Inspection Reports for
Oakmont of San Jose
917 Thornton Way, San Jose, CA 95128, United States, CA, 95128
Back to Facility ProfileInspection Report — Jan 28, 2026
Complaint Investigation
Census: 68
Capacity: 92
Citations: 0
Date: Jan 28, 2026
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2026-01-07 regarding elevator maintenance, falsification of staff training records, and failure to conduct emergency drills.
Complaint Details
The complaint alleged that the facility elevators were not maintained in good repair, the administrator and staff falsified staff training records, and the facility was not conducting emergency drills. The complaint was investigated and found to be unfounded.
Findings
The investigation found that the allegations were unfounded. The facility elevators were maintained and repaired despite occasional breakdowns, staff training records were not falsified, and emergency drills were conducted monthly throughout 2025 as documented in logs.
Report Facts
Facility capacity: 92
Census: 68
Elevator repair labor hours: 1.25
Elevator repair labor hours: 0.75
Elevator repair labor hours: 5.5
Staff training records reviewed: 7
Staff interviewed: 5
Residents interviewed: 3
Emergency drills conducted: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kippie Castronovo | Executive Director | Met during investigation and named in allegations regarding elevator maintenance and staff training records |
| Marcella Tarin | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report — Jan 8, 2026
Complaint Investigation
Census: 68
Capacity: 92
Citations: 0
Date: Jan 8, 2026
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility staff did not obtain criminal record clearance for staff members.
Complaint Details
The complaint alleged that one staff member working in the kitchen did not have a criminal background clearance. The complaint was investigated and found to be unfounded.
Findings
The investigation found that all 18 staff members observed and reviewed had obtained a California Criminal Background Clearance. The complaint was determined to be unfounded.
Report Facts
Staff observed: 18
Staff files reviewed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kippie Castronovo | Administrator | Met with Licensing Program Analyst during the complaint investigation |
| Marcella Tarin | Licensing Program Analyst | Conducted the complaint investigation visit |
| Christine Kabariti | Supervisor | Named as supervisor on the report |
Inspection Report — May 29, 2025
Complaint Investigation
Census: 61
Capacity: 92
Citations: 0
Date: May 29, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2025-01-23 regarding inappropriate touching, pushing, restraint, and neglect of a resident at Oakmont of San Jose.
Complaint Details
The complaint involved multiple allegations against staff including inappropriate touching, pushing, inappropriate restraint, leaving a resident soiled, and failure to ensure toilet flushing. Interviews with the resident, staff, law enforcement, and other residents were conducted. The resident denied some allegations and staff denied all. Law enforcement found no evidence or injuries. The allegations were determined unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found the allegations unsubstantiated based on interviews, record reviews, and observations. No visible injuries or evidence supported the claims, and staff denied inappropriate conduct. No deficiencies were cited.
Report Facts
Capacity: 92
Census: 61
Resident interviews: 6
Staff interviews: 4
Resident reports of being left soiled: 1
Residents reporting no extended soiling: 5
Residents with flushed toilets observed: 5
Residents with unflushed toilets observed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christine Kabariti | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jackie Jin | Licensing Program Manager | Oversaw the complaint investigation |
| Kippie Castronovo | Executive Director | Facility representative met during investigation and report review |
Inspection Report — Apr 11, 2025
Annual Inspection
Census: 66
Capacity: 92
Citations: 0
Date: Apr 11, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with California Code of Regulations Title 22 at Oakmont of San Jose.
Findings
The Licensing Program Analyst toured the facility, inspected resident rooms and common areas, reviewed staff and client records, and observed safety equipment and food storage. No deficiencies were cited during the visit.
Report Facts
Staff count: 19
Resident rooms: 67
Fire extinguisher service dates: 2
Fire drill date: 1
Perishable food supply days: 2
Non-perishable food supply days: 7
Refrigerator temperature (°F): 32
Freezer temperature (°F): 14
Room temperature (°F): 72.5
Hot water temperature Bathroom 1 (°F): 119.8
Hot water temperature Bathroom 2 (°F): 118.2
Hot water temperature Bathroom 3 (°F): 119.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Santino Fortes | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Jan Krum | Marketing Director | Met with Licensing Program Analyst during inspection |
| Val Baldugo | Acting Executive Director | Met with Licensing Program Analyst during inspection |
| Kippie Castronovo | Administrator/Director | Facility Administrator/Director listed in report |
Inspection Report — Sep 13, 2024
Complaint Investigation
Census: 62
Capacity: 92
Citations: 1
Date: Sep 13, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received regarding fee increases without proper notice, charging fees for services not provided, and failure to notify a resident's physician of a change in condition.
Complaint Details
The complaint investigation was triggered by allegations that the facility increased resident fees without proper notice, charged fees for services not provided, and failed to notify a resident's physician of a change in condition. The fee increase allegation was substantiated, the fees for services not provided allegation was unfounded, and the failure to notify physician allegation was unsubstantiated.
Findings
The investigation substantiated that the facility increased a resident's fees without providing the required written notice within two business days. The allegation that the facility charged fees for services not provided was found to be unfounded. The allegation regarding failure to notify the resident's physician of a change in condition was unsubstantiated due to insufficient evidence.
Citations (1)
Facility did not provide 2 day written notice about detailing the new rate for the charges for the new level of care.
Report Facts
Capacity: 92
Census: 62
Deficiency Type B: 1
Plan of Correction Due Date: Sep 20, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Kippie Castronovo | Executive Director | Met with Licensing Program Analyst during the investigation |
| Flavio Silva | Administrator | Facility administrator named in the report |
Inspection Report — Sep 6, 2024
Complaint Investigation
Census: 82
Capacity: 92
Citations: 2
Date: Sep 6, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 05/18/2022 regarding staff not following COVID-19 protocols, unsanitary medication administration, staff working while ill, failure to perform hand hygiene, and alleged misinformation about COVID-19 cases to family members.
Complaint Details
The complaint investigation was substantiated for allegations related to staff not following COVID-19 protocols and unsanitary medication administration. Allegations that staff were providing care while ill and not performing hand hygiene were unsubstantiated. The allegation that the administrator was not disclosing COVID-19 cases truthfully to family members was unfounded.
Findings
The investigation substantiated allegations that staff failed to follow COVID-19 protocols and administered medication unsanitarily, posing immediate health and safety risks. Other allegations, including staff working while ill, failure to perform hand hygiene, and administrator not disclosing COVID-19 cases truthfully, were found to be unsubstantiated or unfounded.
Citations (2)
Failure to ensure residents are accorded safe, healthful and comfortable accommodations, furnishings and equipment, evidenced by staff not wearing appropriate PPE while serving food to COVID residents and not wearing masks while speaking to COVID residents.
Failure to have sufficient and competent personnel to meet resident needs, evidenced by staff administering medication that had fallen on the floor.
Report Facts
Facility capacity: 92
Census: 82
Deficiencies cited: 2
Plan of Correction due date: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jackie Jin | Licensing Program Manager | Oversaw the complaint investigation |
| Sherry Theam | Memory Care Director | Met with Licensing Program Analyst during investigation |
Inspection Report — Aug 26, 2024
Complaint Investigation
Census: 65
Capacity: 92
Citations: 2
Date: Aug 26, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not maintain accurate resident records and disclosed resident confidential records to unauthorized persons.
Complaint Details
The complaint investigation was substantiated based on interviews and records review. Allegations included inaccurate resident records and unauthorized disclosure of confidential resident information.
Findings
The investigation substantiated that the facility failed to maintain accurate resident records for a resident (R1), including incorrect primary physician information and missing diagnosis. Additionally, staff disclosed confidential COVID-19 test results of another resident (R2) to an unauthorized person, posing immediate health, safety, or personal rights risks.
Citations (2)
Resident records did not contain correct primary physician information, posing an immediate health, safety or personal rights risk.
Confidentiality of resident records was breached by unauthorized disclosure of COVID-19 test results.
Report Facts
Facility Capacity: 92
Census: 65
Deficiencies cited: 2
Plan of Correction Due Date: 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted investigation and cited deficiencies |
| Jackie Jin | Licensing Program Manager | Oversaw complaint investigation |
| Kippie Castronovo | Executive Director | Met with investigators during the visit |
Inspection Report — Jul 18, 2024
Complaint Investigation
Census: 62
Capacity: 92
Citations: 1
Date: Jul 18, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that a resident was unlawfully evicted while in care.
Complaint Details
The complaint was substantiated. The allegation was that a resident was unlawfully evicted while in care. The investigation confirmed that the eviction notice was unlawful and invalid due to procedural deficiencies.
Findings
The investigation substantiated the allegation that the facility issued an unlawful 30-Day Notice of Termination of Residence Agreement. The eviction notice was found invalid due to incorrect 30th day calculation and missing required information such as the address of the State Local Long Term Care Ombudsman and resources for alternative housing and care options.
Citations (1)
Failure to include required information in the eviction notice, including reasons for eviction, correct 30-day notice period, address of the State Local Long Term Care Ombudsman, and resources for alternative housing and care options.
Report Facts
Capacity: 92
Census: 62
Deficiency count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Jackie Jin | Licensing Program Manager | Reviewed the eviction letter and managed the licensing program |
| Kippie Castronovo | Executive Director | Met with LPAs during the investigation |
| Flavio Silva | Administrator | Facility administrator named in the report |
Inspection Report — Jul 8, 2024
Follow-Up
Census: 57
Capacity: 92
Citations: 0
Date: Jul 8, 2024
Visit Reason
The visit was a case management incident follow-up conducted unannounced to review a complaint regarding a refund issued to a resident who vacated the facility on 12/28/2023.
Complaint Details
The complaint involved allegations that the facility did not issue a refund within 15 days and did not provide the full refund based on the final account statement. The complaint was amended during the visit and found to be resolved with no deficiencies cited.
Findings
The review found that the facility initially delayed the refund beyond 15 days and incorrectly calculated the refund amount using the original community fee rate instead of the discounted rate. After correction, the refund amount was accurate and compliant with regulations. No deficiencies were cited during this visit.
Report Facts
Refund percentage: 40
Census: 57
Total capacity: 92
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Francisco Sudiacal | Business Office Director | Met during the inspection and involved in the refund discussion. |
| Christine Dolores | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Sarah Yip | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report — May 10, 2024
Census: 56
Capacity: 92
Citations: 0
Date: May 10, 2024
Visit Reason
The visit was an unannounced case management other visit conducted due to information obtained during a complaint investigation with control number 26-AS-20231227155220.
Complaint Details
The visit was triggered by a complaint investigation; however, no substantiation status is provided.
Findings
No deficiencies were cited per California Code of Regulations, Title 22. The case management visit is pending additional investigation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Schuster | Interim Executive Director | Met with Licensing Program Analysts during the visit and reviewed the report. |
Inspection Report — May 10, 2024
Follow-Up
Census: 56
Capacity: 92
Citations: 2
Date: May 10, 2024
Visit Reason
The unannounced case management deficiencies visit was conducted due to violations observed during a prior complaint investigation related to resident care and medication administration.
Complaint Details
The visit was triggered by a complaint investigation (control number: 26-AS-20231227155220) regarding delayed medication administration and failure to notify physician of resident's change in condition. Deficiencies were substantiated and a civil penalty was assessed.
Findings
The facility failed to notify a resident's physician immediately of a change in condition and delayed administration of PRN medication by about two hours, posing immediate health, safety, and personal rights risks. Deficiencies were cited under California Code of Regulations, Title 22, and a civil penalty of $250 was assessed for repeat violations.
Citations (2)
Failure to provide PRN medication to resident (R1) in a timely manner, resulting in about a 2-hour delay.
Failure to ensure residents are regularly observed for changes and to notify physician and responsible party of resident (R1)'s change of condition immediately.
Report Facts
Civil penalty amount: 250
Deficiency count: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Schuster | Interim Executive Director | Met with Licensing Program Analysts during inspection and discussed findings |
| Christine Dolores | Licensing Program Analyst | Conducted the inspection and authored the report |
| Grace Donato | Licensing Program Analyst | Conducted the inspection |
| Sarah Yip | Supervisor | Supervisor overseeing the inspection |
Inspection Report — May 10, 2024
Complaint Investigation
Census: 56
Capacity: 92
Citations: 5
Date: May 10, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2023-10-27 regarding resident care issues including pressure injuries, medication administration, soiled diapers, staffing adequacy, and food service.
Complaint Details
The complaint investigation was substantiated for allegations including resident pressure injury due to staff neglect, failure to administer medication, leaving resident in soiled diapers, unmet resident needs, and inadequate staffing in memory care. Allegations of inadequate food service and unqualified staff were unsubstantiated or unfounded.
Findings
The investigation substantiated several allegations including resident pressure injury due to staff neglect, failure to administer medication as prescribed, leaving resident in soiled diapers, unmet resident needs, and inadequate staffing in memory care. Some allegations such as inadequate food service and unqualified staff were unsubstantiated or unfounded. Deficiencies were cited with plans of correction required.
Citations (5)
Failure to conduct skin check prior to admission to identify pressure injury on resident R1.
Failure to administer PRN medication as prescribed, applied only on random days instead of after each bowel movement/diaper change.
Failure to regularly observe and document changes in resident condition, including pressure injury blister.
Failure to update pre-admission appraisal based on significant changes in resident's health care needs.
Insufficient staffing to meet resident R1's needs, particularly related to incontinence care.
Report Facts
Capacity: 92
Census: 56
Civil penalty amount: 250
Diaper changes: 4
Caregivers per shift: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted complaint investigation and authored report |
| Christopher Schuster | Interim Executive Director | Met with LPAs during investigation |
| Paula Spanek | Administrator | Facility administrator named in report |
Inspection Report — Apr 30, 2024
Annual Inspection
Census: 60
Capacity: 92
Citations: 0
Date: Apr 30, 2024
Visit Reason
An unannounced annual visit was conducted to evaluate the facility's compliance with regulatory requirements.
Findings
The facility was found to be in good condition with no deficiencies cited. Resident and staff records were complete and up to date, medication was properly accounted for, and residents reported satisfaction with care and food.
Report Facts
Temperature: 78
Hot water temperature: 110
Food supply duration: 2
Food supply duration: 7
Resident records reviewed: 5
Staff records reviewed: 5
Residents interviewed: 5
Staff interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Schuster | Interim Executive Director | Met with during inspection and explained purpose of visit |
| Grace Donato | Licensing Program Analyst | Conducted the inspection |
| Jackie Jin | Supervisor | Supervisor of the licensing evaluator |
Inspection Report — Feb 21, 2024
Complaint Investigation
Census: 58
Capacity: 92
Citations: 2
Date: Feb 21, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that staff did not administer a resident's medication as prescribed and failed to notice a resident's change of condition.
Complaint Details
The complaint was substantiated based on evidence that staff did not administer PRN medication as prescribed and failed to notice and report a resident's change of condition related to constipation. The investigation included interviews with 9 staff members and review of medical and facility records.
Findings
The investigation substantiated that staff failed to assist resident R1 with prescribed PRN medication for constipation after noting no bowel movement for over 3 days, and failed to notify the resident's physician and family member, posing immediate health and safety risks.
Citations (2)
Licensee did not ensure to assist R1 with prescribed PRN medication for constipation after noting no bowel movement for more than 3 days.
Licensee did not ensure residents were regularly observed for changes in condition and failed to document and notify physician and responsible party of R1's condition.
Report Facts
Staff interviewed: 9
Days without bowel movement: 3
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Spanek | Executive Director | Met with Licensing Program Analyst during investigation and named in report |
| Christine Dolores | Licensing Program Analyst | Conducted the complaint investigation |
| Sarah Yip | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report — Jan 17, 2024
Complaint Investigation
Census: 58
Capacity: 92
Citations: 1
Date: Jan 17, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that the facility did not report suspected abuse to appropriate agencies within the required 24-hour timeframe.
Complaint Details
The complaint alleged the facility did not report suspected abuse within 24 hours to the Department and appropriate agencies. The allegation was substantiated based on interviews, record review, and observation. The facility did not inform local law enforcement about suspected rough handling of resident R1 by staff S1 on 12/02/2023 within the required timeframe.
Findings
The investigation substantiated the allegation that the facility failed to report suspected physical abuse of a resident by staff to local law enforcement and the licensing department within 24 hours, posing an immediate health and safety risk. A deficiency was cited under California Code of Regulations, Title 22, Section 87211(c).
Citations (1)
Failure to report suspected physical abuse of a resident by staff to local law enforcement and licensing department within 24 hours as required by regulation.
Report Facts
Census: 58
Total Capacity: 92
Deficiency Type Count: 1
Plan of Correction Due Date: Jan 18, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Spanek | Executive Director | Met with Licensing Program Analyst during investigation and named in report findings |
| Christine Dolores | Licensing Program Analyst | Conducted the complaint investigation |
| Sarah Yip | Supervisor | Supervisor overseeing the investigation |
Inspection Report — Jan 17, 2024
Census: 58
Capacity: 92
Citations: 0
Date: Jan 17, 2024
Visit Reason
The visit was an unannounced case management follow-up regarding a concern about a pending refund for a resident who vacated the premises on 12/28/2023.
Findings
During the visit, the Licensing Program Analyst interviewed one staff member and obtained the resident's final account statement and Residence and Services Agreement. The case management visit remains open and pending further investigation.
Report Facts
Resident vacated date: Dec 28, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Spanek | Executive Director | Met with Licensing Program Analyst during visit and reviewed report |
| Christine Dolores | Licensing Program Analyst | Conducted the case management visit |
| Sarah Yip | Licensing Program Manager | Named in report header |
Inspection Report — Nov 1, 2023
Complaint Investigation
Capacity: 92
Citations: 2
Date: Nov 1, 2023
Visit Reason
The visit was a continuation of a case management – incident investigation triggered by an incident report and death report for resident (R1). The investigation focused on falls sustained by the resident and the facility's response.
Complaint Details
The visit was complaint-related, investigating an incident and death report for resident (R1). The complaint was substantiated by findings of regulatory non-compliance related to resident falls and notification failures.
Findings
The facility failed to conduct a re-assessment of resident (R1) after the first fall in memory care and did not notify the resident's family or physician after the second fall. Resident (R1) sustained three falls, with the third fall resulting in death. Deficiencies were cited for failure to comply with California Code of Regulations, Title 22.
Citations (2)
Failure to re-assess resident (R1) after sustaining a fall in memory care, posing an immediate health, safety, and personal rights risk.
Failure to immediately notify resident's physician and family after the second fall on the same day, posing an immediate health, safety, and personal rights risk.
Report Facts
Capacity: 92
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Spanek | Executive Director | Met with Licensing Program Analyst during the investigation and was reviewed the report. |
| Christine Dolores | Licensing Program Analyst | Conducted the case management – incident visit and investigation. |
| Sarah Yip | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report — Nov 1, 2023
Complaint Investigation
Census: 92
Capacity: 92
Citations: 2
Date: Nov 1, 2023
Visit Reason
The visit was an unannounced case management - incident inspection conducted as a continuation of a prior investigation triggered by an incident and death report involving resident R1.
Complaint Details
The visit was based on an incident report and death report for resident R1. The complaint investigation substantiated that the facility failed to conduct required re-assessment and notification after multiple falls, contributing to resident harm.
Findings
The investigation found that the facility failed to re-assess resident R1 after a fall in memory care and did not notify the resident's family or physician after a second fall on the same day, posing immediate health, safety, and personal rights risks.
Citations (2)
The licensee did not ensure to re-assess resident (R1) after sustaining a fall in memory care which poses/posed an immediate health, safety, and personal rights risk to persons in care.
The licensee did not ensure to inform the resident's responsible party and physician after resident (R1) sustained a second fall on the same day which poses/posed an immediate health safety and personal rights risk to persons in care.
Report Facts
Capacity: 92
Census: 92
Deficiencies cited: 2
Plan of Correction Due Date: Nov 2, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Spanek | Executive Director | Met with Licensing Program Analyst during inspection and discussed findings |
| Christine Dolores | Licensing Program Analyst | Conducted the case management - incident visit and authored the report |
| Sarah Yip | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report — Aug 4, 2023
Census: 61
Capacity: 92
Citations: 0
Date: Aug 4, 2023
Visit Reason
The visit was an unannounced case management - incident visit triggered by an incident and death report received on 08/03/2023 for a resident.
Findings
No deficiencies were cited during the visit. The case management remains open pending additional information.
Report Facts
Capacity: 92
Census: 61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Spanek | Assistant Executive Director | Met with Licensing Program Analyst during the visit |
| Christine Dolores | Licensing Program Analyst | Conducted the case management - incident visit |
| Sarah Yip | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report — Aug 4, 2023
Complaint Investigation
Census: 61
Capacity: 92
Citations: 0
Date: Aug 4, 2023
Visit Reason
The visit was an unannounced case management incident inspection conducted following receipt of an incident report and death report for a resident on 08/03/2023.
Complaint Details
The visit was triggered by an incident report and death report for a resident (R1). The case management is ongoing and pending further information.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst reviewed multiple resident documents and interviewed the Assistant Executive Director. The case management remains open pending additional information.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Spanek | Assistant Executive Director | Met with Licensing Program Analyst during the incident case management visit. |
| Christine Dolores | Licensing Program Analyst | Conducted the unannounced case management incident visit. |
| Sarah Yip | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report — Jun 9, 2023
Complaint Investigation
Census: 63
Capacity: 92
Citations: 1
Date: Jun 9, 2023
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that staff did not respond to residents' call buttons and did not immediately provide residents' authorized representatives with facility policies and procedures.
Complaint Details
The complaint investigation was substantiated for failure to respond to resident call buttons but unfounded for failure to provide documents to authorized representatives.
Findings
The investigation substantiated that staff failed to respond to resident call alarms, with 116 instances recorded where calls were not answered. However, the allegation regarding withholding documents from authorized representatives was found to be unfounded after review of records and interviews.
Citations (1)
Facility personnel did not respond to calls for assistance from resident call pendants and alarms, posing a potential threat to resident health and safety.
Report Facts
Instances of unanswered calls: 116
Number of caregivers in memory care wing: 3
Facility capacity: 92
Resident census: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryker Heberle | Licensing Program Analyst | Conducted the complaint investigation |
| San Sor | Administrator | Facility administrator involved in investigation and exit interview |
| Sherry Tham | Memory Care Director | Informed investigator about alarm notifications |
| Sarah Yip | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report — Mar 28, 2023
Follow-Up
Census: 64
Capacity: 92
Citations: 0
Date: Mar 28, 2023
Visit Reason
The visit was a case management - incident follow-up conducted to review an elopement incident involving resident R1 on 02/18/2023.
Findings
No deficiencies were cited. The visit included interviews with facility leadership, review of resident R1's care plan and progress notes, observation of the memory care unit, and verification of staff training and care meetings following the incident.
Report Facts
Capacity: 92
Census: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| San Sor | Executive Director | Met during the visit and interviewed regarding the incident and plan of action |
| Sherry Theam | Memory Care Director | Met during the visit and interviewed regarding the incident and plan of action |
| Paula Spanek | Health Service Director | Met during the visit and reviewed the report |
| Christine Dolores | Licensing Program Analyst | Conducted the inspection visit |
| Tracy Pham | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report — Apr 8, 2022
Follow-Up
Capacity: 92
Citations: 3
Date: Apr 8, 2022
Visit Reason
The visit was an unannounced follow-up pre-licensing inspection to verify correction of deficiencies and technical violations cited during a previous visit on 03/24/2022.
Findings
The Licensing Program Analyst observed that the previously cited deficiency and technical violations were corrected, including medication logs, personnel records, and emergency supplies. No issues were noted during this pre-licensing inspection, and the facility was deemed ready to be licensed pending final approval.
Citations (3)
Deficiency related to centrally stored medication logs
Technical violations related to personnel records including 1st Aid certification and health screening reports
Technical violation related to emergency non-perishable supplies
Report Facts
Personnel records reviewed: 4
Resident medication logs reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Flavio Silva | Executive Director | Met with Licensing Program Analyst during the inspection |
| Christine Dolores | Licensing Program Analyst | Conducted the follow-up pre-licensing visit |
| Jackie Jin | Licensing Program Manager | Named in report header |
Inspection Report — Apr 8, 2022
Original Licensing
Capacity: 92
Citations: 3
Date: Apr 8, 2022
Visit Reason
This was an unannounced follow-up pre-licensing visit to observe correction of previously cited deficiency and technical violations from 03/24/2022.
Findings
The previously cited deficiency and technical violations were observed to be corrected. No issues were noted during this pre-licensing inspection, and the facility was found ready to be licensed pending final approval by the Central Application Bureau.
Citations (3)
Deficiency related to centrally stored medication logs
Technical violations related to personnel records including 1st Aid certification and health screening reports
Technical violation related to emergency non-perishable supplies
Report Facts
Personnel records reviewed: 4
Resident medication logs reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Flavio Silva | Executive Director | Met with Licensing Program Analyst during inspection and named in report |
| Christine Dolores | Licensing Program Analyst | Conducted the follow-up pre-licensing visit and authored the report |
Inspection Report — Mar 24, 2022
Original Licensing
Census: 56
Capacity: 92
Citations: 1
Date: Mar 24, 2022
Visit Reason
The visit was an unannounced pre-licensing inspection conducted to evaluate the facility's readiness for licensing.
Findings
The facility was found to have one deficiency and a technical violation during the pre-licensing inspection. The facility was not ready to be licensed and a follow-up visit will be conducted once corrections are made.
Citations (1)
Staff files did not include 1st Aid Certification, Health Screening, TB Information, and Criminal Record Statement.
Report Facts
Resident records reviewed: 6
Staff records reviewed: 2
Facility capacity: 92
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Flavio Silva | Executive Director | Met with Licensing Program Analyst during inspection |
| Christine Dolores | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Jackie Jin | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report — Dec 1, 2021
Capacity: 92
Citations: 0
Date: Dec 1, 2021
Visit Reason
The visit was an office type evaluation related to a Change of Ownership (CHOW) application process, including a telephone call to complete Component II (COMP II) with the applicant/administrator.
Findings
The applicant/administrator successfully completed COMP II via telephone, demonstrating understanding of facility operation, staff qualifications, program policies, and application document requirements. Identification was verified and technical assistance was provided.
Report Facts
Capacity: 92
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Flavio Silva | Administrator | Applicant/administrator who participated in COMP II and was met during the visit |
| Mirella Quaranta | Licensing Program Manager | Named in report as Licensing Program Manager |
| Stefania Fonteno | Licensing Program Analyst | Named in report as Licensing Program Analyst who conducted COMP II |
Inspection Report — Dec 1, 2021
Original Licensing
Capacity: 92
Citations: 0
Date: Dec 1, 2021
Visit Reason
The visit was conducted as an original licensing evaluation for the facility Oakmont of San Jose, including completion of Component II (COMP II) by telephone to verify the applicant/administrator's understanding of Title 22 and related regulatory requirements.
Findings
The applicant/administrator successfully completed COMP II via telephone, confirming understanding of facility operation, staff qualifications, program policies, grievance procedures, physical plant, and application document review including criminal record clearance and other licensing requirements.
Report Facts
Capacity: 92
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Flavio Silva | Administrator | Participant in COMP II and facility administrator |
| Mirella Quaranta | Supervisor | Supervisor overseeing the licensing evaluation |
| Stefania Fonteno | Licensing Evaluator | Licensing evaluator conducting the facility evaluation |
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