Inspection Reports for
Oakmont of Camarillo

The complaint alleged staff sexually abused a resident twice within the past month. The resident's responsible party reported the allegation. Multiple interviews, document reviews, and law enforcement involvement occurred. The resident has Alzheimer's dementia and cognitive impairment. The allegation was deemed unsubstantiated due to insufficient evidence.

The investigation found insufficient evidence to support the allegation of staff sexually abusing a resident. The resident had cognitive impairments and prior similar allegations were also found unsubstantiated. Law enforcement was involved but unable to identify a suspect or establish a crime.

The complaint alleged that staff did not ensure resident took medication as prescribed, resulting in hospitalization and medications found scattered after the resident moved out. The allegation was unsubstantiated based on medication review and staff interviews.

The investigation found insufficient evidence to support the allegation. Medication reviews, staff interviews, and documentation showed that medications were properly administered and documented, and the resident was compliant with medication schedules. The allegation was deemed unsubstantiated.

The facility was found to be in compliance with health and safety regulations, including resident room conditions, kitchen food storage, common areas, outdoor spaces, record keeping, medication management, infection control, and emergency disaster planning. No deficiencies or concerns were noted during interviews or record reviews.

The visit was complaint-related, triggered by Complaint Control # 29-AS-20250822191726. The complaint involved concerns about Resident #1's ostomy care being provided by an individual not affiliated with a Home Health Agency, with no verification of qualifications. The complaint was substantiated by the findings.

The facility failed to provide a current, written record of care for Resident #1's colostomy bag, including verification of the qualifications of the individual providing ostomy care, who was not affiliated with a Home Health Agency. This posed a potential health and safety risk to persons in care.

The visit was complaint-related, triggered by a self-reported incident and Suspected Dependent Adult/Elder Abuse report concerning possible sexual abuse of a resident. Further investigation is pending.

During the unannounced visit, no immediate health and safety concerns were observed. A referral was made to the Community Care Licensing Division's Investigation Branch for further investigation, and an additional report may follow.

The facility was found to be in compliance with regulations, with no health or safety hazards observed. Resident bedrooms, restrooms, medication storage, infection control policies, and emergency plans were all in order. No citations were issued during this visit.

The incident involved an altercation between Resident #1 and Resident #2, resulting in injury to Resident #2 who was sent to the hospital and subsequently moved out of the facility. The visit was to follow up on this self-reported incident.

The Licensing Program Analyst interviewed the Executive Director and toured the facility, finding no immediate health and safety hazards. The investigation is ongoing with no citations issued at this time.

The licensee was found non-compliant with the requirement to provide care and supervision, as two residents left the facility unassisted, posing an immediate health and safety risk. A deficiency was cited related to this failure, and a plan of correction was required.

The facility was found to be in compliance with regulations, with no safety concerns noted. Common areas, kitchen, resident rooms, and emergency plans were all observed to be adequate and well maintained. No citations were issued during the inspection.

The investigation was triggered by a self-reported incident where Resident #1, diagnosed with dementia and unable to leave unassisted, was found about a block away from the facility. The facility reported the incident and is cooperating with the investigation.

The Licensing Program Analyst interviewed the Executive Director, toured the facility, tested delayed egress points, and reviewed documents. One delayed egress point had malfunctioned but was being monitored until repaired. No citations were issued during this visit.

The Wanderguard system at the facility did not function properly, as both the auditory alarm and electronic alert failed to activate during testing on the exit door next to Room 135, posing an immediate safety risk to residents. A deficiency was cited related to maintenance and operation of safety systems.

The complaint involved an allegation by Resident #1 that Staff #1 inappropriately touched them. The investigation included interviews with the resident, staff, and facility personnel, review of medical and police reports, and assessment of the resident's cognitive status. The allegation was found to be unsubstantiated due to lack of sufficient evidence.

The investigation included interviews with involved parties and review of medical and police reports. The evidence was insufficient to substantiate the allegation of sexual abuse, and the allegation was deemed unsubstantiated at this time.

The Wanderguard system at the exit door next to Room 135 did not function properly during testing, as neither the auditory alarm nor the electronic alert activated, posing an immediate safety risk to residents.

The complaint involved an allegation of abuse by Resident #1 against Staff #1. Notifications were made to the resident's responsible party, primary care physician, local police, and Long Term Care Ombudsman. The complaint is under investigation by CCLD's Investigations Branch.

No immediate health and safety hazards were identified during the visit. The Licensing Program Analyst toured the facility, interviewed the Executive Director, and obtained pertinent documents. The incident was referred to the Investigations Branch for follow-up.

The inspection found that medications for two residents contained inaccurate amounts of doses, posing an immediate health and safety risk. A repeat violation was cited and a civil penalty of $250 was issued.

The complaint alleged that the facility was in financial distress because staff had not been paid for all hours worked. The complaint was investigated and found to be unsubstantiated.

The investigation found that staff receive paychecks biweekly as scheduled, but some staff failed to submit missed punch sheets and paid time off requests timely, resulting in delayed payments. Corrective actions were taken with staff violating time card policies, and expedited checks are issued when errors are discovered. The allegation of financial distress was deemed unsubstantiated.

The facility was found to be in compliance with Title 22 regulations, with no deficiencies cited. Infection control practices were adequate, including symptom screening, mask usage, PPE supply, and cleaning protocols. The facility had no health or safety hazards observed during the tour.

The visit was complaint-related due to an alleged unauthorized entry to Resident #1's private room. The substantiation status is not stated.

The Licensing Program Analyst was made aware of the incident during an unrelated visit and observed law enforcement arriving to take a report. At the time of the visit, no written report of the incident had been received, and the investigation was to be continued at a later date.

The visit was complaint-related due to a self-reported incident of elopement by Resident #1 on 06/29/2022. Previous similar incidents occurred on 06/05/2022 and 06/07/2022. The complaint was substantiated as deficiencies were cited and civil penalties assessed.

The licensee did not comply with the requirement for care and supervision as Resident #1 left the facility unassisted, posing an immediate health and safety risk. Civil penalties of $250 were assessed and a plan of correction was required.

The facility was found to have deficiencies related to care and supervision as Resident #1 left the facility unassisted, posing an immediate health and safety risk. Civil penalties of $250 were assessed. The facility had taken corrective actions including changing door codes, providing a Wanderguard bracelet, testing exit points, and adjusting care plans and schedules.

The delayed egress in the Memory Care unit was tested and found functional. The Plan of Correction was cleared during this visit. A copy of Resident #1's reappraisal was received.

The visit was complaint-related, following two self-reported incidents of Resident #1 eloping from the secure Memory Care unit. The incidents were substantiated by observations and interviews indicating safety risks.

The inspection found that the facility's delayed egress doors were functional except for one exterior gate which was bolted shut due to malfunction. Resident #1, known to be an elopement risk, was able to leave the facility unassisted twice, posing an immediate health and safety risk. Civil penalties of $500 were assessed.

The inspection found that all interior delayed egress alarms were functional, but one exterior gate with delayed egress was bolted shut due to prior malfunction, posing an immediate safety risk. Resident #1, known to be an elopement risk, left the facility unassisted twice, indicating noncompliance with care and supervision requirements.

During the visit, no immediate health and safety concerns were observed. The Licensing Program Analyst determined that further investigation is needed and will return at a later date to continue the investigation.

The facility was found deficient for failing to submit five incident reports of COVID positive cases within the required 24-hour timeframe, posing an immediate health and safety risk to residents.

The visit was complaint-related due to late submission of COVID positive incident reports. The deficiency was substantiated as the facility submitted 5 incident reports past the 24-hour required timeframe.

The facility failed to submit five incident reports of COVID positive cases within the required 24-hour timeframe, posing an immediate health and safety risk to residents.

The complaint involved two elopement incidents by Resident #1 on 10/28/2021 and 11/02/2021. The facility took corrective actions including door repair, delayed egress testing, Wander Guard implementation, 1:1 caregiver assignment, staff retraining, and window security improvements. Further follow-up is needed.

The facility identified and repaired a faulty door latch after the first elopement and implemented delayed egress and Wander Guard for the resident. After the second elopement through a window, the facility initiated a 1:1 private caregiver, retrained staff on elopement procedures, and enhanced window security and surveillance.

The facility was found to be generally clean and in good condition with no obstructions or tripping hazards. Fire safety systems were operational, though fire extinguishers last serviced in 12/2019 require servicing or replacement. Water temperature testing revealed temperatures outside the required range. Some faucets require repair or replacement. The facility has an approved Hospice Waiver and is limited to eight bedridden residents.