Inspection Reports for CalOaks Senior Living
3891 Polk St, Riverside, CA 92505, United States, CA, 92505
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not supported by evidence. The facility’s most recent report from September 23, 2025, was clean with no deficiencies, showing adherence to infection control protocols. Past issues included substantiated complaints about staff neglect resulting in a resident’s death in late 2021 and a failure to provide diabetic diets in April 2023, as well as pest control problems in 2021 and 2022; however, these were isolated events rather than ongoing problems. Enforcement actions included civil penalties totaling at least $1,500 related to staff background clearance violations and neglect leading to a resident’s death, but no license suspensions or revocations were noted. Recent reports suggest improvement in compliance and resident care, with no new serious deficiencies cited.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
70% occupied
Based on a September 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 52
Capacity: 74
Deficiencies: 0
Date: Sep 23, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee was not ensuring that staff follow proper infection control protocols.
Complaint Details
The complaint alleged that the licensee was not ensuring staff followed proper infection control protocols. The allegation was found unsubstantiated based on interviews and observations during the investigation.
Findings
The investigation included staff and resident interviews and a facility tour. Observations showed that infection control protocols were being followed, including disinfection, resident isolation, mask wearing, and visitor restrictions. The allegation was deemed unsubstantiated with no deficiencies cited.
Report Facts
Residents interviewed: 8
Staff interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and visit |
| Amelia Aladin | Administrator | Facility administrator informed of the visit and present during investigation |
| Melissa Bridges | Licensed Vocational Nurse (LVN) | Facility staff met with during the investigation |
Inspection Report
Census: 51
Capacity: 74
Deficiencies: 0
Date: Jul 21, 2025
Visit Reason
The inspection visit was an unannounced health and safety check conducted due to a prior incident involving aggressive behavior between residents reported in an Unusual Incident Report.
Findings
No imminent health or safety concerns were observed during the visit. Staff were observed providing care and supervision, checking residents every 30 minutes, and adequate food supplies were noted. The needs of residents appeared to be met.
Report Facts
Staff interviews: 5
Eviction notice period: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the unannounced health and safety inspection |
| Amelia Aladin | Licensee/Administrator | Facility administrator who provided information during the inspection |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Follow-Up
Census: 51
Capacity: 74
Deficiencies: 0
Date: Jul 21, 2025
Visit Reason
The visit was conducted as a Case Management - Legal/Non-Compliance follow-up to verify the facility's compliance with Health & Safety Code Section 1569.38 regarding posting of accusation and written notices.
Findings
The Licensing Program Analyst observed that the accusation and written notices were properly posted in conspicuous locations throughout the facility as required by law. No deficiencies were issued during this visit.
Report Facts
Accusation numbers posted: 2
Facility capacity: 74
Resident census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Informed of the visit and verbally confirmed posting of notices. |
| Melissa Bridges | Resident Care Director | Met with Licensing Program Analyst and verbally confirmed posting of notices. |
| Beena Singh | Licensing Program Analyst | Conducted the inspection visit. |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: Jul 21, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff were not properly addressing roaches in the facility and were not preventing residents from smoking inside the facility.
Complaint Details
The complaint investigation was unsubstantiated based on staff and resident interviews and document review. No preponderance of evidence was found to prove the alleged violations occurred.
Findings
The investigation found that staff and residents reported no evidence of roaches in the facility and confirmed pest control maintenance occurs monthly. Staff and residents also confirmed that residents do not smoke inside the facility and use a designated outdoor smoking area. The allegations were deemed unsubstantiated and no deficiencies were cited.
Report Facts
Staff interviewed: 5
Residents interviewed: 10
Pest control maintenance frequency: 1
Capacity: 74
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Licensee/Administrator | Facility administrator present during the investigation |
| Melissa Bridges | Facility Resident Care Director | Met with Licensing Program Analyst during the investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 1
Date: Apr 8, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the licensee failed to provide immediate written notice of a resident's death to the public administrator.
Complaint Details
The complaint was substantiated based on record reviews and interviews. The facility notified the public administrator at the time of hospitalization but failed to provide immediate written notice of the resident's death to the public administrator responsible due to no known kin at the time.
Findings
The investigation substantiated the allegation that the licensee did not provide immediate written notice of the resident's death to the public administrator, although the facility notified relevant agencies within the required timeframe. A citation will be issued in accordance with California regulations.
Deficiencies (1)
Licensee failed to provide immediate written notice of resident’s death to the public administrator.
Report Facts
Capacity: 74
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Facility Administrator | Facility representative met during investigation and named in findings |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: Mar 3, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations of residents smoking in the hallway and pests in the rooms at Caloaks Senior Living Facility.
Complaint Details
The complaint investigation was unsubstantiated based on staff and resident interviews, facility tour, and document review. Allegations included resident smoking in the hallway and pests in the rooms, both found unsubstantiated.
Findings
The investigation found no evidence to substantiate the allegations. Staff and residents confirmed no smoking inside the facility and the presence of a designated outdoor smoking area. No pests were observed, and pest control maintenance occurs monthly. No deficiencies were cited during the visit.
Report Facts
Staff interviewed: 5
Residents interviewed: 8
Facility capacity: 74
Facility census: 51
Pest control maintenance frequency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Rico | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Facility administrator present during the investigation |
| Melissa Bridges | Facility Nurse | Met with Licensing Program Analyst during the investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 27, 2025
Visit Reason
The inspection visit was an unannounced health and safety check conducted due to an incident reported on 10/22/2024 involving aggressive behavior between two residents.
Findings
No imminent health or safety concerns were observed during the visit. Staff were providing adequate care and supervision, residents' needs appeared to be met, and no health or safety hazards were found inside or outside the facility.
Report Facts
Eviction notice timeframe: 30
Staff interviews: 6
Resident check frequency: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Named in relation to the incident and facility management during the inspection. |
| Melody Brown | Licensing Program Analyst | Conducted the inspection visit. |
| Beena Singh | Licensing Program Analyst | Conducted the inspection visit and signed the report. |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 3
Date: Feb 27, 2025
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations that facility staff do not change resident bedding regularly, did not provide required furniture for residents, and do not safeguard residents' personal belongings.
Complaint Details
Complaint investigation was unannounced and conducted by Licensing Program Analysts Beena Singh and Melody Brown. The complaint was received on 2021-04-19. The allegations were found unsubstantiated after interviews and observations. No deficiencies were cited per Title 22, Division 6, of the California Code of Regulations during the visit.
Findings
The investigation found the allegations to be unsubstantiated based on interviews with residents and staff, observations, and record reviews. No deficiencies were cited during the visit, although some deficiencies were initially cited but later dismissed with plans of correction.
Deficiencies (3)
Facility did not ensure residents' bedding was changed regularly as required, posing potential health, safety, and personal rights risks.
Facility did not ensure chairs were provided to residents as required, posing potential health, safety, and personal rights risks.
Facility did not follow safeguards for residents’ personal property, resulting in several residents having personal belongings stolen, posing potential health, safety, or personal rights risks.
Report Facts
Capacity: 74
Census: 57
Deficiencies cited: 3
Plan of Correction Due Date: Mar 3, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and cited deficiencies |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Licensee/Administrator | Facility administrator met during investigation and named in findings |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 27, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-05-17 regarding allegations against the facility.
Complaint Details
The complaint included allegations that staff were not allowing residents to leave the facility, the facility had insects, and staff did not safeguard residents' personal property. The investigation found these allegations unsubstantiated.
Findings
The investigation found the allegations unsubstantiated after interviews with residents and staff, and observations during the visit. Residents were allowed to leave the facility freely, no insects were observed, and staff were found to safeguard residents' personal property adequately.
Report Facts
Capacity: 74
Census: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Facility Licensee/Administrator | Met with during the investigation and exit interview |
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Stephanie Torres | Licensing Program Analyst | Conducted the complaint investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 27, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that facility staff do not keep resident bedrooms clean.
Complaint Details
The complaint was unsubstantiated after investigation. Interviews with residents and staff, as well as observations, did not support the allegation that staff failed to keep resident bedrooms clean.
Findings
The allegation was unsubstantiated based on interviews with 10 residents and 8 staff members, all of whom denied the claim. Observations on 02/26/2025 confirmed bedrooms and living areas were clean, with clean bedding and no odors.
Report Facts
Residents interviewed: 10
Staff interviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Licensee/Administrator | Facility administrator met during the investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 57
Capacity: 74
Deficiencies: 7
Date: Feb 26, 2025
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the facility conducted by Licensing Program Analysts.
Findings
The inspection found several deficiencies including improper hot water temperature, lack of assistance with self-administered medications for some residents, pre-pouring medications, broken blinds and window screens, lack of required emergency supplies, and absence of non-slip mats in a resident bathroom. Some deficiencies were corrected during the visit, and plans of correction were established for others.
Deficiencies (7)
No non-slip mats in resident's bathroom in room 29.
Hot water temperature in residents' rooms 36 and 39 exceeded allowed limits before adjustment.
Staff not assisting three of four residents with self-administration of medication.
Facility staff pre-pouring medications/transferring AM medicines to different containers early in the day.
Blinds in rooms 20 and 37 were in disrepair.
Window screens in rooms 4, 34, 38, and 40 were broken.
Facility does not have required emergency supplies maintained (beyond food and water).
Report Facts
Residents present: 57
Total licensed capacity: 74
Hospice waiver capacity: 10
Bedridden residents capacity: 8
Hot water temperature before adjustment: 136
Hot water temperature before adjustment: 130
Hot water temperature after adjustment: 118
Hot water temperature after adjustment: 114
Non-perishable food supply: 7
Perishable food supply: 2
Resident files reviewed: 6
Staff files reviewed: 6
Residents audited for medication: 4
Residents not assisted with medication: 3
Plan of Correction due date: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Contacted and informed of the visit; accompanied LPAs during inspection. |
| Melissa Bridges | Resident Care Director | Met with LPAs during entry to the facility. |
| Beena Singh | Licensing Program Analyst | Conducted inspection and signed report. |
| Melody Brown | Licensing Program Analyst | Conducted inspection. |
| Efren Malagon | Licensing Program Manager/Supervisor | Supervisor of the inspection. |
Inspection Report
Follow-Up
Census: 57
Capacity: 74
Deficiencies: 1
Date: Feb 26, 2025
Visit Reason
The visit was an unannounced Case Management follow-up to assess the facility's compliance with Health & Safety Code Section 1569.38 regarding posting of licensing and accusation notices.
Findings
The facility failed to post the required written notice and accusation notices in conspicuous locations as mandated by law since 02/12/2025, which poses potential health, safety, and personal rights risks to residents.
Deficiencies (1)
Failure to post the written notice and accusation notice in conspicuous locations in the facility as required by Health and Safety Code 1569.38.
Report Facts
Deficiency Type B: 1
Capacity: 74
Census: 57
Plan of Correction Due Date: Mar 5, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Named in relation to the deficiency for failure to post notices |
| Melissa Bridges | Resident Care Director | Met during inspection and verbally confirmed the deficiency |
| Beena Singh | Licensing Program Analyst | Conducted the inspection and signed the report |
| Melody Brown | Licensing Program Analyst | Conducted the inspection |
| Efren Malagon | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 74
Deficiencies: 1
Date: Dec 10, 2024
Visit Reason
The visit was a follow-up on a substantiated complaint investigation regarding staff neglect that resulted in a resident's death.
Complaint Details
The complaint investigation was substantiated, confirming staff neglect that led to the death of resident R1 due to environmental heat exposure after an unwitnessed fall.
Findings
The Department concluded that a civil penalty is warranted due to the facility staff failing to meet the resident's needs and properly supervise, resulting in the resident's death from hyperthermia after an unwitnessed fall.
Deficiencies (1)
Violation of Health and Safety Code § 1569.269(a)(6) Enumerated rights; severability related to staff neglect resulting in resident death.
Report Facts
Civil penalty amount: 14500
Immediate civil penalty: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tim Dela Cruz | Acting Administrator | Met with Licensing Program Analyst during follow-up visit. |
| Magda Malcore | Licensing Program Analyst | Conducted the follow-up visit and signed the report. |
| Karen Clemons | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Census: 58
Capacity: 74
Deficiencies: 0
Date: Jul 1, 2024
Visit Reason
The visit was an unannounced Case Management visit conducted to verify compliance with Health & Safety Code Section 1569.38 regarding notification requirements related to an accusation against the facility.
Findings
The facility posted the required accusations in conspicuous locations and provided written notification to residents, their responsible parties, and the local long-term care ombudsman within the required 10-day timeframe as mandated by law.
Report Facts
Capacity: 74
Census: 58
Notification timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Met with Licensing Program Analyst during the inspection and verbally confirmed notification compliance |
| Melody Brown | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Efren Malagon | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 57
Capacity: 74
Deficiencies: 3
Date: Jan 25, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the facility.
Findings
The facility was generally compliant with regulations but had deficiencies related to the absence of a required Community Care Licensing Division complaint poster, lack of physician documentation for a resident's half bed rail, and initially improper hot water temperature in Room #2 which was corrected during the visit.
Deficiencies (3)
No Community Care Licensing Division (CCLD) complaint poster was posted in the common area.
Resident #1 had half bed rails without written physician documentation indicating the need for them.
Hot water temperature in Room #2 was initially 72 degrees Fahrenheit, below the required 105-120 degrees Fahrenheit range.
Report Facts
Residents present: 57
Licensed capacity: 74
Non-ambulatory residents capacity: 74
Hospice waiver capacity: 10
Bedridden residents capacity: 8
Non-perishable food supply: 7
Perishable food supply: 3
Resident files reviewed: 3
Staff files reviewed: 4
Medications audited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Efren Malagon | Licensing Program Manager | Supervisor overseeing the inspection. |
| Amelia Aladin | Administrator | Facility administrator contacted and informed of the visit. |
| Melissa Bridges | Resident Care Director | Met with the Licensing Program Analyst during the inspection. |
| Socrates Gerwin Convento | Staff | Met with the Licensing Program Analyst and received the exit interview. |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 1
Date: Nov 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to allegations that facility staff sold a television to a resident in care and that facility staff were financially abusing a resident.
Complaint Details
The complaint investigation was substantiated for the allegation that facility staff sold a television to a resident in care. The allegation of financial abuse by staff was unsubstantiated.
Findings
The allegation that facility staff sold a television to a resident was substantiated based on interviews and document review confirming the sale of a 55-inch television by Staff #3 to Resident #1. The allegation of financial abuse by staff was unsubstantiated after interviews with residents and staff found no evidence of financial abuse.
Deficiencies (1)
87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. The Licensee did not comply by allowing Staff #3 to violate facility policy by selling a television to Resident #1, posing potential personal rights risk.
Report Facts
Facility capacity: 74
Census: 60
Deficiency count: 1
Plan of Correction due date: Dec 8, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Met with Licensing Program Analyst and named in relation to findings and interviews |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: May 22, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained injury while in care due to lack of supervision.
Complaint Details
The complaint alleged that a resident sustained injury due to lack of supervision. The investigation included file reviews, staff and resident interviews, and observations. The allegation was found unsubstantiated as no evidence supported the claim.
Findings
The investigation found no evidence to corroborate the allegation. Staff interviews and observations confirmed appropriate supervision with residents being checked every two hours or more frequently as needed. The allegation was determined to be unsubstantiated.
Report Facts
Staff count: 7
Capacity: 74
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Met with Licensing Program Analysts during the investigation and named in the report. |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation. |
| Mary Rico | Licensing Program Analyst | Assisted in the complaint investigation. |
| Melissa Bridges | Health and Wellness Director | Reported staff supervision practices during the facility visit. |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 74
Deficiencies: 0
Date: Apr 19, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff yelled at a resident.
Complaint Details
The allegation that staff yelled at a resident was unsubstantiated based on the investigation findings.
Findings
The investigation found no evidence to corroborate the allegation. Observations and interviews with residents and staff indicated that no staff yelled at residents during the visit.
Report Facts
Capacity: 74
Census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Licensee/Administrator | Met with Licensing Program Analyst during the investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 74
Deficiencies: 1
Date: Apr 13, 2023
Visit Reason
The inspection was an unannounced complaint investigation initiated due to allegations that staff were not providing a diabetic diet for residents and that food was not of nutritious value to meet residents' needs.
Complaint Details
The complaint investigation was substantiated regarding the failure to provide diabetic diets, with evidence including staff and resident interviews, menu and kitchen observations. The allegation regarding food not being nutritious was unsubstantiated.
Findings
The complaint that staff were not providing a diabetic diet for residents was substantiated, with evidence showing no diabetic menu or sugar-free options were provided, posing potential health risks. The allegation that food was not nutritious was unsubstantiated, with observations confirming residents were served nutritious meals.
Deficiencies (1)
Failure to provide modified diabetic diets as prescribed by residents' physicians, including lack of diabetic menu and sugar-free options.
Report Facts
Facility capacity: 74
Census: 56
Deficiencies cited: 1
Plan of Correction due date: Apr 24, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amelia Aladin | Licensee/Administrator | Facility administrator met during investigation and named in findings |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 74
Deficiencies: 0
Date: Mar 3, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation visit following a complaint alleging that staff does not ensure residents attend medical appointments.
Complaint Details
The complaint alleged that staff does not ensure residents attend medical appointments. The complaint was investigated and found to be unfounded, meaning the allegations were false or without reasonable basis.
Findings
The investigation found no evidence to support the allegation. Interviews with residents and staff confirmed that residents attend their scheduled medical appointments and no cancellations by the facility were reported. The complaint was determined to be unfounded and dismissed.
Report Facts
Capacity: 74
Census: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Aldrin Aladin | Registered Nurse (RN) | Met with Licensing Program Analyst during investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 24, 2023
Visit Reason
The visit was an unannounced collateral visit on a complaint investigation to interview residents and staff regarding complaint control number 56-AS-20230214082530.
Complaint Details
Complaint control number 56-AS-20230214082530 was the basis for the collateral visit and investigation.
Findings
The Licensing Program Analyst conducted interviews and an exit interview was held with the facility administrator. A copy of the report was provided to the administrator.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Administrator | Met with Licensing Program Analyst during complaint investigation visit. |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Efren Malagon | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 74
Deficiencies: 0
Date: Feb 10, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-01-25 regarding staff yelling at a resident and facility overcharging a resident.
Complaint Details
The complaint alleged that staff yelled at a resident and that the facility overcharged a resident. The investigation found these allegations to be unfounded, meaning they were false or without reasonable basis.
Findings
The investigation found the allegations to be unfounded after reviewing documents, conducting interviews with staff and residents, and observing staff interactions. Staff were reported to treat residents with respect and the facility charged only the allowed rate for basic services as per state regulations.
Report Facts
Capacity: 74
Census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Aldrin Aladin | Registered Nurse | Met with Licensing Program Analyst during the investigation and participated in exit interview |
| Amelia Aladin | Administrator | Facility Administrator named in the report |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 74
Deficiencies: 0
Date: Jan 31, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-07-29 regarding staff supervision and medication administration at Caloaks Senior Living Facility.
Complaint Details
The complaint involved two allegations: 1) Staff does not prevent resident from wandering away from the facility, and 2) Staff does not ensure that resident takes medication as prescribed. Both allegations were found to be unsubstantiated based on investigation evidence.
Findings
The investigation found no evidence to substantiate the allegations that staff failed to prevent a resident from wandering away or failed to ensure medication was taken as prescribed. Records review and interviews confirmed proper supervision and medication administration practices.
Report Facts
Capacity: 74
Census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Facility administrator met during investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 74
Deficiencies: 0
Date: Jan 20, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-07-11 regarding allegations that a resident appeared unkempt, was not adequately hydrated, and did not receive medical attention while in care.
Complaint Details
Complaint allegations included that a resident appeared unkempt, was not adequately hydrated, and did not receive medical attention. The complaint was found to be unfounded and dismissed.
Findings
The investigation found all allegations to be unfounded after reviewing resident documents, conducting staff and resident interviews, and observing the facility. Staff were found to assist residents with hygiene, hydration, and medical needs, and the resident had regular physician visits.
Report Facts
Capacity: 74
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amelia Aladin | Administrator | Facility administrator met during the investigation and discussed findings |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Magda Malcore | Licensing Program Analyst | Assisted in the complaint investigation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 74
Deficiencies: 2
Date: Jan 20, 2023
Visit Reason
The visit was a Case Management Office Visit initiated to investigate deficiencies related to staff criminal background clearance and association with the facility.
Complaint Details
The visit was complaint-related as it involved investigation of staff working without proper criminal background clearance and failure to associate staff clearances with the facility. The report does not explicitly state substantiation status.
Findings
The facility allowed staff members S7 and S8 to work without criminal background clearance, posing immediate health, safety, and personal rights risks to residents. Additionally, staff S6 and S9 had criminal background clearance but were not properly associated with the facility, posing potential risks. Civil penalties of $500 per individual were assessed for these violations.
Deficiencies (2)
Allowed Staff #7 and Staff #8 to work without criminal background clearance, posing immediate health, safety, and personal rights risks to residents.
Allowed Staff #6 and Staff #9 to work without transferring or failing to transfer their criminal background clearance, posing potential health, safety, and personal rights risks to residents.
Report Facts
Civil penalty amount: 500
Number of individuals fined: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Administrator | Facility administrator who confirmed staff hire dates and was involved in the exit interview discussing the findings. |
| Melody Brown | Licensing Program Analyst | Conducted the investigation and authored the report. |
| Magda Malcore | Licensing Program Analyst | Participated in the investigation and office visit. |
| Efren Malagon | Licensing Program Manager | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: Dec 7, 2022
Visit Reason
An unannounced visit was conducted to investigate a complaint received on 2022-11-30 regarding allegations of staff misconduct towards residents at Caloaks Senior Living Facility.
Complaint Details
The complaint involved allegations that staff threw socks at a resident, made inappropriate comments towards a resident, and refused to assist a resident. All allegations were investigated and found to be unsubstantiated.
Findings
The investigation included interviews with residents, staff, and witnesses, as well as records review. All allegations, including staff throwing socks at a resident, making inappropriate comments, and refusing to assist a resident, were found to be unsubstantiated due to lack of evidence.
Report Facts
Facility capacity: 74
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation |
| Melissa Bridges | Care Manager | Met with Licensing Program Analyst during investigation |
| Amelia Aladin | Administrator | Facility administrator named in the report |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 74
Deficiencies: 0
Date: Nov 9, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2022-11-04 regarding allegations of staff failing to seek timely medical attention, failing to meet resident hygiene needs, facility cleanliness, and staff not assisting residents with feedings.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to seek timely medical attention, failure to meet hygiene needs, unclean facility, and lack of feeding assistance. Interviews and document reviews showed the facility met medical, hygiene, cleanliness, and feeding requirements. No evidence was found to prove violations occurred.
Findings
The investigation found that the facility appropriately addressed the medical needs of Resident R1, maintained hygiene and cleanliness standards, and provided feeding assistance to Resident R2. There was insufficient evidence to substantiate the allegations, and all four allegations were deemed unsubstantiated.
Report Facts
Capacity: 74
Census: 61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Efren Malagon | Licensing Program Manager | Oversaw the complaint investigation |
| Melissa Bridges | Wellness Director/Manager | Facility representative met during the investigation and involved in exit interview |
Inspection Report
Census: 55
Capacity: 74
Deficiencies: 0
Date: Oct 25, 2022
Visit Reason
The visit was an unannounced case management visit to conduct inquiry into health and safety care concerns of residents.
Findings
Based on the review of records, tour of the facility, and interviews with residents and staff, no deficiencies were cited under Title 22, Division 6 of the California code of regulations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Administrator | Facility administrator met during the visit. |
| Melissa Bridges | LVN | Met during the visit and involved in the inspection. |
| Amy Goldenberg | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Amber Coleman | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 74
Deficiencies: 1
Date: Jul 20, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility has roaches.
Complaint Details
The complaint was substantiated based on observations, interviews, and document review. The allegation that the facility has roaches was found valid by the preponderance of the evidence standard.
Findings
The investigation confirmed the presence of roaches in multiple resident rooms despite cleaning and spraying efforts. The facility's contracted exterminator was not servicing all rooms, and the treatment was insufficient to aggressively control the infestation. The complaint was substantiated.
Deficiencies (1)
The facility was not clean, safe, sanitary, and in good repair due to the presence of roaches, and the licensee did not aggressively address the roach issue, posing immediate health, safety, and personal rights risks to residents.
Report Facts
Capacity: 74
Census: 54
Rooms sprayed: 10
Plan of Correction Due Date: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Reported on exterminator treatment and follow-up plans |
| Melissa Bridges | Wellness Director | Met with Licensing Program Analyst and reported on exterminator plans |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 74
Deficiencies: 0
Date: Jul 14, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that a resident sustained multiple injuries due to lack of supervision from staff.
Complaint Details
The allegation that a resident sustained multiple injuries due to lack of supervision was determined to be unsubstantiated based on the evidence gathered during the investigation.
Findings
The investigation included interviews, observations, and records review, and found no evidence to substantiate the allegation. Staff and residents denied neglect or lack of supervision, and appropriate protocols were followed after the resident's fall.
Report Facts
Facility capacity: 74
Census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amelia Aladin | Administrator | Facility administrator present during the investigation |
| Efren Malagon | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 0
Date: Apr 14, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2022-03-09 regarding neglect, overmedication, unsanitary conditions, lack of meals, unmet hygiene needs, and fraudulent signing of documents at Caloaks Senior Living Facility.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred. Allegations included neglect resulting in injury, overmedication, unsanitary conditions, failure to provide meals, unmet hygiene needs, and fraudulent signing of documents. Interviews with staff, residents, and witnesses all denied these allegations.
Findings
The investigation, which included interviews, observations, and records review, found all allegations to be unsubstantiated. Staff, residents, and witnesses denied neglect, overmedication, unsanitary conditions, lack of meals, unmet hygiene needs, and fraudulent signing of documents. The facility was observed to be clean, residents were provided meals and hygiene assistance, and medication administration was appropriate.
Report Facts
Facility capacity: 74
Resident census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Melissa Bridges | Wellness Coordinator | Met with Licensing Program Analyst during the investigation |
| Amelia Aladin | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 22, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 12/28/2021 regarding rough handling of residents and unclean facility conditions.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff handling residents roughly and the facility being unclean. Interviews with residents and staff denied rough handling, and pest control records showed ongoing treatment. No evidence supported the allegations.
Findings
The investigation included observations, interviews, and records review. Allegations of rough handling of residents and unclean conditions were found to be unsubstantiated due to lack of evidence. The facility demonstrated ongoing pest control measures and cooperation with an extermination company.
Report Facts
Facility capacity: 74
Census: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amelia Aladin | Administrator | Facility administrator present during investigation |
| Melissa Bridges | Wellness Director | Facility wellness director present during investigation |
Inspection Report
Annual Inspection
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 22, 2022
Visit Reason
The inspection was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
The facility was found to be in compliance with regulatory requirements, with no deficiencies cited. Infection control measures were in place and staff were trained, PPE was available, and the facility was clean and in good repair with no apparent health and safety risks.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Administrator | Interviewed during inspection regarding infection control measures. |
| Melissa Bridges | Wellness Director | Interviewed during inspection regarding infection control measures. |
| Stephanie Williams | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Efren Malagon | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 74
Deficiencies: 2
Date: Dec 23, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation of staff neglect resulting in a resident's death.
Complaint Details
The complaint was substantiated. The allegation that staff neglect resulted in a resident's death was supported by evidence including staff interviews, medical records, law enforcement reports, and environmental data. An Immediate Civil Penalty of $500 was assessed.
Findings
The investigation substantiated that staff neglect led to the death of resident R1, who sustained an unwitnessed fall and lay outside for hours, resulting in hyperthermia due to environmental heat exposure. The facility failed to properly supervise the resident, posing an immediate health and safety risk.
Deficiencies (2)
Residents of residential care facilities for the elderly shall have rights to care, supervision, and services that meet their individual needs and are delivered by competent staff. This requirement was not met.
Facility staff were not competent in meeting R1 needs. Facility staff failed to properly supervise R1. Following an unwitnessed fall, R1 laid outside for hours and died of hyperthermia due to environmental heat exposure.
Report Facts
Capacity: 74
Census: 63
Body surface area affected: 30
Body surface area affected: 40
Body temperature: 109.2
Immediate Civil Penalty: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Cuevas | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Joel Esquivel | Licensing Program Manager | Oversaw the complaint investigation report |
| Melissa Bridges | LVN | Staff member met with during investigation and named in findings |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 74
Deficiencies: 0
Date: Nov 18, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 2021-11-08 regarding dietary needs, facility cleanliness, insect presence, diapering care, and staffing sufficiency at Caloaks Senior Living Facility.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to meet residents' special dietary needs, failure to keep the facility free of insects, failure to keep the facility clean, failure to ensure residents' diapering needs were met, and insufficient staffing. Interviews, observations, and record reviews did not support these allegations.
Findings
The investigation found all allegations to be unsubstantiated. Staff and residents confirmed that special dietary needs were met, the facility was clean and free of insects, diapering needs were addressed appropriately, and staffing levels were sufficient to meet resident needs.
Report Facts
Capacity: 74
Census: 62
Staffing: 10
Staffing: 2
Extermination service date: Nov 11, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Administrator | Facility administrator met during investigation |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 0
Date: Sep 2, 2021
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging staff mismanaged a resident's money.
Complaint Details
The complaint alleged staff mismanaged a resident's money. The investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violation occurred.
Findings
The investigation found that after Resident #1's death, the facility notified the Social Security Administration (SSA), which continued payments until May 2021. All funds received were returned to SSA, and the allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 74
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Administrator | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 74
Deficiencies: 1
Date: May 12, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation received on 2021-04-12 that staff did not keep the facility free from pests.
Complaint Details
The complaint was substantiated based on the preponderance of evidence including resident interviews, observations of cockroaches, and records review. The facility had not arranged for interior fumigation in five or more months.
Findings
The investigation found at least thirteen cockroaches at different growth stages throughout the facility and inside resident furniture, corroborated by resident interviews and observations. The allegation was substantiated and a citation will be issued for failure to maintain a clean, safe, and sanitary environment.
Deficiencies (1)
The facility was not kept clean, safe, and sanitary as evidenced by the presence of at least 13 cockroaches throughout the facility and inside resident furniture, posing a health and personal rights risk to residents.
Report Facts
Number of cockroaches observed: 13
Facility capacity: 74
Census: 62
Plan of Correction due date: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Torres | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Facility administrator interviewed and involved in exit interview |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 0
Date: Oct 30, 2020
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-06-17 regarding allegations of inadequate resident care and medication administration at Caloaks Senior Living Facility.
Complaint Details
The complaint involved four allegations: failure to notice a change in resident's condition, failure to seek medical attention, failure to safeguard resident's property, and failure to dispense medications as prescribed. All allegations were investigated through staff interviews and records review and were found unsubstantiated.
Findings
The investigation found no evidence to substantiate the allegations that facility staff failed to notice changes in resident condition, seek medical attention, safeguard resident property, or administer medications as prescribed. All allegations were determined to be unsubstantiated.
Report Facts
Facility capacity: 74
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Robbie Johnson | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Facility administrator involved in the investigation and communication |
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