff are yelling at the residents
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analysts (LPAs) Esther Cortez & Kelly Dulek conducted unannounced subsequent complaint visit at 8:40 a.m. to the above facility. Tri-Counties Regional Center (TCRC) Quality Assurance Specialist (QAS) Liz Aced-Arnett was also present during today’s visit. LPAs met with Executive Director (ED) Gary Lee and the reason for the visit was explained. On 03/23/2023, during the initial 10-day visit, LPAs Cortez and Chochian toured the facility from 9:50 a.m. - 10:40 a.m. along with the ED. LPAs also conducted interviews with six (6) facility residents between 10:45 a.m.-12:15 p.m. and six (6) facility staff between 2:45 p.m.- 5:30 p.m. Moreover, during the visit, LPAs conducted a file review and obtained pertinent documentation between 1:15 p.m. – 2:40 p.m. Additional documentation was requested and obtained from ED on 03/27/2023 and 03/29/2023. On 03/29/2023 at 1:58 p.m., LPA Cortez conducted an interview with Staff #1 (S1). During today’s subsequent visit, LPAs Cortez and DuCDSS inspection report, March 30, 2023 · control 29-AS-20230315122126

Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.

What the state has logged

California has logged 34 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for larger communities (16+ beds), computed across all 1,244 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing.

Type A citations
6
typical for this size: 1
Type B citations
2
typical for this size: 1
Substantiated complaints
8
typical for this size: 2
Total complaints
7
typical for this size: 7
State visits on file
34
typical for this size: 19
See the full inspection record on the state's site →
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