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The following documents can be downloaded here and saved on your computer for printing. They are blank, need to be filled out and and emailed to Vicky at or the reports can be mailed to:

Long Term Care Services of Ventura County, Inc.
Ombudsman Program
2021 Sperry Avenue – Suite 35,
Ventura CA 93003


1. Ombudsman Monthly Activity Log (783)

2. Skilled Nursing Facility (SNF) (804) (SNF)

3. Residential Care Facility For the Elderly (RCFE) (831) (RCFE)

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