Inspection Reports for Belmont Village Senior Living Thousand Oaks

The inspection was an unannounced required annual visit to evaluate the facility's compliance with Title 22 regulations and ensure there are no health and safety hazards.

The facility was found to be in compliance with all applicable regulations, including infection control, emergency disaster planning, physical plant safety, medication management, and record keeping. No deficiencies or citations were issued during the inspection.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff did not properly treat a resident's wound and did not notify the resident's responsible party of a change in condition.

The investigation found the allegation that staff did not properly treat the resident's wound to be unsubstantiated due to insufficient evidence. However, the allegation that staff did not notify the resident's responsible party of a change in condition was substantiated, with documentation and interviews supporting this finding. A deficiency was cited related to failure to notify the responsible party.

The complaint alleged that staff did not properly treat Resident #1's wound and did not notify Resident #1's responsible party of a change in condition. The wound treatment allegation was unsubstantiated due to insufficient evidence. The failure to notify the responsible party was substantiated based on care notes, interviews, and lack of documentation. No citations were issued for the wound treatment allegation; a deficiency was cited for failure to notify the responsible party.

The visit was an unannounced complaint investigation triggered by an allegation that staff did not seek medical attention in a timely manner for a resident's toe infection.

The investigation reviewed medical records, staff interviews, and correspondence with medical providers. The allegation was found to be unsubstantiated due to insufficient evidence to prove the alleged violation occurred. No citations were issued.

The complaint alleged that Resident #1 had an infection in their toe and staff failed to obtain timely medical treatment. The investigation found that the resident had a podiatrist's plan of care and timely communication with medical providers. The resident was taken to the podiatrist/Emergency Department by family. The allegation was deemed unsubstantiated.

The visit was a Case Management - Incident inspection triggered by a self-reported incident involving an allegation of sexual assault on Resident #1.

The investigation found no indication that the alleged assault occurred; Resident #1 felt safe, and medical examination revealed no signs of assault. No deficiencies were cited during the visit.

The complaint involved an allegation by Resident #1 that two men entered their room and sexually assaulted them on 11/06/2024. The allegation was reported to the Ventura County Sheriff, medical providers, and Long Term Care Ombudsman. Resident #1 has dementia, but no evidence supported the allegation, and the family expressed no concerns about care.

An unannounced Case Management visit was conducted to issue a civil penalty related to a substantiated complaint investigation regarding neglect and lack of supervision that resulted in injury and death of a resident.

The investigation found that on December 20, 2021, a resident (R1) was left unattended due to malfunctioning radios, resulting in a fall causing a subdural hematoma and eventual death. The licensee was cited for failing to provide adequate care and supervision.

The complaint investigation was substantiated. The allegation was neglect and lack of supervision that resulted in injury and death of resident R1. An immediate civil penalty of $500 was previously assessed, and an additional civil penalty of $14,500 was issued for a total of $15,000.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-01-11 regarding unsanitary conditions, malodorous environment, inadequate staff supervision, unsafe sanitation practices, and unmet resident needs at Belmont Village Thousand Oaks.

The investigation found no evidence to substantiate the allegations. The facility was observed to be clean with no foul odors, staff followed safe sanitation practices including during a COVID outbreak, and residents were adequately supervised and their needs met. All allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included facility unsanitary conditions, malodorous environment, staff not meeting residents' needs, unsafe sanitation practices, and inadequate supervision. The Department found insufficient evidence to support any of these claims.

The inspection was an unannounced required annual visit to evaluate the facility's compliance with health and safety regulations.

The facility was toured including common areas, resident rooms, restrooms, kitchen, and exterior. No health or safety hazards were observed, and the facility was found clean and in good repair. No deficiencies were cited at this time.

The inspection was an unannounced complaint investigation triggered by an allegation that the facility was trying to persuade residents and/or their responsible parties to change physicians or home health agencies to ones preferred by administration.

The investigation found no sufficient evidence to support the allegation. Interviews with staff, residents, and family members indicated that residents and families make their own decisions regarding physicians and home health agencies without pressure from the facility. The allegation was deemed unsubstantiated.

The complaint alleged that the facility was persuading residents or their responsible parties to change physicians or home health agencies to those preferred by the administration. The investigation included interviews with staff, residents, and family members, and review of relevant documents. The allegation was found unsubstantiated.

The visit was an unannounced continuation of a required annual inspection to evaluate compliance with licensing requirements and assess facility operations.

The inspection identified multiple deficiencies including missing first aid certifications and tuberculosis test results for staff, incomplete verification of required training hours, medication errors involving residents, and documentation issues with medication administration. The facility reported medication errors and implemented corrective measures including staff retraining.

The inspection was an unannounced required annual visit to evaluate compliance with health, safety, and regulatory standards at the assisted living and memory care facility.

The inspection identified multiple deficiencies including unsecured dangerous items accessible to residents with dementia, expired food products, unkempt resident bathrooms, unsecured cleaning supplies, and minor safety hazards in outdoor areas. Plans of correction were agreed upon to address these issues.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-01-03 regarding inadequate lighting during power outage, inadequate back-up power supply for healthcare devices, and inadequate staffing to ensure resident safety.

The investigation found insufficient evidence to support any of the allegations. The facility had emergency lighting in hallways but not in bedrooms, with natural light and flashlights available. Backup power outlets and portable oxygen tanks were available for medical devices. Staffing levels were maintained through permanent and agency staff, with measures to ensure resident safety despite power outage conditions. All allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated for all allegations: inadequate lighting during power outage, inadequate back-up power supply for healthcare devices, and inadequate staffing to ensure resident safety.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-11-08 regarding resident falls, personal hygiene, room odor, and cleanliness at Belmont Village Thousand Oaks.

The investigation found insufficient evidence to substantiate the allegations. Although the resident sustained multiple falls, staff were responsive and communicated with the resident's physician. The resident declined assistance with personal hygiene and room cleaning, and staff efforts to maintain cleanliness and odor control were ongoing but limited by resident refusal.

The complaint involved multiple allegations including resident falls, failure to maintain personal hygiene, failure to maintain resident room odor free, and failure to clean the resident room. All allegations were deemed unsubstantiated based on interviews, observations, and record reviews.

The visit was conducted as a Case Management - Deficiencies visit in conjunction with a complaint investigation to issue a citation for a deficiency observed during the complaint investigation.

The facility failed to report a power outage that occurred on 12/31/2021 within 24 hours to Community Care Licensing or the persons responsible for the residents, as required by California Code of Regulations, posing a potential health and safety risk.

The visit was conducted in conjunction with complaint #29-NP-20220311163324. The deficiency was substantiated as the facility did not report the power outage within the required timeframe.

The inspection was an unannounced complaint investigation visit triggered by an allegation received on 12/29/2021 regarding neglect/lack of supervision that resulted in injury and death of a resident.

The investigation found that facility staff failed to provide appropriate supervision to Resident #1, who fell and sustained a traumatic subdural hematoma resulting in death. The allegation of neglect/lack of supervision was substantiated.

The complaint was substantiated. It alleged neglect/lack of supervision that resulted in Resident #1 falling and sustaining a traumatic subdural hematoma which resulted in death. The investigation confirmed the allegation.

The visit was an unannounced case management incident investigation conducted to investigate an incident of elopement involving Resident #1 that occurred on 2023-04-09.

The licensee did not comply with the requirement for care and supervision as Resident #1 was able to elope and walk out of the facility unassisted, posing an immediate health and safety risk. The deficiency was cited as a repeat violation and a civil penalty of $250 was assessed.

The visit was triggered by a complaint regarding an unusual incident report of Resident #1 eloping from the facility on 2023-04-09. The incident was substantiated with a repeat deficiency citation and civil penalty.

The visit was an unannounced case management incident investigation conducted to investigate incidents of residents eloping from the facility on 01/16/2023 and 01/26/2023.

The facility failed to supervise Resident #1 on 01/16/2023 and both Resident #1 and Resident #2 on 01/26/2023, allowing them to elope from the facility unassisted, posing an immediate health and safety risk.

The investigation was triggered by an unusual incident report regarding Resident #1 eloping on 01/16/2023. The complaint was substantiated as the facility failed to supervise the residents leading to elopements on 01/16/2023 and 01/26/2023.

The visit was an unannounced complaint investigation conducted in response to allegations received on 08/16/2021 regarding illegal eviction and a resident eloping from the facility.

The investigation found insufficient evidence to support the allegations of illegal eviction and resident elopement. Both allegations were deemed unsubstantiated after interviews, record reviews, and incident report analysis.

The complaint involved allegations of illegal eviction of Resident #1 and that the resident was able to elope from the facility. The investigation included interviews with staff and family, review of incident reports, and facility records. The allegations were found unsubstantiated due to lack of sufficient evidence.

The inspection was conducted to follow up on a confirmation of removal and Decision and Order (D&O) issued on 8/24/22 for staff #1 (S1), an excluded individual, to ensure S1 does not work at the facility.

The inspection confirmed that staff #1 (S1) does not work at the facility as S1 was hired but never started working and is not on the terminated list. Management understands the restrictions imposed by the D&O and the effective date of 9/6/22. No citations were issued.

The visit was a Plan of Correction (POC) unannounced visit to evaluate compliance with previously cited deficiencies related to staff association with the facility.

The facility failed to associate the Interim Executive Director and Regional Vice President of Resident Care to the facility as required, resulting in civil penalties. A deficiency was cited for not ensuring staff were properly associated prior to working, posing an immediate safety risk.

The visit was a Case Management - Deficiencies unannounced inspection conducted to evaluate compliance with licensing requirements and address identified deficiencies.

A deficiency was cited for failure to ensure that an individual (S1) was properly associated with the facility prior to working, posing an immediate safety risk. A civil penalty of $500 was issued related to this deficiency.

The inspection was an unannounced required annual visit with a specific emphasis on infection control practices and procedures.

The facility was generally in compliance with health and safety regulations, including infection control, food storage, and sanitation. However, a deficiency was cited for storing cleaning supplies and toxins on an unattended housekeeping cart accessible to residents, posing an immediate health risk.

The inspection was conducted as an unannounced complaint investigation visit following allegations that facility staff failed to seek timely medical attention resulting in the death of Resident #1 and failed to report change of condition to the responsible party in a timely manner.

The investigation found insufficient evidence to substantiate the allegations. Resident #1 was monitored throughout the day, and staff called 911 when oxygen levels dropped. The resident had a DNR on file, and family members were aware and did not want to override it. No citations were issued.

The complaint alleged that facility staff failed to seek timely medical attention resulting in the death of Resident #1 and failed to report change of condition to the responsible party in a timely manner. Both allegations were deemed unsubstantiated based on interviews, record reviews, and family statements.

An unannounced complaint investigation was conducted due to an allegation that a resident sustained hip fractures as a result of physical abuse while in care.

The investigation found that the resident's injuries were consistent with a medical issue related to a seizure, osteoporosis, and generalized weakness, with no evidence of physical abuse. The allegation was deemed unsubstantiated and no deficiencies were cited.

The complaint alleged physical abuse causing hip fractures to a resident. The investigation included interviews, medical record reviews, and police notes. The claim was unsubstantiated as evidence supported a medical cause for the injuries.